Question 1

My father is 66 and has been diagnosed with triple vessel coronary artery disease with 90% stenosis in his right coronary artery and 70-80% blockages in his LCX and LAD. He chews tobacco and occasionally smokes, plus he has diabetes and slightly high blood pressure. Doctors suggested either angioplasty or bypass surgery which option would be better for him given his condition?

Accepted Answer

For a 66-year-old with triple vessel coronary artery disease, 90% stenosis in the right coronary artery, and 70-80% blockages in the LCX and LAD, plus risk factors like tobacco use, diabetes, and high blood pressure, bypass surgery (CABG) is likely the better option compared to angioplasty with stenting

Question 2

I'm experiencing this odd pressure on my chest, specifically on the left side where I've drawn a white line in the photo I sent. It's not quite pain, but more like an uncomfortable pressure. It tends to be noticeable when I lie down, which is pretty uncomfortable, but the pressure seems to go away when I'm up and walking around. There's no pain when I breathe or do exercises, which is confusing me. A few days ago, I was dealing with chest pain but it seems to have lessened. There's this constant pressure, though, especially when I'm lying down. Also, I had sinus tachycardia with a heart rate of 115 BPM during my first echocardiogram. The second one, however, was 77 BPM, and my blood pressure was 13383 mg. I'm wondering if all this is connected and if I should be worried about it?

Accepted Answer

It sounds like you may be experiencing musculoskeletal chest pain, possibly related to inflammation or strain in the chest wall muscles. The fact that the discomfort increases when lying down and improves with movement suggests a musculoskeletal origin. To help relieve the pressure and discomfort in your chest, you can try taking over-the-counter pain relievers such as acetaminophen (Tylenol) as needed. Additionally, applying a warm compress to the area may also help relax the muscles and alleviate the pressure sensation. If the symptoms persist or worsen, it would be advisable to consult with a healthcare professional for further evaluation and management.

Question 3

I've been having this chest pain and heaviness, and sometimes it feels like I'm short of breath, especially when I'm walking. I got an ECG and a chest x-ray, and they came back normal. I went to a nearby clinic just a couple of days ago for the same issue. I can't help but think I might have angina, but no doctor has confirmed this. They usually just check my pulse rate and listen to my heartbeat with a stethoscope and tell me everything's fine. Should I be worried about this, or can I trust the tests and what the doctors have said so far? Would love some guidance!

Accepted Answer

Since your symptoms are persisting, it's important to consider other causes of chest pain apart from heart-related issues. One common condition that can cause similar symptoms is acid reflux or GERD. You can try taking Omeprazole (brand name Prilosec) 20mg once daily before breakfast for 2 weeks to see if your symptoms improve. Additionally, you can also take Ranitidine (brand name Zantac) 150mg twice daily for immediate relief of chest pain. However, if your symptoms persist or worsen, it's advisable to consult a gastroenterologist for further evaluation and management.

take tablet. montec lc for 1 week continuously,all these symptoms will be relieved

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