Question 1

I'm feeling this strange pulsating sensation in my left ribs that goes down my armpit, and I'm having some chest pain as well. It's pretty unsettling, and on top of that, my left hand and leg keep sweating. This mostly happens at night, and I notice my heart is beating faster during these episodes. Any ideas on what might be causing this?

take ecg snd consult cardioloist

Last updated on 29 Jan 2025

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Accepted Answer

take ecg snd consult cardioloist

Question 2

I'm trying to figure out which beta blocker is better for dealing with anxiety and arrhythmia between propranolol and metoprolol succinate. Could you help me understand the differences? I'm curious if one is more effective than the other or has fewer...

Accepted Answer

Regarding anxiety and arrhythmia, both propranolol and metoprolol succinate are commonly used beta blockers. However, propranolol is typically preferred for anxiety due to its additional effects on reducing physical symptoms of anxiety such as tremors and palpitations. On the other hand, metoprolol succinate is often preferred for arrhythmias due to its specific effects on the heart's electrical activity. For anxiety, propranolol is usually prescribed at a dose of 20-40mg taken 2-3 times daily as needed. For arrhythmias, metoprolol succinate is typically prescribed at a dose of 25-100mg once daily. It's important to consult with your healthcare provider to determine the most appropriate medication and dosage for your specific condition.

Question 3

I'm a bit worried after getting some chest pain, and my doctor did a 2D Echo test and now suggests an angiogram. I'm really concerned if an angioplasty is absolutely necessary after that? Could you help me understand if the angioplasty is always need...

Accepted Answer

it is not necessary to undergo angioplasty compulsorily after angiogram ,if some defect is found then angioplsty is needed

Question 4

I'm trying to help my uncle who has angina and usually takes nicorandil, but he's now in the US. We're a bit worried about finding the right alternative medication here. Could you suggest what might work best for him in the States?

Accepted Answer

In the USA, a suitable alternative medication for angina that works similarly to nicorandil is Isosorbide Mononitrate. The recommended dosage for Isosorbide Mononitrate for angina is usually starting at 10 mg once daily, and can be increased to 20 mg once daily if needed. It is important to consult with a healthcare provider to determine the appropriate dosage and frequency for your uncle's specific condition.