Question 1

I've been having some chest pain for the last few days and it's really been bothering me. Sometimes it feels uncomfortable and along with the chest pain, I get this ache in my arm joint or at the back of my neck, and it's just getting worse at times. The pain tends to last for a few hours. What could be causing this and should I be concerned?

Accepted Answer

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. In such cases, it is important to consult a doctor for proper evaluation and treatment. Common medications prescribed for angina include: - Nitroglycerin: 0.4mg sublingual tablet, to be taken as needed for chest pain - Aspirin: 81mg to 325mg daily, to help prevent blood clots - Beta-blockers (e.g. Metoprolol): Dosage varies, to help reduce heart rate and blood pressure - Calcium channel blockers (e.g. Amlodipine): Dosage varies, to help relax blood vessels It is important to seek medical attention to determine the underlying cause of your symptoms and receive appropriate treatment.

Question 2

I've been dealing with moderate hypertension since I got diagnosed with a BP of 168122 on December 18th, and I've been put on Telma 40. But for the past three days, I've been having this awful headache and pain in my cheek, only on the left side of my face. My blood pressure is still at 150115 even though I've been taking the medicine for these three days. Should I be concerned about this, and what should I do next?

Accepted Answer

Given your recent diagnosis of moderate hypertension and the current blood pressure readings of 150115 despite taking Telma 40 (telmisartan), it is essential to address this promptly. Your persistent headache and left-sided cheek pain might indicate uncontrolled hypertension, which can lead to severe complications if not managed appropriately.
Firstly, I recommend you seek immediate medical attention to evaluate your symptoms. Your healthcare provider might need to adjust your blood pressure medication or add additional antihypertensive agents to better control your blood pressure. They may also want to investigate the cause of your headache and cheek pain to rule out other potential issues, such as sinusitis or trigeminal neuralgia.
In the meantime, continue taking your medication as prescribed and avoid any activities that could elevate your blood pressure further. Please contact your healthcare provider as soon as possible to discuss these symptoms.

Question 3

I've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.

Accepted Answer

Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.

I just got my ECG results back from a health check-up, and it's showing a Left Axis Deviation. I've never had any BP problems, and my blood pressure during the exam was 13080. What could be causing the Left Axis Deviation? Should I be worried about it?

probable cause is hypertension, u may require betablockers and calcium channel blockers..

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