Hi, I am taking high bp medicines from last dec when my bp was 150/110. I reduced my weight by 20 kg and eating normal food one time a day. I am taking telma 40 and amlodipine 5 mg daily and bp range is 115-130 / 83-90. But when I do brisk walk on an avg speed of 6 kmph. Then I feel very little pain in left hand near elbow and in shoulder. No pain in chest. Echo done in dec 2022 which was normal. Should I worry or can we estimate blockage with these pain in left hand?

Firstly, congratulations on the significant weight loss and the improvement in your blood pressure control. It's excellent that your blood pressure is within a healthier range. The pain you describe in the left hand near the elbow and in the shoulder, especially during brisk walking, could be due to various reasons. However, it's essential to take any chest pain or discomfort seriously and consult with your healthcare provider promptly. Given that you've experienced this pain during physical activity and you have a history of high blood pressure, it's crucial to rule out any cardiovascular concerns. Your normal echocardiogram is a positive indicator, but the pain you describe should be evaluated further. Here are a few considerations: 1. Musculoskeletal causes: pain in the left arm and shoulder could be musculoskeletal in nature, related to strain or overuse during exercise. 2. Cardiovascular causes: while your echo is normal, it's still important to consider other cardiovascular factors. Pain in the left arm can sometimes be associated with reduced blood flow. 3. Nerve impingement: nerve impingement or compression can also cause pain in the arm and shoulder. Since your symptoms have a potential cardiovascular connection, it's advisable to consult with your healthcare provider. They may recommend further cardiovascular evaluations, such as a stress test or additional imaging, to assess the heart's response to exercise. Don't ignore any unusual symptoms, especially during physical activity. It's better to be cautious and have a healthcare professional evaluate your situation. Consider scheduling a private text consult within the app to discuss your symptoms in more detail and receive personalized advice based on your health history.  

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Dr. Rajiv BajajCardiologist43yrs exp

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Tmt test may be helpful.  

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Dr. Jyoti SharmaHomeopathy Doctor9yrs exp

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Eco is 2022 so I suggest go and do eco again and do light exercise.  

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