I've noticed my blood pressure has been fluctuating between 130 to 170 recently, but from yesterday, it's been around 140 to 156. What's really been worrying me is that my diastolic pressure stays pretty high, always between 90 and 110. I had an ECG done yesterday and it came back normal, and my TMT from last month was also fine. I do have a history of anxiety and I'm on medication for it, but my blood pressure usually stays normal even when I'm anxious. It's just been high for the past 4-5 days and I'm not sure what's causing it. What do you think I should do? Oh, and why is my diastolic pressure always high? I've had some mild chest pain sometimes too. Can you help me figure this out?

Answered by 1 Apollo Doctors

Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

Consult Now

Your fluctuating blood pressure readings and consistently high diastolic pressure could be due to a combination of factors, including anxiety and other underlying health conditions. Since your ECG and TMT reports are normal, it's a good sign that there may not be any significant heart-related issues causing your symptoms. Given your history of anxiety and the recent increase in blood pressure, it's important to manage your stress levels and continue taking your anxiety medication as prescribed. Additionally, lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress-reducing activities may help in controlling your blood pressure. To address your high diastolic pressure, your doctor may consider prescribing medications such as Amlodipine (5-10mg) or Lisinopril (10-40mg) to help lower your blood pressure and reduce the strain on your heart. It's essential to follow your doctor's recommendations closely and monitor your blood pressure regularly. If you experience chest pain or any concerning symptoms, seek immediate medical attention. It's crucial to stay in touch with your healthcare provider for further evaluation and personalized management of your blood pressure and anxiety.

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Find a Cardiologist

Answered 04/07/2025

More Cardiology Health Queries

View all

My dad's been diagnosed with something called a complete right bundle branch block, and I'm really worried. Is this considered a serious heart condition?

yes it is a concern immediate cardiologist opinion is required.

Answered by 1 Apollo Doctors

I'm 25 and recently had a pre-employment medical check-up where they did an ECG. The person doing the test said it was abnormal, but after doing it again, they mentioned it's not a big deal. I've never had any health issues or needed to see a doctor before, so I'm not sure how to feel about this. Is this something I should be worried about?

Having an abnormal ECG at a young age like 25 can be concerning, but it doesn't always indicate a serious problem. It's important to follow up with a healthcare professional for further evaluation. In the meantime, you can consider taking low-dose aspirin (75-100mg) daily to help reduce the risk of any potential cardiovascular issues.

Answered by 1 Apollo Doctors

Can a treadmill test, 2D echo, or ECG detect an 80% heart blockage, or is an angiogram the only way to find this out? I'm really curious because I want to understand what these tests can actually show.

0% heart blockage cannot be directly traced by a treadmill test, 2D echo, or ECG. These tests can provide important information about the heart's function and structure, but they may not definitively show the extent of blockages in the coronary arteries. The gold standard for diagnosing blockages in the arteries is a coronary angiogram (angio). It is an invasive procedure where a dye is injected into the arteries to visualize any blockages. If you suspect significant blockages in your coronary arteries, it is best to consult with a cardiologist for further evaluation and management.

Answered by 1 Apollo Doctors