Hello doctor,My wife aged 72, weight 65 kg, is a diabetic type 2 for the past six years, hypertensive for the past two years, is suffering from moderate tricuspid regurgitation, aortic valve sclerosis, and pulmonary hypertension for the past two years. Her systolic function is good and there is no diastolic dysfunction.No drugs are prescribed for AS or TR. For hypertension, she was prescribed Telmisartan 40 one tablet per day with which her BP is about 145-150/90-85. Diabetes is under control. Other parameters are normal. Whether the present medication is adequate or she needs further medication such as Tadalafil to treat PAH. Any medication for TR? Please advise.
Hi, Welcome to Chat Doctor forum. On the face of diabetes and hypertension with raised cholesterol and LDL, I suggest you add tablet Rosuvas (Rosuvastatin) one tablet daily after dinner. Consult your doctor. I think the dose of anti-diabetes medicine could be adjusted to reduce his blood sugar level to reduce further to near the desired level along with BP medicine dose to adjust to achieve BP around 130/80. Regarding PAH and other valvular diseases, your Cardiologists will decide after going through different parameters. 