Conversation: The conversation between human and AI assistant.
[|Human|] since last 20 years I suffer sometimes inspirational problem particularly in the morn. most acute during winter now I am 59 and due to same my bp level remain 190/110 after taking telma 40 for one month it is now 140/80 and ecg indicate LVH present medicines are ventoline 8 mg+docyphyllin 1/2 tab +telma 40 I am working and not confined to bed but still i am suffering some times whats the remedy?
[|AI|]  Howell come to ChatDoctorLVH (Left ventricular hypertrophy) is common phenomenon in long-standing hypertension breathing difficulty could be due to asthma, here cardiac asthma need to be ruled out (Congestive cardiac disease) in my opinion diuretic may be added in line of treatment this would be helpful if this is CHF, you may discuss this with your physician, hope this information helps, take care.