- male
- 50 Years
- 31/03/2021
When should we check BP?
Answered by 1 Apollo Doctors
The first measurement should be in the morning before eating or taking any medications, and the second in the evening.
Dr. Mubarak Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI'm having this issue where I feel a tightness or pressure in my chest whenever I lie down flat to sleep. It almost feels like I'm running out of oxygen sometimes. Do you have any advice on what could be causing this or how to deal with it?
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I'm really concerned about my heart rate lately. It seems to spike, especially when I'm sleeping, and I'm not sure if it's because of fear or anxiety about everything that's happening with COVID-19. Could you give me some advice or steps I can take to handle this? I'd be open to a phone or video consultation too. Appreciate your help!
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Answered by 1 Apollo Doctors
I'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.
1. Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider. 2. The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH. 3. A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages. Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.