Question 1

What happens right before a heart attack?

Accepted Answer

Common heart attack signs and symptoms include: Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back. Nausea, indigestion, heartburn or abdominal pain. Shortness of breath.

Question 2

My grandfather has been diagnosed with a sclerotic aortic valve and also has COPD. I'm really concerned about his health. Could you suggest any treatments or tests that we should consider? I'm just worried about how these conditions might affect him and would appreciate some advice on what steps we should take.

Accepted Answer

For sclerotic aortic valve, the treatment usually involves managing symptoms and monitoring the condition. Medications such as ACE inhibitors, beta blockers, or diuretics may be prescribed to manage symptoms. In severe cases, aortic valve replacement surgery may be necessary. For COPD, treatment may include bronchodilators, inhaled corticosteroids, oxygen therapy, and pulmonary rehabilitation. It is important to avoid smoking and minimize exposure to lung irritants. Tests that may be recommended for further evaluation include echocardiogram to assess the aortic valve function, pulmonary function tests to evaluate lung function, and chest X-ray or CT scan to assess the lungs. Regular follow-up with a cardiologist and pulmonologist is essential to monitor the conditions and adjust treatment as needed.

Question 3

I'm dealing with this chest pain that's right in the middle of my chest, and its been going on for the last two months. Sometimes its regular, sometimes its not. It gets really painful when I bend to pick something up from the ground, and the pain even shoots to my back. Can you help me out? What might be causing this?

Accepted Answer

Based on your symptoms, it is important to rule out any underlying heart condition. However, considering the pain worsening with movement, it could be musculoskeletal in nature. You can try taking Acetaminophen (Tylenol) 500mg every 6 hours as needed for pain relief. Additionally, you can apply a topical pain relief gel like Diclofenac (Voltaren) gel on the affected area. It is also advisable to avoid heavy lifting or strenuous activities that worsen the pain. If the pain persists or worsens, please consult a healthcare professional 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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