Dr. Ritendra Nath Talapatra
MBBS., DFM(CMC VELLORE)., DNB (GENERAL MEDICINE)., DIPLOMA IN CLINICAL CARDIOLOGY., MNAMS., CCEBDM., DNB
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By reviewing your clinical symptoms and medical records (attachment removed to protect patient identity), here are the salient findings with explanations.
In your echo report, you are having concentric LVH (left ventricular hypertrophy), means you are hypertensive for a long time and your current antihypertensive medications are not controlling it well.
You are having sinus tachycardia despite 1.5 dose of Coralan (Ivabradine) which is not normal.
You are feeling breathless despite ARB medications.
So, my suggestion for you is as follows:
- Salt restricted diet.
- Tablet Telmisartan (Telma) 80 mg one tablet at 8 AM
- Tablet Chlorthalidone (Ctd) 12.5 mg one tablet at 8 AM
- Tablet Metoprolol XL (Metocard XL) 50 mg one tablet at 8 PM.
- Tablet rosuvastatin 20 mg at 10 PM.
Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.
For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist