Question 1

I'm really worried about my father. He's been diagnosed with severe coronary ectasia and previously, doctors mentioned that a bypass surgery isn't an option for him. I'm wondering if treatments like Ace Inhibitors or the drug Entresto could be effective in his situation? Lately, he's been having more frequent chest pains and feeling a lot of unease. Could you provide some guidance on this?

Accepted Answer

For the treatment of coronary ectasia, Ace Inhibitors such as Lisinopril can be beneficial in managing symptoms and improving heart function. The recommended dosage of Lisinopril is usually starting at 2.5-5 mg once a day, which can be adjusted by the doctor based on individual response. Entresto, which is a combination of Sacubitril and Valsartan, can also be considered for the treatment of heart failure in patients with reduced ejection fraction. The usual starting dose of Entresto is 4951 mg twice daily, which can be increased to the target maintenance dose of 97103 mg twice daily as tolerated. However, it is important to consult with your father's healthcare provider before starting any new medication or making changes to his current treatment plan. Regular monitoring and follow-up with a healthcare professional are essential in managing coronary ectasia and associated symptoms.

Question 2

I'm a bit worried because I've been experiencing palpitations and when I took an ECG, it showed sinus tachycardia. My 2D echo test came back normal, so my doctor prescribed Betacap TR 20mg. After a week of taking it, the follow-up ECG was normal. Can you explain what sinus tachycardia is? Should I be concerned about any heart-related issues? I've also been dealing with anxiety for the past six months. I've attached my ECGs. Can you take a look and let me know what's going on? I'm really worried about my health.

Accepted Answer

Sinus tachycardia is a condition where the heart beats at a faster rate than normal, typically over 100 beats per minute. It is usually a normal response to stress, exercise, or certain medications. In your case, since your 2d echo test was normal and your follow-up ECG was also normal after taking Betacap TR 20mg, there is likely nothing to worry about. Betacap TR 20mg is a brand name for Propranolol, which is a beta-blocker medication that helps to slow down the heart rate and reduce palpitations. For your anxiety, you can continue taking Betacap TR 20mg as prescribed by your doctor. Additionally, you may benefit from therapy or relaxation techniques to help manage your anxiety symptoms. Overall, it seems like your heart is healthy and the medication is helping with your symptoms. Keep following up with your doctor for further guidance and monitoring.

Question 3

I'm a bit concerned and confused about my blood pressure readings. I've been using an electronic BP machine at home, and I've noticed that my readings are high when I first measure it while sittingsomething like 135 to 140 over 90 to 95. But after a few minutes, it seems to drop to around 125 to 130 over 85 to 90. Does this mean I might need medication, or is this fluctuation normal?

Accepted Answer

"Based on your blood pressure readings, it seems like you have elevated blood pressure, especially when initially measured in a sitting position. It is recommended to monitor your blood pressure regularly and make lifestyle modifications to help lower it. If your blood pressure consistently remains high, medication may be necessary. I would recommend consulting with a healthcare provider to discuss possible treatment options. In the meantime, you can try to reduce your blood pressure through lifestyle changes such as maintaining a healthy diet, regular exercise, reducing salt intake, and managing stress."

I'm a bit worried because my heart rate is up at 156 per minute and my blood pressure is reading 12477. Is this something I should be concerned about? What's the reason this could be happening, and what might come of it?

156 is definitely abnormal visit Cardiologist for appropriate management

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