Question 1

I'm a bit concerned about my dad's blood pressure readings. He's 61 and has high blood pressure, so he's been on medication. Recently, during a check-up, his readings were 90 and 126. But here's the thing thats puzzling me  his blood pressure was higher in his right arm than his left by about 10 points. I'm really curious about what could cause this difference. Is it something we should be worried about?

Accepted Answer

This difference in blood pressure between arms is known as inter-arm blood pressure difference. It can be caused by various factors such as differences in blood vessel stiffness, blockages, or narrowing in the arteries of one arm compared to the other. It can also be due to conditions like atherosclerosis or peripheral artery disease. To address this issue, it is important to consult with your father's healthcare provider for further evaluation and management. In terms of medication, he can continue taking his high blood pressure medication such as Losartan 50mg once daily to help control his blood pressure levels.

Question 2

So, my mom was diagnosed with 80% stenosis in the mid RCA and there's also a 50% instent restenosis in the distal RCA, where she had a stent put in back in 2010. We're a bit confused because one doctor is suggesting she should go through angioplasty again for both areas, while another doctor thinks it's not necessary. This is pretty stressful, and I really want to make the right decision. Could you explain what the typical approach is for handling instent restenosis and how serious this situation looks?

Accepted Answer

RCA STENOSIS 80% IN MID SEGMENT WILL INFLUENCE EFFECT OF DISTAL STENOSIS. ONCE U OPEN MID RCA LESION WITH BALOON AND DO ANGIOPLASTY THEN CHECK THE INSTENT RESTENOSIS LESION WITH FFR.
IF FFR IS MORE THAN O.8 THEN NOTHING FOR DISTAL AND IF FFR IS LESS THAN 0.8 ANGIOPLASTY TO INSTENT RESTENOSIS.

Question 3

I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he was on Brilinta, but they told him to stop because his platelet count dropped to 58,000. He's having chest pain now, and I'm wondering what we should be doing here? Is his health in serious risk? What steps should we take to manage this situation?

Accepted Answer

Given the patient's history of angioplasty, a 70% arterial blockage, elevated creatinine level of 3.2, and low platelet count of 58,000, the current chest pain is concerning and requires immediate medical attention. The discontinuation of Brilinta due to low platelet counts increases the risk of clot formation. The patient should be evaluated urgently by a cardiologist and a nephrologist to manage both the cardiac and renal issues. Alternative anti-platelet strategies may be needed, and continuous cardiac monitoring, possibly including a coronary angiogram, should be performed. A multidisciplinary approach involving cardiologists, nephrologists, and hematologists is essential to address the complexities of his condition

I'm a bit worried after seeing my chest x-ray results. It mentions mild bilateral perihilar and basal congestion along with borderline cardiomegaly. Can you explain what this means, and how I might be able to treat it or manage the symptoms?

That could be age related changes if you have no symptoms like chest pain,chest discomfort,shortnes of breath,then visit Physician for appropriate management.if not you can ignore it

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