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What Do These Electrocardiogram And Echocardiogram Reports Indicate?
Question: Good morning Dr. XXXXXXX XXXXXXX This regarding the issue of high blood pressure of my elder Sister. As advised by you, she completely stopped Betacap and has been taking only Amlodipine 5 mg once in the morning. As advised, I have got her ECG and Echo Cardiography done and the reports are attached. Her blood pressure readings has been as follows: 132-67, 100-70, 80-65, 130-65, 160-90, 155-96, 125-65, 125-80, 160-82, 172-95, 165-90.
Please advise further treatment since the blood pressure readings have not stable.
ECG and Echo Cardiography Reports attached
Please advise further treatment since the blood pressure readings have not stable.
ECG and Echo Cardiography Reports attached
Brief Answer:
I would like to continue the same medicine for 1 more week
Detailed Answer:
Hello Mr XXXXXXX
I was wondering how she had responded to Amlodipine, thanks for updating me.
I have seen her ECG and ECHO reports and both are remarkable as per her age which is a good thing.
Yes her BP readings are fluctuating a bit but as of now i would like to stick with the same medicine and dose for another week or 15 days as frequent change of Medicine is not a recommended treatment guideline.
If even after 15 days this fluctuation continues then i would like to think upon changing her BP medicine to some other group of Antihypertensives.
Along with that in the mean time one thing i would like to suggest is that get your BP apparatus checked/calibrated (most likely you must be using the automated one) to avoid technical error and unnecessary treatment plan shifts.
Kind Regards
Dr Bhanu Partap
I would like to continue the same medicine for 1 more week
Detailed Answer:
Hello Mr XXXXXXX
I was wondering how she had responded to Amlodipine, thanks for updating me.
I have seen her ECG and ECHO reports and both are remarkable as per her age which is a good thing.
Yes her BP readings are fluctuating a bit but as of now i would like to stick with the same medicine and dose for another week or 15 days as frequent change of Medicine is not a recommended treatment guideline.
If even after 15 days this fluctuation continues then i would like to think upon changing her BP medicine to some other group of Antihypertensives.
Along with that in the mean time one thing i would like to suggest is that get your BP apparatus checked/calibrated (most likely you must be using the automated one) to avoid technical error and unnecessary treatment plan shifts.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Kampana
Thanks for your prompt reply. Wish to mention that I do not trust the Electronic BP Instrument meant for home as it gives lot of fluctuation. She is daily getting the BP checked from the nearby Nursing Home.
My Age is 54. I am also having high blood pressure issue. I take Telma 40 once in the morning and with that my Blood Pressure remains perfect without fluctuation. Please advise is Telma 40 can be given to my elder sister instead of Amlodipine 5 mg. Shall proceed further as per your advise.
My Age is 54. I am also having high blood pressure issue. I take Telma 40 once in the morning and with that my Blood Pressure remains perfect without fluctuation. Please advise is Telma 40 can be given to my elder sister instead of Amlodipine 5 mg. Shall proceed further as per your advise.
Brief Answer:
Hello Again
Detailed Answer:
Actually the thing is that Amlodipine belongs to calcium channel blockers group of drugs and this group is very good for controlling BP especially in patients approaching their 60s and also its usually sufficient alone for controlling blood pressure Thats why i started her on amlodipine.
But if doesn't help then we have to switch to ARB's like TELMISARTAN which you are taking.
I started her on AMLODIPINE on 2 may and its not even 1 month so rather to just keep changing from one drug to another i would like to wait and see for atleast 1 full month.
Kind Regards
Dr Bhanu Partap
Brief Answer:
Then its fine
Detailed Answer:
Thanks for the update Mr XXXXXXX
We will go ahead with the same treatment plan as of now and then will review the situation after 15 days or so.
Kind Regards
Dr Bhanu Partap
Hello Again
Detailed Answer:
Actually the thing is that Amlodipine belongs to calcium channel blockers group of drugs and this group is very good for controlling BP especially in patients approaching their 60s and also its usually sufficient alone for controlling blood pressure Thats why i started her on amlodipine.
But if doesn't help then we have to switch to ARB's like TELMISARTAN which you are taking.
I started her on AMLODIPINE on 2 may and its not even 1 month so rather to just keep changing from one drug to another i would like to wait and see for atleast 1 full month.
Kind Regards
Dr Bhanu Partap
Brief Answer:
Then its fine
Detailed Answer:
Thanks for the update Mr XXXXXXX
We will go ahead with the same treatment plan as of now and then will review the situation after 15 days or so.
Kind Regards
Dr Bhanu Partap
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Above answer was peer-reviewed by :
Dr. Remy Koshy
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