Question 1

I'm a bit worried after getting some tests done. I had an ECG yesterday due to some mild chest pain, and it showed abnormal inferolateral ischemia. Then I went through a TMT, and it came out borderline positive for inducible myocardial ischemia at 10.1 Mts. Can you help me understand what all of this means? Is it something I need to be really concerned about?

Accepted Answer

Based on the findings of infrolateral ischemia on the ECG and borderline positive result on the TMT for myocardial ischemia, I recommend starting treatment with Aspirin 75mg once daily to prevent blood clot formation and reduce the risk of heart attack. Additionally, you can take Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of further heart issues. It is important to follow up with a cardiologist for further evaluation and management.

Question 2

I'm really concerned about my husband. He's 34 and doesn't smoke or drink, and he seems physically fit. But his TMT report came back positive, and the Echo showed mild LVF. We did a CT angiography, and it was normal, with no blockages found. Should we be worried about these results? Any advice would be helpful.

Accepted Answer

"Hi, based on the information provided, it seems like your husband is in good overall health despite the positive TMT report and mild LVF on Echo. Since the CT angiography showed no blockage, that is a good sign. To manage the mild LVF, your husband can take ACE inhibitors like Enalapril 5mg once daily to help improve heart function. It's also important for him to maintain a healthy lifestyle with regular exercise and a balanced diet. Regular follow-up with a cardiologist is recommended to monitor his heart health. I hope this helps."

Question 3

Why do heart attacks happen at night?

Accepted Answer

Researchers found that at around 6:30 a.m. the circadian system sends out an increased amount of PAI-1 cells which blocks blood clots from breaking down. The more PAI-1 cells in the blood, the higher the risk for a blood clot that leads to a heart attack

I'm experiencing some chest heaviness and a bit of pain, and it's making it harder to catch my breath at times. I've been smoking about 10 to 12 cigarettes a day. Should I be concerned about this, and what could be causing these symptoms?

Tab augmentin duo 625mg ,orally ,thrice daily for 5 days advised to the patient.Also syrup salbutamol 10ml thrice daily for 7 days is advised to the patient.Steam inhalation is also advised twice daily to the patient.

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