Question 1

I'm really worried about my mom. She had bypass surgery back in September 2022, and every now and then she gets this angina-like pain near the stitches in her chest. It's really unsettling. Plus, she's dealing with type 2 diabetes and thyroid issues too. Can you help me figure out what's going on and what we should do about it?

Accepted Answer

It is important to manage angina pain effectively, especially after bypass surgery. I recommend she takes Nitroglycerin sublingual tablets as needed for chest pain. The dosage is usually 0.3 to 0.4 mg every 5 minutes for up to three doses. Additionally, she can take Aspirin to help reduce the risk of blood clots and relieve chest pain. The usual dosage is 81mg to 325mg once daily. Since she is diabetic, it's crucial to control her blood sugar levels. She can take Metformin to help manage her diabetes. The usual starting dose is 500mg or 850mg once daily with meals. For her thyroid condition, she can continue taking Levothyroxine to regulate her thyroid hormone levels. The dosage will depend on her TSH levels as determined by her doctor.

Question 2

I'm a bit concerned about my heart health. A year and a half ago, I was diagnosed with sinus arrhythmia, and my doctor put me on Vodafone 100. Since then, I've been taking the medication regularly, but my recent Holter report shows sinus bradycardia. Everything else like my lipid, liver, thyroid, and kidney profiles are normal, so I'm confused about what's going on. Could this be related to the medication, or is there something else I should be aware of? What steps should I take next?

Accepted Answer

Its time to switch or taper the drug that you are using,visit Cardiologist for appropriate management

Question 3

I've read that a normal resting heart rate is between 60-100, but mine usually stays around 53-55. I'm 45 years old, and I've been on blood pressure medication for 25 years now. At the moment, I'm taking Metoprolol 25 in the morning and Telday 40 at night. My ECG results were normal, but my echocardiogram showed normal results with reduced diastolic compliance. Should I be worried about my heart rate?

Accepted Answer

Given your age and medical history, it may not be a cause for immediate concern, especially if your ECG was normal and your echo showed normal findings with reduced diastolic compliance. To address your worries about your heart rate, it would be advisable to consult with your doctor to discuss the possibility of adjusting your medication dosage. In the meantime, continue monitoring your heart rate regularly and report any significant changes or symptoms to your healthcare provider. If you continue to experience concerns about your heart rate, your doctor may consider adjusting your metoprolol dosage or exploring other treatment options. It's important to follow up with your healthcare provider for personalized recommendations based on your individual health status. Take care and stay healthy. Best regards, Dr. [Your Name] Medical Doctor"

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.

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