Question 1

So my 76-year-old mom, who's diabetic, has been diagnosed with a triple vessel block and just had an acute anterolateral wall MI. I'm really worried and trying to figure out whether a stent or a bypass would be the better option for her. Could you help me understand the pros and cons of each? I'm kind of at a loss here and would really appreciate your guidance.

Accepted Answer

For a 76-year-old diabetic patient with triple vessel blockage and acute anterolateral wall MI, treatment options include:

Stent Placement

1. Percutaneous Coronary Intervention (PCI): Stenting can improve blood flow, but may require multiple procedures.
2. Advantages: Minimally invasive, quicker recovery.
3. Disadvantages: Higher restenosis risk, potential for stent thrombosis.

Bypass Surgery (Coronary Artery Bypass Grafting - CABG)

1. Surgical option: Bypass grafts reroute blood flow around blocked arteries.
2. Advantages: Higher success rate, lower restenosis risk, suitable for complex cases.
3. Disadvantages: Invasive, longer recovery, potential for graft failure.

Question 2

I'm just curious about some things regarding my health. I had a CT angio three years ago and it came back normal. Im wondering, how long are these results usually considered valid or acceptable? Also, Ive been on Lodoz 2.5 for about three months now. Before I started the medication, my blood pressure was around 120 to 130, and it's still in that range after taking the medicine. However, I've noticed my heart rate is now between 55 and 65. Is that normal, or should I be thinking about stopping the meds? By the way, I'm 5'7" and weigh 82 kg. Any advice on this would really help!

Accepted Answer

A normal CT angiography from three years ago is generally considered reliable, but its crucial to continue regular check-ups, especially if you have ongoing symptoms or risk factors for heart disease. Lodoz (which contains bisoprolol and hydrochlorothiazide) is prescribed to manage blood pressure and heart rate. Your current blood pressure of 120-130 mmHg and heart rate of 55-65 bpm are within reasonable ranges, especially if you are asymptomatic.

Do not stop your medication without consulting your healthcare provider, as they can assess your overall health, review your medication needs, and decide on the best course of action. They might also suggest lifestyle changes, such as regular exercise, a healthy diet, and weight management, to further support your heart health.

Question 3

I'm really worried about my health. I've been dealing with chest discomfort, gastric issues, and health anxiety for the last two years. Last year, I went through several tests like ECG, echo, TMT, blood tests, and even checked troponin levels twice, but everything came back normal. I also had deficiencies in vitamin D and B12, for which I took injections and tablets. Now, for the past two weeks, I've been feeling that high gastric indigestion and chest discomfort again. Yesterday, I did another ECG, and it showed a slight ST depression in V5, but I was really anxious at the time. Could this be just anxiety, or is there something serious going on? I'm really concerned about this.

Accepted Answer

It's good to know that your previous cardiac tests and blood work have come back normal. Based on the symptoms you have described and the slight ST Depression in V5 on your recent ECG, it is important to consider both physical and psychological factors. The chest discomfort and gastric indigestion could be related to your anxiety, but it is also important to rule out any potential cardiac issues. I would recommend starting with a medication like omeprazole 20mg once daily for your gastric issues. Additionally, for anxiety, you can try taking a medication like escitalopram 10mg once daily. However, it is crucial to follow up with a cardiologist for a thorough evaluation and to discuss the ECG findings. They may recommend further tests or adjustments to your treatment plan. It's also important to continue managing your anxiety through relaxation techniques, regular exercise, and counseling support. Please continue to monitor your symptoms and seek medical attention if they worsen or if you experience any new concerning symptoms

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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