Question 1

What is good bp range?

Accepted Answer

ideal blood pressure is considered to be 120/80mmHg. high blood pressure is considered to be 140/90mmHg or higher. low blood pressure is considered to be 90/60mmHg or lower.

Question 2

I've been having some chest pain for the last few days and it's really been bothering me. Sometimes it feels uncomfortable and along with the chest pain, I get this ache in my arm joint or at the back of my neck, and it's just getting worse at times. The pain tends to last for a few hours. What could be causing this and should I be concerned?

Accepted Answer

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. In such cases, it is important to consult a doctor for proper evaluation and treatment. Common medications prescribed for angina include: - Nitroglycerin: 0.4mg sublingual tablet, to be taken as needed for chest pain - Aspirin: 81mg to 325mg daily, to help prevent blood clots - Beta-blockers (e.g. Metoprolol): Dosage varies, to help reduce heart rate and blood pressure - Calcium channel blockers (e.g. Amlodipine): Dosage varies, to help relax blood vessels It is important to seek medical attention to determine the underlying cause of your symptoms and receive appropriate treatment.

Question 3

I've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.

Accepted Answer

Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.

I'm feeling some itching on the inside of my left chest area for the last three days, and I'm worried if it might be something related to my heart. Is this something I should be concerned about?

cardiac markers and ecg is advised tothe patient. Advised tab levocetrizine ,orally at night for 5 days.

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