Question 1

I recently had a heart attack and my LVEF is only 26. The angiography shows 100% blockage in my LAD and 80% in another artery. One doctor recommends CABG while another suggests ICD implantation. Is it safe to undergo surgery with such a low LVEF? I'm really confused about which option is better for my condition.

Accepted Answer

risky but sx is the only option .

Question 2

I've got some concerns about my cholesterol levels and was wondering if I should start taking statins. My total cholesterol is 196, LDL is 130, HDL is 35, and triglycerides are 101. I weigh 60 kg, my height is 169 cm, and I exercise regularly while sticking to an oil-free diet. I'm on Thyronorm 50 for hypothyroidism. I don't usually feel bad, but I get breathless climbing 2 or 3 floors. All my tests like ECG, 2D echo, and TMT have come back normal. Should I be worried about starting medication?

Accepted Answer

Based on your total cholesterol of 196, LDL of 130, HDL of 35, and triglycerides of 101, along with your symptoms of feeling breathless when climbing 2 to 3 floors, you may benefit from taking a statin drug to help lower your LDL cholesterol levels and reduce your risk of cardiovascular events. Since you are already taking Thyronorm 50 for hypothyroidism, it is important to consider any potential drug interactions with statins. I recommend discussing with your doctor about starting a statin medication such as Atorvastatin 20mg once daily to help improve your cholesterol levels and reduce your risk of heart disease. Remember to continue your regular exercise and oil-free diet for overall heart health.

Question 3

I'm yawning a lot at strange times and it's happening quite often. I've also had some pain on the left side of my chest, along with discomfort in my jaw and left neck sometimes. Every now and then there's this stabbing pain between my shoulder blades. I've had heart tests and an X-ray done, and they didn't show anything wrong. Sometimes I also feel short of breath. I'm just trying to figure out what's going on. Any ideas?

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety or stress, which can manifest as excessive yawning, chest pain, jaw pain, neck pain, and stabbing pain between the shoulder blades. Breathlessness can also be a symptom of anxiety. I recommend trying to manage your stress levels through relaxation techniques, exercise, and possibly counseling. Additionally, you can take over-the-counter pain relievers like acetaminophen for the pain. If symptoms persist or worsen, please follow up with your healthcare provider for further evaluation and management.

Does your body warn you before a heart attack?

Yes the warning signs are Pressure, fullness, squeezing pain in the center of the chest, spreading to the neck, shoulder or jaw along with Light-headedness, fainting, sweating, nausea, or shortness of breath with or without chest discomfort, upper abdominal pressure or discomfort.

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