Q. Can aerobic exercise and low-salt diet help manage high blood pressure?

Hello doctor,

Despite normal blood test reports, ECG (electrocardiogram), and EF (ejection fraction), which is 60 %. I have a high pulse, high blood pressure, fear, and anxiety. I also have shortness of breath, weakness, mind numbness, and inability to sleep correctly sometimes. I am currently taking tablets Telmisartan 20 mg and Clonazepam 0.5 mg. Please help.

Thank you.

Hi doctor,

Thank you for the reply.

As you recommended, I will do the exercise and note my blood pressure. What could be the reason behind my initial shortness of breath for a few seconds, followed by mind numbness and a high pulse? That is one of my main problems.

Thanks.

Hi doctor,

Thank you for the reply.

I am experiencing high blood pressure again, despite my efforts with exercise. I felt better for a while, but now the issue has returned. My blood pressure is consistently high now, over 120/85 mm Hg. I do not notice it much during the day, but it becomes problematic at night, disrupting my sleep. I have been taking half a Clonazepam 0.5 tablet for the past three days, which I know I should not do, as it does not help lower my blood pressure. Yesterday, I checked my blood pressure shortly after waking up, and it was 123/80 mm Hg, which is abnormal from what I understand. Once I try to sleep, I become fixated on my heartbeat, which feels quite intense. Please recommend some medication and tests and explain why this might happen to me. Please help.

Thank you.

Hi doctor,

Thanks for your response.

I am worried about heart disease because I experience an unusual intensity in my heartbeat when I try to sleep. I might be imagining it, but I want to be sure. Should I discontinue my medications? Also, which of the following meats should I avoid mutton, chicken, or fish? I should cut out mutton from my diet. If the problem continues, should I consider seeing a psychiatrist?

Thanks.

Hi doctor,

Thanks for the reply.

I underwent a lipid profile test, and here are the results.

Serum cholesterol was 148 mg/dL, triglycerides was 110, HDL was 42 mg/dL, VLDL mg/dL, and LDL was 84 mg/dL. I took the test in the morning while fasting. These results are primarily within normal ranges. How can I lower my LDL and triglycerides and raise my HDL levels? Additionally, I researched and found evidence suggesting that younger males may have a slightly increased risk of myocarditis, a type of heart inflammation, after receiving the second dose of certain COVID-19 vaccines (particularly Pfizer). My first vaccine was COVAXIN, and my second dose was likely COVAXIN. I have noticed an irregular heart rate, which began this year. Could this be related to the vaccine? I am eager to hear an expert's opinion on this matter.

Thanks.

Hi doctor,

Thank you for the reply.

My sister has been suffering from tachycardia. Her pulse is never below 100 beats per minute, but her blood pressure is normal, ranging from 90/60 mm Hg to 110/70 mm Hg. Given all the information I have provided, do you think I am likely to suffer from heart disease or a heart attack? That idea keeps me up at night.

Thanks.

Hi doctor,

Thank you for the reply.

I see, thanks.

Hi doctor,

Thank you for the reply.

I hope you are available. I measured my BP right now, it is 136/89. It is elevated despite me taking a half capsule of Beta Capsule 20 tablet during the day. I took a half capsule again now.Why is it like this?

Hi,

Welcome back to icliniq.com.

I understand your concern.

Does the BP spike during winter months (especially in the evening)?

I hope this information will help you.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Recommend some medicine that you think can help lower my blood pressure. I tried Telma (Telmisartan and Amlodipine) in the past, but it had little effect.

I hope this information will help you.

Thanks.

Hello doctor,

Thanks for the reply.

My BP (blood pressure) and pulse are normal now. However, I still almost daily have heart palpitations, dizziness, and slight breathlessness. It is most apparent during the night. I sometimes feel a slight current in my heart, followed by an increase in pulse for a few seconds. I exercise daily, but I also spend a lot of time sitting in sedentary positions on my laptop as I study and freelance. Do I have arrhythmias? I am afraid. If so, what can I do to have a regular cardio system? Please recommend medicine or tests if possible. Kindly help.

Thanks.

Hi doctor,

Thanks for the reply.

Before I went to the laboratory for the ECG, my pulse was 83. While I was going, I panicked, which shot up my pulse. The result concluded sinus tachycardia and anterior T wave abnormality are borderline for age and gender. While the ECG was happening, I was in panic mode with a high heart rate. Still, I want you to be critical and prepare me for the worst-case scenarios. What do you make of this report?

Thanks.