Conversation: The conversation between human and AI assistant.
[|Human|] Sir/Madam,Ive been diagnosed as having mild lvh. My ldl/vdl ration is just a point below normal, that is, 4.8 against the normal level of 5.10. Im using ismo 20mg and losar h in the morning, atrva 20 mg in the afternoon and stamla beta along with ismo 20 mg before going to sleep. Ive been doing this for a fortnight now. My othe blood and urine reports are quite normal. Im walking a bit (3 km in the morning and evening).  My diet has highly restrict or nil salt levels. Im drinking a glass of buttermilk made of milk containing 1.5 fat level. I feel ok with this regimen but when BP is fluctuating between 140 & 160 sometime in the evening i get  abit scared. When I take Stamla beta I feell ok in half an or so. Ido a clerical job on an eight hour shift.  Itll be a great help if a cardiologist can be kind enough to reply. I want o be anynymous.
[|AI|]  Hi Charts a pleasure answering your query, I have gone through the medical details provided by you and I want to tell you that all the routine you are following is pretty good, it only needs some minor adjustments. As you have mentioned your Blood pressure go high generally in the evening so I would like to suggest to start taking your Stable beta and IMO in the evening around 6 pm instead of taking it in the night and YOU will be good. Left Ventricular Hypertrophy is not a disease its is a sign that patient has Hypertension. Good Luck