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High bp with concentric lvf
Bp is coming 159/99 on digital bp monitor.
Got done ECG ,ECO both are normal but LVF is concentric ..
Currently taking viral cold and cough medicines
Sinarest ,Azythromycin, supradyn
And sompraz given by cardiac doc for chest pain
Symptoms currently- chest pain ,palpitations,breathlessness
What should I do?
Answers (11)
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Kindly consult cardiologist.
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Better to consult superspecialist like your treating doctor.
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There is mild hypertension. But since there is lvh, you should start medicine.
Take salt restricted, low fat diet. Avoid alcohol, excess of tea, coffee. Avoid lifting or pushing heavy weights.
Tab amlodipine 2.5mg one daily in morning. Get blood.p. checked after 1 week.
Get blood sugar random, Hba1c, thyroid profile done and share results.
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Your blood pressure reading of 159/99 mmHg is in the stage 2 hypertension range (high), even though ECG and ECHO are normal (good news — no major heart damage or rhythm issue yet).
The ECHO showing concentric LVH (left ventricular hypertrophy) means the heart muscle wall has thickened — this is a common early effect of long-standing high blood pressure trying to pump against high resistance. It is reversible in many cases if BP is controlled well and early.
Current symptoms (chest pain, palpitations, breathlessness) + high BP + recent viral cold/cough medicines (especially Azithromycin can sometimes affect heart rhythm in rare cases, Sinarest has decongestant that raises BP) are concerning and need prompt attention. This is not normal and should not be ignored.
Next Steps
1. Do NOT wait — see a cardiologist or your treating cardiac doctor today or tomorrow (urgent if possible).
• Show them this BP reading + symptoms.
• Ask for:
• Repeat BP measurement (manual + digital, both arms)
• Repeat ECG if symptoms ongoing
• Blood tests (electrolytes, kidney function, lipid profile, sugar)
• Possibly Holter monitor if palpitations frequent
2. Temporary home action while waiting:
• Rest, sit upright or semi-reclined, avoid sudden movements
• Take Sompraz (pantoprazole) as prescribed (helps if pain is reflux-related)
• Stop Sinarest for now (decongestant can worsen BP/palpitations) — continue only antibiotic + Supradyn if doctor okays
• Measure BP every 4–6 hours — write readings with time
3. Go to emergency / hospital right now if:
• Chest pain becomes severe / crushing
• Breathlessness worsens at rest
• Palpitations feel very fast/irregular + dizziness/fainting
• BP goes >180/110 or higher
Health Tips
• Drink plain water (avoid excess salt, caffeine, tea/coffee).
• Do slow deep breathing (4 sec in – 6 sec out) when palpitations come — helps calm.
• Avoid lying flat if breathlessness is there — sit up.
• Do not start any new BP medicine yourself — wait for doctor (they may add or change based on full picture).
• After cold/cough is over, recheck BP — sometimes infection/stress raises it temporarily, but LVH suggests longer-term issue.
You are doing right by monitoring and getting ECG/ECHO — now the high BP + symptoms need fast action to protect your heart. Most cases like this improve quickly once BP is controlled.
For more specific guidance after you see the doctor or if symptoms change, consult with me online.
Take care and get checked soon — stay safe
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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You need to evaluate and further testing. Please go for hospital to admit.
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Are there any swelling of feet?? Get NT Pro BNP blood test. Where are you from??
Take Tab. Cinod 10mg orally immediately
Next Steps
Better to get admitted in a hospital and get evaluated. Do BP charting and share
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Dr. Shahbaz Khan
General Physician
4 yrs exp
Delhi
Get a consultation with a physician don't take medication with proper consultation with a doctor
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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