Question 1

I'm 32 and dealing with anxiety and hypertension. I've been diagnosed with mild concentric left ventricular hypertrophy after a 2D echo. My doctor mentioned taking a TMT and prescribed me TelmaCT 4012.5, Inderal 10, and Rosuvastatin 20. Do you think I should go ahead with the TMT? I'm feeling a bit worried about all this.

Accepted Answer

Since you are already diagnosed with mild concentric left ventricular hypertrophy, it is important to follow your doctor's advice and go for the TMT (Treadmill Stress Test) as suggested. This test will help assess your heart's response to physical stress and evaluate any possible blockages in the arteries.

Question 2

I've been experiencing this weird, needle-like pain on the left side of my chest for over a month now, about 34 days to be exact. It comes and goes, and it's really starting to worry me. I got an ECG done, but it came out normal. Should I be concerne...

Accepted Answer

It sounds like you may be experiencing symptoms of angina. Angina is chest pain or discomfort that occurs when your heart muscle doesn't get enough oxygen-rich blood. Since your ECG is normal, it's good news that there may not be any major heart issues. However, it's still important to address the symptoms you are experiencing. I recommend taking a low dose of aspirin (75-100mg) daily to help reduce the risk of blood clots and improve blood flow to the heart. Additionally, you can try using nitroglycerin sublingual tablets as needed for chest pain relief. It is important to rest and avoid strenuous activities until the symptoms improve. If the symptoms persist or worsen, please seek medical attention for further evaluation and management.

Question 3

I'm really worried about my aunt who's dealing with hypertension. Her blood pressure was really high at 190110 during her echo testing. The echo report mentioned things like AO 30mm, LA 40mm, EF 60%, and LVIDd 40mm, among others. She was diagnosed wi...

Accepted Answer

Based on the information provided, your aunt's CVH (Cardiovascular Hypertension) condition is concerning due to her high blood pressure of 190110. However, with proper management and the prescribed blood pressure tablets, her current blood pressure of 13185 is within a better range. To help control her blood pressure and potentially improve her CVH, the doctor may have prescribed medications such as Amlodipine (5mg) and Lisinopril (10mg) to be taken daily. These medications can help lower blood pressure and reduce the strain on the heart. In terms of the severity of her CVH, it is considered mild at this stage with grade 1 LVDD (Left Ventricular Diastolic Dysfunction). With continued management of her blood pressure and overall health, there is a possibility that the CVH can be reversible over time. Remember to monitor her blood pressure regularly, take the prescribed medications as directed, follow a healthy lifestyle, and attend follow-up appointments with her doctor for further evaluation and management of her condition.

Question 4

Should I consider getting a CT angiogram even though my ECG, ECHO, TMT, and chest X-ray have all come back normal? I'm experiencing some chest tightness and occasional shortness of breath, though its just for a moment. My cholesterol levels are a bit...

Accepted Answer

Considering your symptoms of chest tightness, shortness of breath, high LDL cholesterol levels, and family history of bypass surgery in your father, it may be prudent to further investigate the possibility of coronary artery disease. A CT ANGIOGRAM can provide detailed imaging of the blood vessels in your heart and help assess for any blockages or narrowing that may not be detected by the tests you have already undergone. In your case, a CT ANGIOGRAM may be recommended to rule out any significant coronary artery disease.

Question 5

I'm really worried about my cholesterol levels. My total cholesterol is now 273 and my LDL cholesterol is at 191, which has gone up from 180. My TcholHDL ratio has also increased to 6.5, and it used to be lower. The LDLHDL ratio is now 4.5, and it wa...

Accepted Answer

Your cholesterol levels indicate that you are at an increased risk for cardiovascular diseases. To help lower your cholesterol levels and reduce your risk, you can make lifestyle changes such as following a healthy diet, exercising regularly, and maintaining a healthy weight. Additionally, medication may be prescribed by your doctor to help manage your cholesterol levels. For your high LDL cholesterol, you can consider taking Atorvastatin (brand name Lipitor) at a dosage recommended by your healthcare provider. This medication helps lower LDL cholesterol levels and reduce the risk of heart disease. To improve your cholesterol ratios and overall lipid profile, you can also discuss with your doctor about taking Fenofibrate (brand name Tricor) at a suitable dosage. Fenofibrate helps lower triglycerides and non-HDL cholesterol levels, which can further reduce your cardiovascular risk. Remember to consult with your healthcare provider for personalized advice and monitoring of your cholesterol levels.

Question 6

I'm worried because my homocysteine levels are really high, like around 58.9, but my blood pressure is normal and I don't have diabetes. What steps should I take or things should I consider at this point?

Accepted Answer

High homocysteine levels can increase the risk of heart disease and stroke. To lower your homocysteine levels, you can take a combination of folic acid, vitamin B6, and vitamin B12. I recommend taking a tablet of Fol-5 Plus once daily, which contains the appropriate combination of these vitamins to help lower homocysteine levels. Additionally, it is important to maintain a healthy diet rich in fruits, vegetables, and whole grains. Regular exercise can also help in reducing homocysteine levels.

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Related Questions

I've been experiencing this weird, needle-like pain on the left side of my chest for over a month now, about 34 days to be exact. It comes and goes, and it's really starting to worry me. I got an ECG done, but it came out normal. Should I be concerne...

I'm really worried about my aunt who's dealing with hypertension. Her blood pressure was really high at 190110 during her echo testing. The echo report mentioned things like AO 30mm, LA 40mm, EF 60%, and LVIDd 40mm, among others. She was diagnosed wi...

Should I consider getting a CT angiogram even though my ECG, ECHO, TMT, and chest X-ray have all come back normal? I'm experiencing some chest tightness and occasional shortness of breath, though its just for a moment. My cholesterol levels are a bit...

I'm really worried about my cholesterol levels. My total cholesterol is now 273 and my LDL cholesterol is at 191, which has gone up from 180. My TcholHDL ratio has also increased to 6.5, and it used to be lower. The LDLHDL ratio is now 4.5, and it wa...

I'm worried because my homocysteine levels are really high, like around 58.9, but my blood pressure is normal and I don't have diabetes. What steps should I take or things should I consider at this point?

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