Question 1

So, I've been having this chest pain for a few months now, and I went through all the basic heart checks. My ECG was normal, but it showed Sinus tachycardia, and the TMT came back negative. The first time I did a 2D Echo, they mentioned Mild Concentric LVH, but when I repeated it a few days later, they didnt find any LVH. I even went for another 2D Echo at a different place, and again, they said there was no LVH. Is it common for results to differ like this? Could my chest pain still be related to my heart, and have I done enough tests to rule out any cardiac issues? Also, just to add, I dont smoke or drink.

Accepted Answer

It is possible for there to be discrepancies in medical imaging findings, especially when it comes to conditions like mild concentric LVH. However, since your ECG and TMT results are normal and there is no longer evidence of mild concentric LVH on your recent 2D Echo, it is less likely that your chest pain is cardiac in nature. It is important to consider other potential causes for your chest pain, such as musculoskeletal issues, gastrointestinal problems, or even anxiety. To further evaluate your chest pain and rule out any other cardiac issues, you may consider discussing with your healthcare provider about other tests such as a stress echocardiogram, coronary CT angiography, or cardiac MRI. Additionally, lifestyle modifications, stress management techniques, and regular follow-ups with your doctor are important for your overall health and well-being.

Question 2

I'm really worried about my mom. She had a fever of 100.5 last week and hasn't had blood pressure issues before, but her BP was around 100160. We've had some family stress lately, so I'm thinking that might be affecting her health. The doctor did some tests like lipid, fasting sugar, uric acid, and creatinine, and they all came back normal. However, her BP has consistently been 100150 when we've checked recently. The doctor suggested starting her on Olmecip. I'm wondering, is there a way to manage her blood pressure without having to use medication? Any advice would be really appreciated.

Accepted Answer

Lifestyle changes such as regular exercise, a healthy diet low in sodium, maintaining a healthy weight, reducing stress, and avoiding tobacco and alcohol can help in controlling blood pressure. However, in some cases, medication may be necessary. In your mother's case, since her blood pressure readings have been consistently high, the doctor prescribed Olmecip. This medication is an angiotensin II receptor blocker that helps to relax blood vessels, lowering blood pressure. The usual starting dose of Olmecip is 20mg once daily. It is important to follow the doctor's advice and monitor blood pressure regularly.

Question 3

I'm feeling a bit worried and would like some advice. I tested positive on December 19th and my CT scan shows corads 4. I've been diabetic for 10 years and had a heart blockage about 5 months ago. Recently, my D-dimer level is at 0.34, and my sugar levels are high, with an HBA1c of 8.9 and an average blood glucose of 208. Right now, I don't have any symptoms, but given my medical history, do you think I should consider hospitalization?

Accepted Answer

yes need

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