Question 1

I've been having this discomfort in my left arm and shoulder that doesn't get worse when I exercise, and resting doesn't seem to help either. Plus, I've been experiencing sudden breathing difficulties along with sweating every couple of evenings, and it's really exhausting, but strangely, no chest pain like a heart attack. These symptoms were there about a year ago but felt less frequent. Now, it's been more than a month and it's happening more often. A year back, my ECG, ECHO, TMT, and Holter tests came back normal, along with normal TSH, lipid profile, vitamin D levels, etc. The doctor thinks it might be panic attacks, but why do I still have this persistent arm pain? If it was a heart issue, shouldn't there have been complications by now? What do you think I should do?

Accepted Answer

Persistent discomfort in your left arm and shoulder, along with symptoms like sudden breathing difficulties, sweating, and exhaustion, can be concerning. While it's reassuring that your ECG, ECHO, TMT, and Holter tests were normal, and your doctor suggested panic attacks, persistent and worsening symptoms warrant further evaluation. It's important to follow up with your healthcare provider to reassess your condition and rule out other potential causes, such as musculoskeletal issues, nerve compression, or even conditions like GERD or anxiety disorders. Discuss your ongoing concerns with your doctor to ensure a comprehensive evaluation and appropriate management plan.

Question 2

I'm really worried about my dad. He had two angioplasties earlier this year, and his doctor mentioned there's another vein blockage that might need treatment in the future, like 1-2 years from now. But now he's having pain again, and the doctor says we need to operate right away. I'm just wondering if it's safe to delay this procedure so I can get a second opinion from another doctor. Does it sound too risky to wait a little longer?

Accepted Answer

It is important to prioritize your dad's health and follow the advice of his current doctor. To manage the pain and prevent further complications, your dad can take medications like Clopidogrel (Plavix) 75mg once daily and Aspirin 81mg once daily to prevent blood clots and reduce the risk of heart attack or stroke. However, it is crucial to consult with his doctor before making any decisions regarding postponing the angioplasty procedure.

Question 3

I'm a bit worried about some of the results from my 24-hour Holter monitor and other tests. My heart rate got as high as 130 bpm at 11 am and dropped to 38 bpm at 4 am, with an average of 96 bpm. They noted baseline sinus arrhythmia but no trachiarrhythmia runs, AV block, or significant ST changes. My echocardiography shows an EF of 68 percent, which they said is normal. My fasting glucose came back at 106 mgdl. Everything else like LFT, KFT, and TSH seems to be within normal limits. Should I be concerned about these numbers? What do they really mean for my heart health?

Accepted Answer

Based on your results, I recommend you continue to monitor your heart rate and rhythm. Since there are no significant abnormalities detected, no specific medication is required at this time. However, it is important to maintain a healthy lifestyle with regular exercise and a balanced diet to support your heart health.

I'm 17 years old and I've recently gotten some blood pressure readings like 13080 and 13081. I'm kind of worried and wondering if these numbers are normal for my age. Would appreciate some insight on this.

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