Question 1

I'm worried about my heart. I've done a bunch of tests like ECG, echo, TMT, and stress echo, and everything's come back normal. But every time I have something like gastric pain or even just diarrhea, I can't shake this fear that I'm having a heart attack. Could this be cardiac anxiety, or is there something else I should worry about? Also, my blood tests were normal except my vitamin D was 13.56 Ngml and B12 was 173.8 ofml. Should I be concerned about those levels?

Accepted Answer

It sounds like you are experiencing significant anxiety about your heart health, despite having normal cardiac test results. This type of anxiety, often referred to as cardiac anxiety or health anxiety, can cause you to worry excessively about having heart problems even when tests repeatedly show that everything is normal. Your low levels of 25-hydroxyvitamin D (13.56 ngmL) and vitamin B12 (173.8 pmolL) should be addressed, as deficiencies in these vitamins can contribute to overall feelings of fatigue and possibly anxiety.

To manage your cardiac anxiety, consider the following steps:
1. Consult a mental health professional: Cognitive-behavioral therapy (CBT) can be very effective in managing health anxiety.
2. Lifestyle changes: Regular exercise, a balanced diet, and mindfulness or relaxation techniques can help reduce anxiety.
3. Vitamin supplementation: Your healthcare provider can recommend appropriate vitamin D and B12 supplements to address your deficiencies.

Please discuss your anxiety and vitamin deficiencies with your healthcare provider to develop a comprehensive plan for managing your health and anxiety.

Question 2

I'm a bit concerned because I've been having chest pain for the past week. I got an echo done and it came out normal, but my TMT results showed mild positive for inducible ischemia. My cholesterol numbers are also worrying me - HDL is 34, triglycerides are at 195, and total cholesterol is 209. I don't smoke and I'm trying to follow the diet and lifestyle changes my cardiologist suggested but I'm still feeling worried. I'm 31 years old and my blood pressure is at 14080. Do you think I might need an angiogram?

Accepted Answer

Based on your symptoms and test results, it's important to continue following the advice of your cardiologist regarding diet changes and lifestyle activities. In addition, considering your age and the mild positive TMT result, an angiogram may be recommended to further evaluate any potential blockages in your coronary arteries. To help manage your cholesterol levels, you can consider taking Atorvastatin 20mg once daily to lower your total cholesterol and triglycerides. It's important to continue monitoring your blood pressure and cholesterol levels regularly.

Question 3

I'm really concerned about my dad's heart health. He had a mild heart attack back in 1995 but never went through any angiography. He seemed fine up until December 2021, when a routine check-up revealed he has aortic stenosis. It's a bit confusing because he doesn't have any symptoms like breathlessness, and his cholesterol levels are normal. He's been on Ecosprin Gold 10 since 2014, but now another cardiologist is suggesting he switches to Ecosprin AV 7510. I'm just wondering, is that change in medication okay? I really need some expert advice on this.

Accepted Answer

Yes its ok no problem you can use ecospirin av ,follow your doctors advice

Do blood pressure medicines make people impotent?

Few blood pressure medicine groups such as diuretics and beta blockers can cause erectile dysfunction.

Other Related topics like...

More Cardiology Health Queries

Health Articles for you

The Importance of Triglycerides: Understanding Their Role in Health

Angioplasty vs. Angiography: Key Differences Explained

Scarless Heart Surgery: A Revolutionary Approach to Cardiac Care

Main Causes of Heart Attacks Explained

How To Reduce High Triglycerides Symptoms?