Question 1

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guessing it's because my blood pressure drops. Should I stop taking Imdur, or is there something else I can do? I'm not sure what's best and would really appreciate some advice.

Accepted Answer

Don't stop Imdur abruptly. Consult your cardiologist  to adjust dosage or switch to alternative medications. Possible solutions:

Medical Adjustments

1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily.
2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers.
3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones).

Lifestyle Changes

1. Increase fluid intake.
2. Elevate head while standing.
3. Slow rising from bed.
4. Avoid sudden movements.

Monitoring

1. Regular blood pressure checks.
2. Electrocardiogram (ECG) monitoring.
3. Follow-up appointments.

Question 2

My grandmother's heart efficiency is just 20 percent, and she's also dealing with jaundice and has a stone stuck in her food pipe. The doctor mentioned surgery, but I'm a bit worried since the low heart efficiency might mean she has some heart issues, right? I'm just trying to figure out what's best for her. What should we do in this situation?

Accepted Answer

The probable diagnosis could be heart faiure , treatment includes beta blockers, ACE inhibitors and diuretics , In some cases angioplasty is advised for heart block.A cardiologist opinion is advised

Question 3

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.

I'm feeling palpitations in my jaws and neck, and I'm really concerned. Are these palpitations something that comes and goes, or could they be a permanent issue? Is there a treatment or cure for them?

-Palpitations are usually harmless and often pass on their own, triggered by stress, anxiety, or other temporary factors. If they persist or occur frequently, it's important to consult a doctor for proper evaluation and treatment. In most cases, they can

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?

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