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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Breathlessness In Case Of Uncontrolled Hypertension?

I am 51years old , hypertensive and diabetic for 10 years.At present on Amaryl,thyronorm,ramipril,amlodepin,nebicard,nurokind-in the morning,gluconorm,ramipril,amlodepin,storvas-at night.My diabetes and hypertension is poorly controlled in spite of taking above medicines regularly. I experienced severe breathlessness in my sleep at 3a.m.compelling me to sit till 6a.m.Then after feeling exhausted,I go to sleep again for2-3 hours.This happened in two successive nights.I feel tired and exhausted throughout the day.what is the future course of action?Istay in a remote place where medical service is very primitive.should I get echocardiography done?
Thu, 27 Jul 2017
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that your symptoms could be related to heart failure or pulmonary edema.

Other possible causes to consider would be sleep apnea or a lung disorder (like asthma).

Do you have leg swelling?

Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests:

-a resting ECG and a cardiac ultrasound (echocardiography)
-a chest X ray study and pulmonary function tests
- complete blood count for anemia
- blood electrolytes
- PCR and ESR for inflammation.

You should discuss with your doctor on the above issues.

Kind regards,

Dr. Iliri
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What Causes Breathlessness In Case Of Uncontrolled Hypertension?

Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that your symptoms could be related to heart failure or pulmonary edema. Other possible causes to consider would be sleep apnea or a lung disorder (like asthma). Do you have leg swelling? Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests: -a resting ECG and a cardiac ultrasound (echocardiography) -a chest X ray study and pulmonary function tests - complete blood count for anemia - blood electrolytes - PCR and ESR for inflammation. You should discuss with your doctor on the above issues. Kind regards, Dr. Iliri