I have been experiencing shortness of breath during physical exertion, such as climbing stairs or running, for the past four years. Although my cardiac tests, X-rays, and blood tests are all normal, I have been taking Arbitel-25, Astrvas-10, and Ecosprin-75 for six months without a definitive diagnosis. What could be causing my breathing difficulty, and should I review or adjust my current medications with a specialist?
Your medications, telmisartan+Cilnidipine+metoprolol, atorvastatin, and aspirin, are commonly prescribed for blood pressure and heart protection. Since your basic cardiac tests and X-rays are normal, your exertional breathlessness could be related to conditions that do not always show up on standard tests, such as early heart muscle stiffness (diastolic dysfunction), microvascular coronary issues, or a respiratory condition like asthma.You should definitely consult a cardiologist or a pulmonologist. They may recommend specialized evaluations, like a stress echocardiogram or pulmonary function tests, to pinpoint the cause. Please do not stop or change your medications on your own, but discuss with your specialist whether any adjustments are needed.