Hypertension

Hypertension or high blood pressure is a health condition where the force exerted by the blood on the artery wall is high. Persistent high blood pressure is a significant risk factor for stroke, heart failure, chronic kidney disease, cardiovascular diseases, etc.

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Why does my heartbeat keep randomly fluctuating and increasing?

Query: Hello doctor, I have fluctuating heartbeats, and sometimes it gets faster and more random. I have got my ECG and 2D echocardiogram done. I do not have a previous history of this issue, and I am currently on medications for arthritis. Please help.  Read Full »


Dr. Prashant Valecha

Answer: Hello, Welcome to icliniq.com. I went through your reports (attachments removed to protect the patient's identity). Your current ECG (electrocardiogram) is quite normal, with no rate, rhythm, or abnormality seen. However, your 2D echocardiography shows some changes, possibly due to hypertension. T...  Read Full »

Is it fine to not get an angiogram done before having a breast surgery in a 75-year-old female?

Query: Hi doctor, My mother is 75 years old, and she has atrial fibrillation and is on medications. She is moderately active and is on hypertensives and blood thinners. She got recently diagnosed with a breast mass. She was told to get cardiac clearance for surgery, and the cardiologist suggested doing a c...  Read Full »


Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. Cardiac clearance is needed for risk stratification for any surgery. What we need are: 1) Patient history - whether she has chest pain or breathing difficulty on exertion. 2) ECG (echocardiogram). 3) Echo, and if a patient can do it, then TMT (treadmill test). Or we can a...  Read Full »

How long does it take to recover from the aortic valve replacement surgery?

Query: Hi doctor, After aortic valve and mitral valve replacement surgery for heart failure and long-term pulmonary artery hypertension (50 to 60), weakened kidney function (100 to 200 ml of urine per day), a hemofiltration machine is used. The question is, can the patient be moved outside ICU?  Read Full »


Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. I am taking into consideration both valves are functioning normally, and the patient was on proper oral anticoagulation (e.g., vitamin K antagonists) to prevent clots. Right now, the patient is in heart failure with low urine output - After electrolyte correction, nor...  Read Full »

I have persistent cough and fast breathing. Should I get angiography?

Query: Hi doctor, My mother is 62 years old. She is under regular medicine for BP. Since five years she is taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from prolonged cough and fast breathing after long walk and climbing stairs. I am attaching her recent ECG, echo and x-ray reports. Pl...  Read Full »


Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. Your mom is hypertensive. On Olmy-D (Olmesartan), if her blood pressure is controlled then the treatment is fine. Cilapam (Escitalopram) is for anxiety (grossly). Is she having chest pain like symptom on exertion or at rest? If no then no need of GTN (Nitroglycerine). Che...  Read Full »

Are my psychiatric medicines the cause of high blood pressure?

Query: Hi doctor, I am 24 year old and weigh 70 kg. My blood pressure is on a higher side with readings around 150/90 always. I have a history of depression and ADHD (attention deficit hyperactivity disorder). I am currently on medication for depression and blood pressure and have been prescribed Nexito F...  Read Full »


Dr. Prashant Valecha

Answer: Hello, Welcome to icliniq.com. You are already on blood pressure (BP) medicines tablet Nexovas (Cilnidipine) and Nebimac (Nebivolol). Tablet Nebimac controls heart rate. Psychiatric medicines may affect heart rate, but not that significant to affect BP (BP=Cardiac output x heart rate). And the ben...  Read Full »

Can high BP and worrisome lipid profile be due to junk food?

Query: Hi doctor, Few days back, I felt little dizzy and when checked my BP was quite high around 149/89. My recent lipid profile is also worrisome. What should I do now? I prefer eating junk food most of the time and dairy products like cheese and paneer more. I gained some weight now. I feel some slight...  Read Full »


Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. My advice to you as per your complaints and reports (attachment removed to protect patient identity), Lifestyle modification which includes exercise of 30 minutes jogging or brisk walk every day or at least four days a week. Reduce weight. Reduce dairy products and ...  Read Full »

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