Question 1

I'm a bit confused about the results of my TMT test. I didn't feel any chest pain during the test, and it said negative for inducible Ischaemia. But then my doctor mentioned the test was mildly positive. Does this mean I need to consider getting an angiogram?

Accepted Answer

yes as a prognostic tool you may undergo angiogram as advised.

Question 2

I've been experiencing this really weird thing where I suddenly get dizzy and faint after using the bathroom. I woke up this last time with a hurt nose, and it's actually the third time it's happened over the past five years. The first two times, I had a fever, so I figured that was the cause, but this time I'm not sick. I've seen a bunch of doctors, but no one seems to figure it out. They keep asking if I have issues with my BP or if I'm feeling hot. I dont have any of these problems normally, so Im really puzzled. Could there be something else going on that were missing?

Accepted Answer

This episode of dizziness and fainting could be related to a condition called vasovagal syncope, which can be triggered by various factors such as urination. To help prevent these episodes, you can try increasing your fluid and salt intake to maintain blood pressure. Additionally, you can use medications like Fludrocortisone (brand name Florinef) at a dose of 0.1-0.2 mg per day to help increase blood volume and prevent episodes of fainting. It is important to discuss this with your doctor to see if this medication is suitable for you.

Question 3

I'm really worried about my brother Jiten, who was in the cardiac care unit recently. He's just 28 and now that he's home, his blood pressure keeps dropping in the evening, and he starts vomiting. After that, his skin turns pale and he experiences pain in his right calf. I'm also noticing that he's coughing a bit. The hospital stay was stable after his procedure with the AICD implant, but I'm worried about these symptoms popping up. His meds include things like concor, aldactone, and levoflox among others. Could you advise on what might help him recover better and keep these symptoms in check?

Accepted Answer

To address the symptoms of low blood pressure, vomiting, pale skin, calf pain, and cough, the following adjustments can be made to the medication regimen: 1. **Low Blood Pressure and Vomiting**: Given the symptoms of low blood pressure and vomiting, it is important to review the medications that may be contributing to these side effects. In this case, Dytor 10mg (Torsemide) is a diuretic that can lower blood pressure and cause electrolyte imbalances leading to vomiting. It may be advisable to reduce the dosage of Dytor or consider an alternative diuretic. 2. **Pale Skin and Calf Pain**: The symptoms of pale skin and calf pain could be indicative of poor blood circulation. To address this, it is important to ensure adequate hydration and blood flow. Aldactone 25mg (Spironolactone) can sometimes cause electrolyte imbalances leading to symptoms like calf pain. Monitoring electrolyte levels and adjusting the dosage of Aldactone may be beneficial. 3. **Cough**: If the cough persists, it may be related to heart failure or respiratory issues. Dapaone 10mg (Dapagliflozin) is a medication used to treat heart failure. However, if the cough is persistent and bothersome, a review of the medication regimen and potential respiratory evaluation may be necessary. 4. **Overall Recommendation**: Considering the symptoms described, it may be beneficial to consult with the healthcare provider who prescribed the medications. Adjustments in medication dosages or alternative medications may be necessary to address the symptoms of low blood pressure, vomiting, pale skin, calf pain, and cough effectively. Please note that any changes to the medication regimen should be done under the supervision and guidance of a healthcare professional. Regular monitoring and follow-up with the healthcare provider are essential for optimal management of these symptoms.

Ecg and x-ray chest pa view is advised to the patient.

More Cardiology Health Queries

I'm a bit confused about the results of my TMT test. I didn't feel any chest pain during the test, and it said negative for inducible Ischaemia. But then my doctor mentioned the test was mildly positive. Does this mean I need to consider getting an angiogram?

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