Question 1

I'm trying to make sense of some health concerns and could use a bit of guidance. I recently had an abnormal ECG that showed RBBB with sinus tachycardia, and my CT angiogram revealed 0 calcium deposits. But I'm still feeling some discomfort in my chest and experiencing breathlessness. Could I still have some kind of heart problem even with these results?

Accepted Answer

1) Despite the absence of calcium deposits on the CT angiogram, it is still possible to have a cardiovascular issue. Given your symptoms and abnormal ECG findings, further evaluation is necessary. I recommend starting treatment with a beta-blocker like Metoprolol (25-50mg) to help with the sinus tachycardia and chest discomfort. 2) The chest discomfort and breathlessness you are experiencing may be related to your cardiac condition. In addition to the beta-blocker, you can also take Aspirin (81mg) daily to reduce the risk of cardiovascular events. However, it is important to follow up with a cardiologist for a comprehensive assessment and management plan.

Question 2

I'm a 39-year-old guy and I used to do a lot of sports about 20 years ago. Last May, I had an angiogram that showed a myocardial bridge in my mid LAD, causing 30% systolic narrowing. The doctor said it's nothing serious and pretty normal, but sometimes I still get chest pain and it even goes down my left arm. This pain usually kicks in during the evening and can last through the night. It's weird because it happens in phases, like I'll have it for about 10 days, then it'll disappear for a month or so, only to come back again. I went to see a gastroenterologist too and they think I might have GERD. I had an upper GI endoscopy and they found an H. Pylori infection, so they put me on pantoprazole. That helped a bit, but I still get the chest pain sometimes. I'm anxious a lot, and the doctors mentioned that might be making both the pain and the GERD worse. The heart doctors say the angiogram was normal and that's the gold standard, so they're not worried. I've started exercising, doing yoga, changed my diet, and managed to lose about 5kg. I even cut down on smoking to just one cigarette a day. What do you think might be going on here with this recurring pain?

Accepted Answer

You are doing great and no need to worry continue the same and have a regular follow up with your doctor

Question 3

I'm dealing with constrictive pericarditis and was admitted to Sri Satya Sai Hospital. They won't operate because my white blood cell count is low. They recommended getting my WBC up before they proceed with the surgery. Could you suggest how I can increase my WBC levels within 10-15 days?

Accepted Answer

To increase your WBC count, you can take Filgrastim (brand name Neupogen) at a dosage of 5-10 mcgkgday. This medication can help stimulate the production of white blood cells in your body. Additionally, you can also consider taking Granulocyte Colony-Stimulating Factor (G-CSF) medications such as Pegfilgrastim (brand name Neulasta) at a dosage of 6 mg per chemotherapy cycle. These medications can help boost your WBC count within the specified timeframe.

Angina is the heart pain, heart attack means there is ischaemia to the heart, jaw pain,shoulder pain and chest pain along with sweating and pailpitations are commonly seen in the patients.

More Cardiology Health Queries

I'm dealing with constrictive pericarditis and was admitted to Sri Satya Sai Hospital. They won't operate because my white blood cell count is low. They recommended getting my WBC up before they proceed with the surgery. Could you suggest how I can increase my WBC levels within 10-15 days?

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