Hello, Welcome to icliniq.com. I understand your concern. A blood pressure reading of 138/80 mmHg is considered elevated compared to normal levels. You did not mention any other cardiovascular risk factors, which would place you in the low-risk category. Initially, I recommend lifestyle changes, including regular exercise such as a 40-minute brisk walk daily, reducing salt and caffeine intake, and quitting smoking (if applicable).
Hello, Welcome to icliniq.com. It is quite common and normal for regular athletes to have sinus bradycardia. I have seen some with heart rates as low as 40 to 45 bpm during the day. At night, the heart rate usually slows further and can drop to 35 bpm. As long as you remain asymptomatic, meaning no lightheadedness, fainting, or collapsing, no further action is required.
Hello, Welcome to icliniq.com. I understand your concern. Your dad is taking Telmisartan 40 mg once a day. If he has been on it for over two weeks and his kidney function is stable, the dose can be increased to 80 mg, either as a single dose in the morning or as a divided dose (40 mg in the morning and 40 mg in the evening). He should continue taking Cilnidipine 20 mg.
Hello, Welcome to icliniq.com. Please be advised that a normal ECG, when you are not experiencing palpitations, is not diagnostic of palpitations. You will need a cardiac monitor. If the palpitations occur daily, a 24-hour cardiac monitor should be able to detect them. If they happen every two to three days, you will need a 72-hour monitor, so the cardiologist can review the ECG at the time the palpitations occur.
Hello, Welcome to icliniq.com. This mild LVH (left ventricular hypertrophy) is not a concern. Sometimes the echo can misinterpret the wall thickness. It is fine to repeat it in one to two years for reassurance. You could consider having a cardiac MRI (magnetic resonance imaging), which is much better at assessing the heart's wall thickness and function.
Hello, Welcome to icliniq.com. The ECG (electrocardiogram) (attachments removed to protect the patient’s identity) shows that you have a fast heart rate of around 120 bpm (100 bpm is the upper limit of normal at rest). This could be due to the fact that you had the ECG immediately after walking a long distance or did not have adequate rest before the test. If the ECG is taken at rest (that is, after at least 10 minutes of rest), you may need to start taking medication to control the heart rate or increase the dose if you are already on such medication. It is also important to monitor your heart rate regularly to ensure that this is not a one-time occurrence of a fast heart rate.
Hi, Welcome to icliniq.com. You need to check your blood pressure daily, both first thing in the morning and before bed. Make sure you are resting for at least five minutes, and avoid eating or drinking for 30 minutes before taking the measurement. Record your readings for one week. If your blood pressure is consistently above 140, you should consult a doctor.
Hello, Welcome to icliniq.com. As per the cardiac MRI (attachment removed to protect patient identity), the degree of pulmonary valve regurgitation is at most moderate, with only mild dilation of the right ventricle (RV). Please be assured at this stage. However, she still requires yearly follow-ups, either with an echo or another cardiac MRI (magnetic resonance imaging). If you have the full MRI report, I would be happy to go through it with you.
Hello, Welcome back to icliniq.com. You raised a very good point. Cardiologists usually examine the ECG (electrocardiogram) and the patient's symptoms. If the ECG does not show any signs of conduction abnormalities and the patient is fit, healthy, and asymptomatic, it is reassuring, especially if they are an athlete. However, if the ECG indicates a conduction abnormality or delays, it raises concern, particularly if the patient experiences symptoms like lightheadedness, fainting, collapses, or exertional breathlessness.
Hello, Welcome to icliniq.com. The echo is reassuring. A jerky septum means there is slight dyssynchrony between the septum and the other walls of the left ventricle. This is typically seen in the left bundle branch block, which needs to be confirmed with an ECG (electrocardiogram). If the ECG shows normal sinus rhythm, then there is no cause for concern.
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