I'm feeling a bit worried because all my tests like ECG, echocardiography, TMT, and CT coronary angiogram came back normal, but I'm still having symptoms every day. Could it be microvascular angina or maybe spasms in my arteries, or is it something else entirely?

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Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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Based on your normal test results and everyday symptoms, it is possible that you may be experiencing microvascular angina or spasms in the arteries. In such cases, medications like Nitroglycerin sublingual tablets can be helpful in relieving symptoms. The usual dosage is 0.3 to 0.6 mg sublingually as needed. Additionally, medications like Calcium channel blockers such as Amlodipine can also be prescribed to help with vasospasms. The typical dosage for Amlodipine is 5 to 10 mg once daily. It is important to follow up with your healthcare provider for further evaluation and management.

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Answered 04/07/2025

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I'm dealing with high blood pressure issues linked to my hypertension. Is it alright if I switch and take Metoprolol 25 mg x 2 tablets twice daily instead of Metoprolol Tartrate 50 mg twice daily?

Yes, you can take Metoprolol Succinate 25 mg (brand name: Toprol XL) twice daily as a substitute for Metoprolol Tartrate 50 mg. Just ensure to follow the prescribed dosage and frequency as directed by your healthcare provider.

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I'm a bit concerned about my mom's heart condition. She had an angina PCI a few years ago and had two stents placed in her LAD and RCA. After five years, her doctor stopped clopidogrel and now she's only on aspirin and atorvastatin. I'm just wondering, does this sound right to you? Should we be worried about taking her off clopidogrel? Would love some advice on this.

Clopidogrel and atorvastatin both do the same action that it control the lipid profile. So if she is taking aspirin and atorvastatin, i don't think there is a problem. It's perfect. No need to take both atorvastatin and clopidogrel.

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I'm really worried about my mom. Her recent reports showed that her heart's LVEF is just 18. Could you suggest ways to increase it? Shes between 18 to 60 years old. Any advice would be greatly appreciated.

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