Question 1

For how long can we rely on the CT coronary angio results? My mom is 65, diabetic, and had one done in February 2020it all looked pretty normal back then, no plaque in the main artery and a calcium score of zero. Her recent ECG also came back normal and she's not having any symptoms, but we've found that she has mild pulmonary hypertension with a systolic pressure of 34 mmHg on a 2D echo. She's not taking any blood thinners right now. Do you think we should consider repeating the CT angio?

Accepted Answer

CT coronary angiography is a non-invasive imaging test that can provide detailed information about the coronary arteries. In your mother's case, since her CT angio done in Feb 2020 showed a fairly normal result with no plaque in the main artery and a calcium score of zero, it indicates a low risk of significant coronary artery disease at that time. Given that the recent ECG is normal and your mother has no complaints, the decision to repeat the CT angio should be based on her current symptoms, risk factors, and overall clinical condition. Mild pulmonary hypertension as seen in the 2D echo with a systolic pressure of 34 mmHg may not necessarily warrant a repeat CT angio unless there are new symptoms or concerns regarding her cardiac health. It is important to continue monitoring her condition regularly with follow-up visits to her healthcare provider, who can assess the need for any further investigations or adjustments to her treatment plan.

Question 2

I've been having some chest issues and I went to the doctor who said it's just my bone and everything's normal, so he prescribed Pan 20 for 10 days before meals once a day, Bandy medicine, and a vitamin D sachet to take once a week. But I'm still a bit worried because I sometimes feel chest pain when I take a deep breath, and in the mornings on my left side. The pain's really sharp, but it only lasts about 45 seconds and happens maybe 6 or 7 times a day. I had anxiety about three years ago, and I also sleep on my stomach. Could that be related or something I should be more concerned about? Any advice would be really helpful.

Accepted Answer

It is important to follow up with your doctor regarding the chest pain you are experiencing, especially if it is recurring multiple times a day. The sharp pain in the left chest that lasts for a few seconds could be due to various reasons, including musculoskeletal issues, anxiety, or even gastrointestinal problems. In the meantime, you can try taking over-the-counter pain relief medication like Acetaminophen (Tylenol) for the chest pain. However, if the pain persists or worsens, it is crucial to seek medical attention for further evaluation and management.

Question 3

What is the reason of hypertension?

Accepted Answer

A diet high in salt, fat, and/or cholesterol. Chronic conditions such as kidney and hormone problems, diabetes, high cholesterol, family history and sedantary lifestyle

I'm a 21-year-old guy and I've been taking Concor Cor 2.5 mg every day for the past couple of months to help with chest pain, not for high blood pressure. I'm feeling better now and was wondering how I can stop taking it safely without causing any problems? I'd really appreciate your advice!

Continue all the medications..

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