Question 1

I've been taking medicine for blood pressure for a few years now, and I'm 45. Lately, even short walks or a couple of stairs have been really tough. I used to handle longer walks and more stairs without any issues. I had an ECG done three months ago, and it looked normal. I don't have trouble just going about my day, but my blood sugar is kind of borderline too. I'm wondering what test would be better to figure out what's going onan echo or a TMT?

Accepted Answer

Based on your symptoms and medical history, it would be advisable to go for a TMT (Treadmill Test) to assess your cardiac function and determine if there are any underlying issues causing your symptoms. TMT is a stress test that helps evaluate how well your heart responds to exertion. It can provide valuable information about your heart's health and function, especially in cases where there are symptoms like shortness of breath and decreased exercise tolerance. It is a non-invasive test that can help in diagnosing any potential heart problems.

Question 2

I'm really worried about this situation where someone feels tired and uneasy in their chest after walking a short distance. Even though all the medical tests like the blood sugar, ECG, and X-ray came back normal, they still need to rest before they can keep going. What could be causing this, and what should we do next?

Accepted Answer

It sounds like your symptoms could be related to angina, which is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. Since your check-up results were normal, it's important to continue monitoring your symptoms and follow up with your doctor if they persist or worsen. In the meantime, you can try taking a medication like **Aspirin** 75mg once daily to help improve blood flow to the heart and reduce the risk of blood clots. Additionally, **Nitroglycerin** sublingual tablets can be taken as needed for chest pain relief (0.4mg every 5 minutes, up to 3 doses). Remember to always carry your nitroglycerin with you in case of emergency. If your symptoms continue, further evaluation by a cardiologist may be necessary.

Question 3

I'm experiencing something odd and could use some advice. Lately, when I wake up and start walking, it feels like my heart is racing, and I get a bit breathlessbut only the first time. If I lie back down for a bit and then walk again, I feel completely normal. Is this something I should worry about in terms of my heart? I've had an ECG and a 2D Echo, and they both came back normal. I also saw a pulmonologist, and all tests were fine. What could be causing this?

Accepted Answer

"Based on your symptoms and the normal ECG and 2D Echo results, as well as the evaluation by a pulmonologist, it is less likely that your symptoms are due to a heart issue or a pulmonary problem. It is possible that your symptoms could be related to orthostatic hypotension, which is a drop in blood pressure that occurs when standing up from a sitting or lying down position. To help alleviate these symptoms, you can try increasing your fluid and salt intake, wearing compression stockings, and standing up slowly to allow your body to adjust to the change in position. In some cases, medications like Fludrocortisone or Midodrine may be prescribed to help manage orthostatic hypotension. If your symptoms persist or worsen, it would be advisable to follow up with your healthcare provider for further evaluation and management."

I'm 24 and I spend a lot of time sitting because of my job. My pulse rate seems to bounce between 92 and 110. Is it normal for it to be that high at my age? I'm a bit worried if it's something I should be concerned about.

ecg and echo advised to the pt..

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