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Dr Ashit Hegde | Answer |Ask -Follow

Consultant Physician, Internal Medicine and Critical Care Expert - Answered on Aug 27, 2023

Dr Ashit Hegde specialises in internal medicine and intensive care. He has nearly 40 years of experience and is consultant physician, intensivist and head of the critical care section at the PD Hinduja Hospital and Medical Research Centre.
He is actively involved in teaching and training residents for post graduate programmes in internal medicine and critical care.
He holds an MD degree in general medicine and therapeutics from the Lokmanya Tilak Municipal Medical College, Mumbai, and an MRCP from the Royal College of Physicians, Edinburgh.... more

Question by azad on Aug 16, 2023Hindi

Health

One of my friend lost his life due heart attack at the age of 41. He was very clean, meaning no smoking, drinking etc. He omitted and died on the spot. Does sudden increase in BP is the cause of heart attack. I did fainted a month ago, I never had any BP issues earlier, but that day was something different. After check i was told i have mild hypertention, doctor prescribed medicine Telmisartan 20 mg.

Ans: Sudden increase in BP very rarely causes heart attacks. If your BP is consistently high , it needs to be controlled to prevent long term problems like heart disease, strokes and kidney disease

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Iam 45 year old woman, working i have recently developed High BP which varies between 90-95/130-140. But i face no problem because of high bp, i have no symptoms of it. My lipid profile and other test are normal. do i need to start medication

Ans: Hypertension is treated to prevent long term consequences like stroke, heart disease, kidney damage etc. Treatment is needed even if you do not have symptoms. Of course you need to recheck the BP a few times before diagnosing hypertension. Ideally the BP should be checked three times (at 1 minute intervals) and the average of the last two readings should be calculated

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Question by Vijay - Aug 17, 2023Hindi

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Dear Dr.Hadge, I am 58 years old, non alcoholic & non smoker. My recently conducted StressEcho is found negative. Moreover, I am a daily walker (5 km in 50 minutes) and very limited intake of salt. To control hypertension, I am on Metaprolol(25 mg/evening) and Telmisartan (20 mg/morning). Also taking Thyronorm(25 mch) and atorvas(10 mg) daily. On the advise of Cardiologist, I have reduced dose of Telmisartan to 20 mg (earlier it was Telma-H/40mg) however still experiencing low BP (some time in the range of 100-60). Please guide how to mange BP and Cholesterol for a long term. Also guide how to avoid occurrence of any cardiac complications since we have genetic history (paternal side) of cardiac arrest/death.

Ans: With your doctors advice you may discontinue telmisartan. Get cholesterol checked and treated with meds if necessary. Moderate level aerobic exercises like walking at brisk pace swimming cycling for 30 min atleast 5 days a week and 1 or 2 15 min session of mod level weight training are recommended for most people. Diets should be rich in whole grains fruits vegetables seeds pulses and legumes and devoid of processed sugars like aerated drinks, low Fibre items like bakery products, red meat and high fat dairy products, junked and packed foods with restrictions on salt and oil use during preparation

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