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Suggest Treatment For Hypertension And Chest Pain
Question: constant chest pains, doctor saying its normal.. constant feeling that heart is grabbed. have hypertension. I am taking pinom 20 mg in morning and lnblock 5 mg in night.. 2d echo says mild lvh with mild lv dysfunction. Doctor says no need to worry.
While deep asleep, coughing causes as said by companion. Sometimes difficulty in breathing. Plz help.
Ambulatory bp and holter done. Amb bp says 68% systolic above normal. Holter says sinus bradycardia, occasional ectopics, occasional atrial fibrilliation. Doctor says nothing to worry but I am not confortable.. sometimes have a feeling that i will fell down. Also feels like heart skips a beat. Sometimes heartbeat can be felt in all upper body portion.
While deep asleep, coughing causes as said by companion. Sometimes difficulty in breathing. Plz help.
Ambulatory bp and holter done. Amb bp says 68% systolic above normal. Holter says sinus bradycardia, occasional ectopics, occasional atrial fibrilliation. Doctor says nothing to worry but I am not confortable.. sometimes have a feeling that i will fell down. Also feels like heart skips a beat. Sometimes heartbeat can be felt in all upper body portion.
Brief Answer:
please get thorough evaluation.
Detailed Answer:
Dear Sir
Thanks for your query.
1. High blood pressure at such a young age needs to be investigated thoroughly for any reversible cause. Hope a thorough work up was done by your physician.
2. It is not OK to have LV dysfunction, even mild only because of hypertension. It speaks of prolonged uncontrolled hypertension. Even occasional atrial fibrillation in holter is not OK. Hence You need to get yourself evaluated thoroughly.
3. If your ambulatory blood pressure was done with medications, then you need to uptitrate these medications also. Occasional skip beat or feeling of heart beat is fine but you must not have any dizziness/ loss of consciousness or blackout associated with it.
4. If your kidney functions tests, blood electrolytes, ultrasound kidneys, urine examination are normal?
5. Need to get yourself evaluated thoroughly by a cardiologist.
Feel free to discuss further.
Sincerely
Sukhvinder
please get thorough evaluation.
Detailed Answer:
Dear Sir
Thanks for your query.
1. High blood pressure at such a young age needs to be investigated thoroughly for any reversible cause. Hope a thorough work up was done by your physician.
2. It is not OK to have LV dysfunction, even mild only because of hypertension. It speaks of prolonged uncontrolled hypertension. Even occasional atrial fibrillation in holter is not OK. Hence You need to get yourself evaluated thoroughly.
3. If your ambulatory blood pressure was done with medications, then you need to uptitrate these medications also. Occasional skip beat or feeling of heart beat is fine but you must not have any dizziness/ loss of consciousness or blackout associated with it.
4. If your kidney functions tests, blood electrolytes, ultrasound kidneys, urine examination are normal?
5. Need to get yourself evaluated thoroughly by a cardiologist.
Feel free to discuss further.
Sincerely
Sukhvinder
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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