Question 1

I'm really concerned about this chest pain I've been experiencing since September 2016. It's deep on the right side of my chest, and it's not sharp, but more like a burning sensation. It feels like there's this big hollow hole and sometimes it feels like something's writhing or like a contracting muscle in there. It's at its worst when I'm sitting up. The only time I feel a bit relieved is when I'm leaned back at least 45 degrees or lying down. Ive noticed it gets worse on days I dont get enough sleep, but it doesnt seem to be affected by food or anything else. I don't have trouble breathing, exercising, or sleeping, but this feeling is constantly there throughout the day. Sometimes it's so intense I have to pause everything and lie down. What could this be, and what should I do about it?

Accepted Answer

anxiety or stress issue

Question 2

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?

Accepted Answer

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Question 3

I'm really concerned about my mom's health. She's been dealing with high blood pressure, and it was at 160100 before she started taking Aginalat, which thankfully brought it down to around 12590. Her X-ray showed her heart is slightly enlarged, and she's got some swelling in her legs. Our doctor just recommended she start taking Aquazide 12.5mg in the morning. Since both medications are for high blood pressure and the swelling, I'm wondering if it's okay for her to take them at the same time? Could it possibly be risky like making her blood pressure drop too low?

Accepted Answer

If she is already taking Aginal-AT for high blood pressure and her doctor has now prescribed Aquazide 12.5mg for swelling and high blood pressure, it is generally safe to take both medications together as long as they are taken as prescribed. Both medications work in different ways to help control blood pressure and reduce swelling. The usual dosing for Aquazide 12.5mg is 1 tablet once a day. Taking both medications at the same time (1-0-0) should not harm her health or cause her blood pressure to drop too low. However, it is important to monitor her blood pressure regularly and report any symptoms such as dizziness, lightheadedness, or weakness to her doctor. Additionally, her doctor may adjust the dosage or timing of the medications if needed based on her response.

I recently had an ECS done, and the report mentioned it was an "unconfirmed report." I'm just wondering, what exactly does this mean? Should I be concerned, or is everything likely okay?

Repeat ecg is advised.

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