Question 1

My grandmother's heart efficiency is just 20 percent, and she's also dealing with jaundice and has a stone stuck in her food pipe. The doctor mentioned surgery, but I'm a bit worried since the low heart efficiency might mean she has some heart issues, right? I'm just trying to figure out what's best for her. What should we do in this situation?

Accepted Answer

The probable diagnosis could be heart faiure , treatment includes beta blockers, ACE inhibitors and diuretics , In some cases angioplasty is advised for heart block.A cardiologist opinion is advised

Question 2

I'm a bit worried because even after testing negative for COVID, my pulse rate is still high, around 103-104. Yesterday, I started feeling some pain in my left arm, so I got an ECG done. It showed something called sinus tachycardia, which I guess isn't normal. My blood pressure is 14090, and I've started taking Ecospirin 75mg. Is this something I should be concerned about?

Accepted Answer

After recovering from COVID-19, experiencing a continuous elevated pulse rate (sinus tachycardia) and pain in your left arm warrants attention. An abnormal ECG and a BP reading of 14090 mmHg suggest that further evaluation is necessary. Sinus tachycardia can be caused by various factors, including lingering effects of the virus, dehydration, stress, or other underlying conditions. Ecospirin (aspirin) 75 mg can help reduce the risk of clotting, but it's crucial to follow up with your healthcare provider to identify the cause of your symptoms and ensure appropriate management. Additional tests such as blood work, echocardiogram, or a Holter monitor might be needed. Please consult your healthcare provider promptly for a comprehensive evaluation.

Question 3

I've had angioplasty done and have a stent implanted. My doctor recommended some drugs from companies like Sun Pharma, MacLeod, and Lupin, but they're a bit pricey for me. Are there other reputable brands that make equivalent quality medications for Rozavel 2mg, Prax A 75mg, and Voglimac GM 2mg at a lower cost? Also, can I ask the pharmacy for generic versions of cholesterol-lowering drugs if I have a prescription for the more expensive branded ones? Are generics reliable when it comes to quality assurance and control?

Accepted Answer

Substitute for rozavel 2mg: You can consider Atorva 20mg (Atorvastatin) from Cipla or Rosuvast 10mg (Rosuvastatin) from Torrent Pharmaceuticals. Substitute for Prax A 75mg: You can try Clopid 75mg (Clopidogrel) from Intas Pharmaceuticals or Plavix 75mg (Clopidogrel) from Sanofi. Substitute for voglimac gm 2mg: You may opt for Glycomet GP 2 (Metformin + Glimepiride) from USV or Glyciphage G1 (Metformin + Glimepiride) from Franco-Indian Pharmaceuticals. Regarding generic cholesterol-reducing drugs, yes, you can purchase generic versions of cholesterol-lowering medications with a prescription from your doctor. Generic medications are generally considered to be equivalent in quality to their brand-name counterparts as they undergo the same rigorous testing for quality assurance (QA) and quality control (QC) by regulatory authorities.

I sometimes get this pinching sensation in my chest and it's not on one particular side. I'm 28, keep myself pretty fit, and play football regularly. Should I be worried about this, or could it just be something else?

ecg and cardiac markers are advised..

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