Hi doctor, I am a diabetes patient. Recently, I had an ECG done which showed borderline normal sinus arrythmia. Immediately, I had a 2D echo and it showed a normal study. But my blood pressure is not normal. It is around 150/90 and so my doctor advised me to take Betaloc-50. In addition to this, I have anxiety problem for many years. Please help with some advice.
Hi. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. I appreciate the efforts you put in to upload the case completely along with EKG reports (attachment removed to protect patient identity). There is only a slight variation in the normal sinus rhythm and so do not worry about it. Your BP (blood pressure) is high and needs treatment. For that you said you are on Betaloc-50 (Metoprolol). When did you start taking this medicine? I will suggest you to keep taking the medicine for BP and hope that will control your blood pressure. Keep a record of your blood pressure and after sometime make a follow-up to see how things are working. If needed we may add some medicine for blood pressure.  Diabetes and high blood pressure are two important risk factors for heart diseases, coronary artery diseases and heart attacks. You also need to go for some blood work important to see how is your blood sugar level, cholesterol, kidneys and liver working. I am advising you some tests for that. It is necessary to see if diabetes and high blood pressure has affected your body organs. Go to lab with overnight fasting and have the following tests:- 1. Serum proteins. 2. Serum electrolytes. 3. Liver function tests. 4. Kidney function tests. 5. Fasting blood sugar. 6. HbA1c. 7. Fasting lipid profile. 8. Thyroid Profile. 1. Continue the medicine and consult a psychiatrist for anxiety. 2. Make an appointment, as you need in person visit to discuss in detail about the past medicines too. Revert back with the laboratory results to a cardiologist online.--->