Dear cardiologist sir, I am aged about 50 years my weight 84 height 5 feet 2 inch sir I am suffering from palpitations or fluttering sensation in my middle chest or one beat is coming in my middle chest last four years when palpitation is coming in that time I checked my pulse is stop or skipped only one second or two second coming Sir I consult a cardiologist he did a Ecg .echo test .Tnt test. Thyroid test .lipid test. Hba1c test are normal sir I taking one bp tablet tazloc beta 50 and one sugar tablet glycomet gp2 bp sugar normal really I afraid sir what can I do sir please advise me what type of treatment I take sir Sir I am pure vegetarian and not taking alcohol .tobacco. Smoking.Sir I am pandarpur warakari sir please advise early as much as possible sir I am waiting your kind advise sir.

Dr. Paramjeet SinghCardiologist10yrs exp

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Don't worry. Blood pressure Keeps fluctuating in everyone depending upon our physical & psychological stress levels.(BP�sabh mein upar neeche hote rehta hai. Stress mein jyada aur rest mein Kam hota hai ). � you need to take a digital BP machine & keep a BP record (Digital BP machine le lo.(see my video on how to use it properly. Aur khud ka BP check karo. � .check it daily for at least one week & Every time you need to measure BP twice or thrice with a gap of 15 mins rest & note down the lowest reading. We need to know how low your blood pressure can go by just resting. If your blood pressure does not become normal by resting then you will need for the revaluation and medication. (Har 15 -15 min k Baad. Aur note karo BP aaram karne se kamm hota hai ya nhi. Ager aaram karne se BP normal ho jata hai to apko BP ki bimari nhi hai. Sirf stress hai. Aur.jinka BP continuously lagatar high rehta hai unko dawa chalu karne ya badhane aur tests ki jaroorat Hoti hai.) You need to first understand few things about blood pressure. Normal range of blood pressure is between 90/60 to 140/90 & blood pressure keeps fluctuating in every one. In stress it rises & while resting it decreases. If it is constantly higher then 140/90 & does not decrease by resting it's then called hypertension.� Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels 4) your lifestyle - smoking, drinking, exercise� Stress, less sleep, smoking, alcohol, overweight, heart, kidney problems, lack of physical exercise. All of these can cause High blood pressure. You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up.� Highblood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. So my advice to you would be 1) Basic tests should be one to rule out cardiac / kidney issues & find if there is any treatable cause of High blood pressure 2) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH KFT� Renal doppler Fundoscopy Vit D Vit B12 Get back to me with a detailed history and� old / new records For Now Keep taking the same medicines which you are taking (if you are taking ).plus Start lifestyle changes & diet changes Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with this, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking.  

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Mr. Mangala RoyGeneral Physician31yrs exp

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Avoid tazloc beta, that may cause dropping of pulse-one type of beta blocker, if needed call other doctor, its of no use in arrhythmia.  

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