Get E-Book on COVID-19

Q. I have chest heaviness with raised blood pressure. Do I need BP medication?

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Aug 27, 2020

Hello doctor,

I am a 39-year-old male. My height is 175 cm and weight 96 kg. I do not smoke or I do not consume tobacco or alcohol. I recently got my preventive health check-up done. My all blood tests are within normal range prescribed, including all cholesterol levels.

I do not have any particular persistent medical problem. Occasionally, randomly I feel pin pricking sensation over the left side of the chest and heaviness over the chest. I informed that to my doctor. So he got my 2D echo and ECG done. My 2D echo color Doppler’s conclusion is normal.

However, when I was seeing the doctor, my blood pressure measured as 180/90. I never had any BP related issues in the past. In the ECG report, doctor said there is minor variation. According to the doctor, mostly that variation is due to increased blood pressure.

The doctor prescribed me two medicines.

1. Corbis AM 5 mg +5 mg (Bisoprolol + Amlodipine) 1-0-0.

2. Ecospirin AV 75 mg +10 mg (Aspirin + Atorvastatin) 0-0-1.

Now, I have a tendency that whenever I see my doctor, I feel tensed thinking whether all will be right or not and my BP increases. But later, when I measure at home, BP remains within the limit. I informed that too to my doctor. But he insisted that there cannot be so much difference due to fear and insisted that I should start the medicine.

My questions Do I really need to start the BP medicine prescribed by the doctor keeping the context of my fear in mind? Is the variation in ECG due to BP? When all my cholesterol reports are normal, why the doctor prescribed Ecosprin AV and why not only Ecospirin? Do I really need to start that Ecosprin AV or normal Ecosprin will do? If I need to start those medicines, for what intervals should I take?

Dr. Muhammad Zohaib Siddiq

Cardiology General Practitioner


Welcome to

Only a concerning finding is on ECG. What to do in that case?

If first ECG (electrocardiography) done shows some abnormalities, but there is very low suspicion of disease on patient's history and examination, repeat ECGs should be done every half an hour for few hours. If changes resolve, it means ECG is normal and no need for medicines.

If subsequent ECGs are normal, no need for Aspirin and lipid-lowering medicine.

Blood pressure is high in doctor's office and normal at home is called white coat hypertension. This occurs in some peoples but good news is that trials show there is no increased risk of heart diseases in case of whitecoat hypertension. So, what to do? One option is to have daily BP checks and in few days, BP will come to normal. Better option is to check BP at home regularly. Home-based BP monitoring and BP readings are more closer to reflect real blood pressure in corresponding with cardiac issues. No need of any medicine in white coat hypertension.

What to do in your case because no serial ECGs were done? Have a repeat ECG done. Other better option is especially if you have chest pain is to have stress echocardiography done. It is a very simple, cheap, and non-invasive modality. If it is normal, stop Aspirin, Bisoprolol, and Atorvastatin. If home based BP is also normal without medicine, stop Amlodipine too.

Some lifestyle modifications are needed. Reduce weight, have a Mediterranean diet, do regular exercise at least 30 minutes daily for at least five days a week such as brisk walk, cycling, swimming, tennis, badminton, jogging, etc.

Was this answer helpful?


Related Questions:
Lifestyle Modifications in Hypertensive Patients
High Blood Pressure: Things You Need To Know!!
What do right bundle branch block and mild mitral regurgitation mean?

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

Lifestyle Modifications for Women's Health

Article Overview: Learn about simple lifestyle changes and healthy habits that can help a woman stay disease-free and enjoy life to the fullest. Read Article

Dr. Shakti Mishra
Fitness Expert

Women of today find it very difficult to juggle between their personal and professional life, especially if they are mothers. But, having two incomes at home has become a necessity rather than a luxury. Yes, it does feel very good to call oneself a working woman, but the working hours are taking a t...  Read Article

Please interpret my blood report.

Query: Hi doctor, I am having mild chest pain over the last three days. I also feel lazy and less energetic for few months. I have done routine checkup. Can you please give suggestion based on the report attached?  Read Full »

Blood pressure seems unusually high in 4 year old. Is there a problem?

Query: Hello doctor, I have a nephew who is 4 and a half years old. He is quite active as a child with a normal height and weight according to his age. Two days back we happened to measure his blood pressure at home normally. We were quite taken aback as it was 144/100 and later also it was around 130/96 ...  Read Full »

Also Read

Can naked body to body massage spread HIV?
Hello doctor, I recently had some business trip during which I had some naked body to body massage wherein massager vag...  Read more»
Are COVID-19 Patients Infectious for up to 90 Days After Recovery?
There have been reports of recovered COVID-19 patients getting reinfected and testing positive for almost 3 months. Read...  Read more»
Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.