Question 1

My dad is 62 and he's been pretty active, walking around 4 to 5 kilometers every day and maintaining a positive attitude overall. He has high blood pressure, something that runs in our family. I've started keeping an eye on his heart rate, and I noticed it's usually around 57 beats per minute and sometimes even drops to 50. Should I be worried about this, and do you think he needs to see a doc for a check-up?

Accepted Answer

A resting heart rate of 50-57 beats per minute is generally considered to be within the normal range for adults, especially for individuals who are physically active like your father. However, since your father has a history of high blood pressure and his heart rate occasionally drops to 50, it would be advisable to consult with a healthcare provider to rule out any underlying heart conditions or medication side effects that may be contributing to the lower heart rate. It's important to have a comprehensive evaluation to ensure his heart health is optimal.

Question 2

I've been having chest pains and I got a CT angio which showed myocardial bridging of my proximal LAD at 1.8 cm. My cardiologist said everythings fine and not to worry, but I still get regular chest pains, especially when walking or climbing stairs. What do you think I should do about this?

Accepted Answer

Based on your symptoms and the presence of myocardial bridging in your proximal LAD, it is important to address the ongoing chest pain you are experiencing. Since your cardiologist has already reviewed your case and deemed it not concerning, you may benefit from medication to help alleviate your symptoms. I recommend starting a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, and gradually increasing as needed under the guidance of your doctor. Additionally, you can also consider taking a nitrate medication like Isosorbide Mononitrate (Imdur) to help with chest pain relief during physical activity. It is important to follow up with your cardiologist for further evaluation and management.

Question 3

I've been dealing with chest pain for the past three months that comes and goes, and it often spreads to my left shoulder, arm, and even my jaw. Sometimes I get dizzy too. I had COVID before, and now I'm also experiencing some breathing issues since last week. I saw a cardiologist, and the ECG, trop test, and chest X-ray all showed nothing unusual. I had an echo and a TMT done today. Can you help me understand what's going on? What could be causing my symptoms if all these tests are normal?

Accepted Answer

Based on your symptoms and the tests you have undergone, it seems like you may be experiencing symptoms of angina or coronary artery disease. Since your ECG, troponin test, chest X-ray, echo, and TMT are normal, it is important to continue monitoring your symptoms and follow up with your cardiologist for further evaluation. In the meantime, you can take medications like Aspirin 75mg once daily to help reduce the risk of heart attack, and medications like Atorvastatin 20mg once daily to manage cholesterol levels. Additionally, Nitroglycerin sublingual tablets can be taken as needed for chest pain relief. It is also important to make lifestyle changes such as maintaining a healthy diet, regular exercise, quitting smoking (if applicable), and managing stress to improve your overall heart health. If your symptoms persist or worsen, please consult your cardiologist for further evaluation and management.

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

More Cardiology Health Queries

I've been having chest pains and I got a CT angio which showed myocardial bridging of my proximal LAD at 1.8 cm. My cardiologist said everythings fine and not to worry, but I still get regular chest pains, especially when walking or climbing stairs. What do you think I should do about this?

Health Articles for you

TAVI Explained Benefits, Risks, and Recovery

How Stress Impacts Heart Health: Symptoms, Prevention and Management Tips

Does A High Fat Diet Cause Heart Disease?

Can Hypertension Be Reversed or Cured: Understanding the Possibilities

Understanding Dilated Cardiomyopathy: Causes, Symptoms, and Treatment