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Orthostatic hypertension - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi, may I answer your health queries right now ? The past week my heart has been beating extremely fast, the first night my heart felt like it exploded and after the pain it was2 hrs before it slowed down every day after that it has been fast and out of breath
Doctor :   Hi
Doctor :   I am Dr AAAAAAA
Doctor :   How can I help you ?
User :   It's my heart
Doctor :   May I ask you a few more questions pertaining to your problem ?
User :   Yes
Doctor :   What is your age, height and weight ?
User :   31, 5'7 189
Doctor :   189 pounds
User :   Yes
Doctor :   Ok
Doctor :   The BMI is a bit on the higher side.
Doctor :   Could you feel the palpitations , I mean were the heart beat visible on the chest wall ?
User :   Yes
Doctor :   Ok
Doctor :   How is your life style , do you exercise everyday or is it a sedentary life style ?
Doctor :   Do you smoke ?
Doctor :   And do you consume alcohol ?
Doctor :   What is your sex ?
User :   I do three days a week and exercise at work im very active, yes alcohol not every day
User :   Female
Doctor :   Ok
Doctor :   Let me advise you initially for your problem,
Doctor :   Acute measures to be taken immediately : User :   Ok
Doctor :   1. Please get an EKG done immediately and get it interpreted by your family physician or Primary.
Doctor :   2. Please get Blood Tests done for Lipid Profile, LFT'S
Doctor :   3. Do also get a TMT (Stress EKG) done.
Doctor :   Chronic or Long term measures : User :   I don't have insurance, how can I on payment plan
Doctor :   I am not the right person to advise you on that , but if you go to emergency room I feel they have to treat you even if you dont pay i suppose .
Doctor :   Long term measures :
Doctor :   1. Cut down your weight from 85 kgs to 63-67 kgs.
Doctor :   2. By proper exercise and yoga regime
Doctor :   3. Healthy diet - more fruits, more veggies and more juices and water.
Doctor :   4. Take less table salt or common salt in your food.
User :   I can do
Doctor :   5. Please get your Blood pressure checked every week .
Doctor :   And please monitor regularly and avoid oily, junk foods like pastries and other fatty foods
Doctor :   Hope you get well soon.And please follow these health tips.
Doctor :   Is there anything else I can help you with ?
User :   Ok, it's usually worse when I lay down what can I do
Doctor :   I feel you need to visit the emergency room as it can be Orthostatic hypertension.
Doctor :   Please take care
Doctor :   Bye for now.
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