Question 1

I'm really worried because my dad just had a heart attack and we're using up all our savings on his angioplasty and diabetes treatment. With the whole covid situation, it's been really tough. The medicine Vymada 50mg is pretty expensiveabout 1100 per strip. Do you know of any cheaper alternatives that can still be effective? Any advice or suggestions would be really helpful!

Accepted Answer

advised to continue tab vymada 50 mg medication..

Question 2

I've been having chest pain when I walk or go up stairs, so I got a CT angiography done. The report shows I have myocardial bridging of the proximal LAD, about 1.8 cm long. The doctor said not to worry and that no treatment is needed, but the pain on my left side isn't going away. Can you help me understand what this all means and what I should do next?

Accepted Answer

Since you are experiencing persistent chest pain despite the reassurance from your doctor, it may be helpful to consider medication to help manage your symptoms. You can try taking a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, under the guidance of your doctor. The usual starting dose for Diltiazem is 120 mg to 180 mg per day, taken in divided doses. This medication can help relax the smooth muscle in the walls of your coronary arteries and improve blood flow to the heart muscle, potentially reducing chest pain associated with your condition. However, please consult with your doctor before starting any new medication.

Question 3

I'm a bit worried because I've been having chest pain for the last two weeks. I just got my 2D echo report, and it says I have a mild prolapse of the anterior mitral leaflet. I'm not diabetic, I don't smoke, and I don't drink alcohol. Other than that, all the other results in the echo report seem to be normal. Should I be concerned about this? Could you please take a look at my reports and give me some advice?

Accepted Answer

Based on your description and the 2D echo report showing mild mitral valve regurgitation, I recommend starting treatment with a calcium channel blocker such as Amlodipine 5mg once daily to help with the chest pain and manage the mild regurgitation. Additionally, you can take Aspirin 75mg once daily to reduce the risk of any clot formation. It is important to follow up with your cardiologist for further evaluation and management.

I'm a bit worried because my LDL is 145 and HDL is 50. It looks like my cholesterol levels are high. I don't really have any bad habits, don't eat a lot, and maintain a moderate weight. What's going on with my cholesterol?

Visit your Physician for appropriate management

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