Question 1

I'm 75 years old and had bypass surgery in 1990. I've been told there's now a mild block in my artery, and I'm concerned about how to manage this. I'm also experiencing some breathing problems. Could you advise me on what steps I can take to address these issues?

Accepted Answer

For the mild blockage in your artery and breathing problem, you can take medications to help manage these conditions. 1. For the mild blockage in your artery, you can take a statin medication like Atorvastatin 20mg daily to help lower cholesterol and reduce the risk of further blockages. 2. To improve your breathing, you can use an inhaler like Salbutamol 2 puffs as needed for shortness of breath. It is important to follow up with your doctor regularly to monitor your conditions and adjust your treatment plan as needed.

Question 2

I'm noticing that my heart rate sits between 85 to 105 when I'm just resting. I had an ECG done and my doctor mentioned I have sinus tachycardia, but thankfully no arrhythmia. I'm kind of worried, thoughdoes this mean I'm at risk for a heart attack or maybe a brain stroke? I'm only 19, so I'm not sure what to think.

Accepted Answer

In your case, since you are 19 years old and your ECG shows sinus tachycardia without arrhythmia, the chances of heart attack or stroke are very low at your age. To help manage your sinus tachycardia, you can try relaxation techniques, avoid stimulants like caffeine, and ensure you are well-hydrated. If your symptoms persist or worsen, you may consider beta-blocker medications like Metoprolol at a low dose under the guidance of a healthcare professional.

Question 3

I've noticed that my heart rate changes with my posture. When I stand, it's around 105-116 bpm, sitting brings it down to 90-100 bpm, and when I'm lying down, it's 75-85 bpm. My blood pressure doesn't really fluctuate much though. So, I went ahead and got an ECG, and it showed sinus tachycardia but otherwise normal. The strange thing is I can feel palpitations in my neck and chest when I stand, but I have no other symptoms. I run on the treadmill at 5-8 kmhr without any problems and my pulse stays between 100-120 bpm, but right after stopping, my pulse jumps to 163 bpm before gradually coming down, and my blood pressure was 140 over 75 at that moment. Should I be worried about this?

Accepted Answer

Based on your symptoms and the ECG report showing sinus tachycardia, it seems like your heart rate is elevated in response to changes in posture and physical activity. Sinus tachycardia is often a normal response to certain triggers such as exercise or stress. However, it is important to monitor your symptoms and follow up with a healthcare provider for further evaluation and management. In the meantime, you can try to stay hydrated, avoid caffeine and other stimulants, and practice relaxation techniques to help manage your heart rate.

No need to stop medications , all the medications are to be continued including ecosprin.

More Cardiology Health Queries

I'm 75 years old and had bypass surgery in 1990. I've been told there's now a mild block in my artery, and I'm concerned about how to manage this. I'm also experiencing some breathing problems. Could you advise me on what steps I can take to address these issues?

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