Hello doctor, I am 31 years old, weight 87 kg and height 5 feet 7 inches. I have a problem of high BP. There is little chest pain. ECG report (leftward axis). Echo report (mild concentric LVH and diastolic dysfunction and normal systolic function). LVEF 60 %. Total cholesterol 213. TSH normal. No sugar. Creatinine normal. Renal Doppler report (no evidence of renal artery stenosis). History of alcohol and smoking for the past five years, now quit. Currently on medicine Nebistar SA (Nebivolol 5 mg and Amlodipine 2.5) and in evening Eslo 2.5. BP was 160/120 now 130/90-95. Please advice whether the medicines are alright or not. Any changes in medicine you would like to suggest? Will be very thankful if you kindly respond to my request. Thanks a lot.
Hello. I have seen your reports (attachment removed to protect patient identity). Your echo is almost normal. Your current medicines appear to control your BP adequately. So, there is no need to change them. But your weight of 87 kg for your height of 5 feet 7 inches is very high. That is the reason for your high BP. If you want your BP to be controlled without taking any medicines, you have to reduce your weight to 75 kg. Warm regards. For more information consult a cardiologist online -->