Stenosispulmonary artery

Health Q&A
CT calcium score is 70

Hi, I am 47 yrs ,male with  hypertension,on medication Telmisartan 40 mg. My CT calcium score is 70. Coronary artery Agatston score Left main (LM) 8.2 Left anterior descending (LAD) 32.3 Left circumfex (LCx) 30.5 Right coronary artery (RCA) 0.0 TMT Stress test is negative . My BP 140/ 90 remain constant during 9 min TMT 2D Echo Normal .except ,Left atrium 300 mm I am on medication for hypertension Telmisartan 40 mg. Lipid profile,all normal except HDL 34 Please suggest how critical is CT calcium score and overall heart health?

Blood pressure

Hi, my bp 10 days ago it was 152/100, then after a week 150/98 and the same day again 140/94. I was prescribed telma 20 but I do not want to take it as it will be for life. Is there any other options. Please let me know. Thank you!!

PERIPARTUM CARDIOMYOPATHY

My wife is pregnant its about 8 months in last echo we found some impressions like Chambers look volume overloaded. Borderline dilated LV. Overall EF= 46%. Mild MR/ Mild+ TR. Mild PAH(PAP =43 mmHg) IVC normal size & shows normal respiratory variation. We are planning for c section Is she safe or there can be some serious situations.

Lipid profile and hscrp

26-year-old female, gym-goer since 2018 with a weightlifting coach. Breathlessness on brisk walking, and occasional irregular periods. Mother has arthritis and diabetes. No family history of early heart disease. Took one emergency contraceptive pill 2 months ago. Reports (11 Oct 2026): Thyroid: TSH 4.24 (high), T4 4.52 (low), T3 72.8 (low) Lipids: total cholesterol 235, LDL 134.7, non-HDL 193, triglycerides 292, HDL 41.9, ApoB 129, ApoA1 137 hs-CRP 3.69 (high), ESR 10 (normal) Sodium 133.9 (low), B12 919 (high), lymphocytes 46% (high) Normal: HbA1c 5.2% fasting glucose 97, haemoglobin 12.8

Regarding bp issue headache with bp medi

I am taking ctd t 12.5:80 and ciplar la 40.but feeling dizzy and suffering from headache most of the time.previously taking amloz at. But bp one day shoot upto 180/110 . doctor changed the medicine.but not comfortable.please suggest

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Dr. Judson S Millhon - Internal Medicine
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