GOOD MORNING SIR,I NAVEEN KUMA
  GOOD MORNING SIR,I NAVEEN KUMA

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GOOD MORNING SIR,I NAVEEN KUMAR,I AM JUST 25 YEARS OLD.I AM SUFFERING FROM HYPERTENSION FROM 2 MONTHS,I USED STAMLO BETA FOR HYPERTENSION,TWO WEEKS BACK I MET A CARDIOLOGIST,IN THAT TIME MY BP170/100.PREVIOUSLY IT WAS CONTROLLED BY STAMLOBETA.DOCTOR WROTE FOR ECG&ECHO TEST,ECG TELLS THAT 'RBBB.'&ECHO TELLS THAT MILD CONCENTRIC LVH.OTHERWISE NORMAL.DOCTOR PRESCRIBE BP MEDICATIONS CHANGED FROM STAMLO BETA(ATENALOL+AMOLDOPINE)TO METXL-O(METOPROLOL+OLMESARTAN)&SAID THAT NOTHING TO WORRY ,RBBB&MILD CONCENTRIC LVH WILL BE REGRESS.BUT MY BP WAS NOT CONTROLLED ALL THE DAY IT IS RAISED AT NIGHT TIME.TELL ME YOUR SUGGESTION&IS RBBB&LVH REGRESSED,IF WITH CONTROLLED HYPERTENSION?&I HAVE DONE COMPLETE MASTER HEALTH CHECK UP,ALL ARE NORMAL.TELL ME SUGGESTION PLEASE.THANKS®ARDS,NAVEEN KUMAR.

PAST HISTORY : i am just 25 years old.My height is 169 cm&weight-72 kgslast 10 days back i checked my bp,it is 150/100.my lipid profile reports are normal,in ultrasound scanning liver was minute enlarged&i have RBBB.

1 Answers

Hi,

Looking at your height you have a perfect weight and bmi. However there can be many other reasons for hypertension. It would take your body a while to settle down with a new anti hypertensive as it has to adjust with your body's metabolism.

Now the question regarding lvh(left ventricular hypertrophy). It had ocurred because your heart had to face excessive pressure to force the same amount of blood in your body due to hypertension. Now as you will start controlling your hypertension or as your b.p would come down then pressure in your vessels will reduce and in turn will also reduce on your heart and lvh will regress

RBBB can be a normal finding don't worry about it. Mildly enlarged liver can be due to fatty liver

- Control your alcohol,cholesterol(like oils,butter,saturated deep fried stuff,specially frozen stuff)
- Do regular physical exercise
- Reduce salt intake
- Reduce stress levels
- Have a proper sleep wake up cycle

These factors will also help you reduce your b.p and your fatty liver will also regress.

Feel free to ask further questions.

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I plan to wisdom tooth and dental implant at the same time in about a week. I'm taking Metoprolol SUCC - 25mg/day and Warfarin Sodium ~ 4mg/day. My cardiologist advises me to stop Warfarin three days before the procedures. What about Metoprolol SUCC?
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