Question 1

My dad is 66 and had a CABG around 16 months ago. He's been really diligent with his exercises, simple yoga, and diet as advised by his surgeon. Lately, though, he's been having sudden pains on the left side that extend to his wrist, fingers, chest, upper back, and neck. Using ointment seems to help after a bit, but these pains have become more frequent. The doctor mentioned it might be muscle pain, but since it's been 1.5 years since his surgery, we're getting worried. Can you offer any advice on what might be going on?

Accepted Answer

It sounds like your dad may be experiencing angina, which is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. Given his history of CABG surgery and the symptoms you described, it's important to take this seriously. I recommend discussing with his doctor about the possibility of increasing his anti-anginal medication. He may benefit from medications such as Nitroglycerin sublingual tablets to help relieve the chest pain. It's important to follow the prescribed dosage and instructions for taking this medication. If the pain persists or worsens, seeking medical attention promptly is crucial.

Question 2

I'm thinking about doing a TMT in a week since I've had hyper acidity issues. I've already done tests like a thyroid profile, ECG, and echo, and everything came back normal. A friend suggested I should consider a TMT as well. Do you think there's a chance it might show something positive?

Accepted Answer

A TMT (Treadmill Test) is commonly used to assess the heart's response to stress and can help diagnose coronary artery disease. Given that your thyroid profile, ECG, and echo are normal, the chances of a positive TMT result are lower. However, it is still important to proceed with the TMT as advised. If you experience hyperacidity during the test, you can take antacids like "Ranitidine" 150mg before the test to help manage the symptoms.

Question 3

I've been dealing with anxiety disorder since the pandemic, and I'm 32 now. I don't have a family history of high blood pressure, but because of anxiety, my readings were 14090 and 13080. The doctor put me on medication almost a year ago, and now my BP is 11070 and 12080. I'm currently taking Revelol 25. Is it really necessary to stay on blood pressure meds forever? I've also managed to lose around 15 kgs. Would love your advice on this.

Accepted Answer

It's great to hear that you have been able to reduce your weight and that your blood pressure has improved with Revelol 25 (Metoprolol). It's important to continue taking your blood pressure medication as prescribed by your doctor, even if your blood pressure readings have improved. High blood pressure can be managed with lifestyle changes like weight loss, but sometimes medication is still necessary for long-term control. It's best to follow your doctor's advice regarding the duration of treatment with Revelol 25 to effectively manage your blood pressure and prevent any complications associated with hypertension.

I'm dealing with some light pain in my chest and shoulders, and my 2D echo report showed mild MR and TR with PAH and an RVSP of 40 mmHg. Can you help me figure out what steps I should take or what this might mean for my health?

More Cardiology Health Queries

I'm thinking about doing a TMT in a week since I've had hyper acidity issues. I've already done tests like a thyroid profile, ECG, and echo, and everything came back normal. A friend suggested I should consider a TMT as well. Do you think there's a chance it might show something positive?

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