Question 1

I'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?

Accepted Answer

Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.

Question 2

My sister's been having mild chest pain for the past couple of days. She got an ECG done, and while the doctor said everything was normal and it's due to acidity, I'm still a bit concerned because the ECG mentioned something about right axis deviation. Is this something we should be worried about? Can you shed some light on this?

Accepted Answer

yes acidity , u can take tab pan d oraly ,before food for 10 days ,avoid spicy foods..

Question 3

I've got some concerns about my cholesterol levels and was wondering if I should start taking statins. My total cholesterol is 196, LDL is 130, HDL is 35, and triglycerides are 101. I weigh 60 kg, my height is 169 cm, and I exercise regularly while sticking to an oil-free diet. I'm on Thyronorm 50 for hypothyroidism. I don't usually feel bad, but I get breathless climbing 2 or 3 floors. All my tests like ECG, 2D echo, and TMT have come back normal. Should I be worried about starting medication?

Accepted Answer

Based on your total cholesterol of 196, LDL of 130, HDL of 35, and triglycerides of 101, along with your symptoms of feeling breathless when climbing 2 to 3 floors, you may benefit from taking a statin drug to help lower your LDL cholesterol levels and reduce your risk of cardiovascular events. Since you are already taking Thyronorm 50 for hypothyroidism, it is important to consider any potential drug interactions with statins. I recommend discussing with your doctor about starting a statin medication such as Atorvastatin 20mg once daily to help improve your cholesterol levels and reduce your risk of heart disease. Remember to continue your regular exercise and oil-free diet for overall heart health.

You can try Telma-H instead

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