Question 1

I'm noticing this strange chest pain that only happens when I lie down to sleep. It's on the left side, and sometimes I even wake up in a sweat. This has been going on for about a week now. At first, I thought maybe it was just a muscle pull or something with my rib cage, but it's not going away. Interestingly, there's no pain when I'm up walking or sitting. I'm really struggling to sleep and have resorted to sitting and sleeping in an easy chair for the past five nights. I'm also managing high cholesterol at 290 with Temlistran 40 mg and taking Thyronorm 40. Could there be a connection here, or should I be worried about something else going on?

Accepted Answer

Visit your doctor for evaluation and appropriate management

Question 2

I'm trying to understand the differences between Cocor 5 and Inderal 40. Are they used for the same purpose, and if so, which one is considered safer with fewer side effects?

Accepted Answer

Yes, Cocor 5 and Inderal 40 are both beta blockers used to treat high blood pressure, angina, and certain heart rhythm disorders. In terms of safety and side effects, Inderal 40 (Propranolol) is generally considered to have fewer side effects compared to Cocor 5 (Bisoprolol). Inderal 40 is often preferred in patients with certain heart conditions or anxiety disorders due to its well-established safety profile. The usual dosage for Inderal 40 is 40mg once daily, while the dosage for Cocor 5 is 5mg once daily.

Question 3

I'm a bit concerned after my recent doctor visit. I had some left shoulder pain and my hands felt a bit numb after traveling, so I went to get checked out. The doctor had me do an ECG and mentioned that the QRS interval was 119ms, along with some other abnormalities, then suggested an echo just to be sure. The echo results seemed alright, showing no PAH or RWAH, and my LV systolic and diastolic function looks fine with an EF of 68. They didn't find any clots or vegetation, and the doctor said my echo is fine, but I'm still worried about the QRS interval on my ECG. Should I be looking deeper into this, or is it nothing too concerning?

Accepted Answer

The ECG report showing a QRS interval of 119ms may indicate a slight delay in the electrical conduction through the heart's lower chambers. This could be due to various reasons such as conduction abnormalities or certain heart conditions. However, since your screening echo came back normal with no significant findings, it is less likely to be a cause for concern. To alleviate your left shoulder pain and numbness in hands, you can take over-the-counter painkillers such as ibuprofen (e.g., Advil) at a dose of 400mg every 4-6 hours as needed for pain relief. Additionally, you can also consider using topical pain relief creams such as diclofenac gel for localized relief. It is always advisable to follow up with your doctor for further evaluation and management based on your individual health condition.

I'm feeling a bit anxious about an angiography procedure I'm considering. Could you tell me what risks are involved? Are there any serious complications I should be aware of? Also, what's the cost estimate for undergoing this procedure?

More Cardiology Health Queries

I'm trying to understand the differences between Cocor 5 and Inderal 40. Are they used for the same purpose, and if so, which one is considered safer with fewer side effects?

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