Question 1

I've recently quit smoking, but I'm still experiencing chest pain. I had a stress test done, and it came back normal. Could you suggest a doctor who might be able to help me with this?

Accepted Answer

Given your history of smoking and persistent chest pain despite a normal stress test, consult a pulmonologist or a cardiologist to rule out underlying conditions such as chronic obstructive pulmonary disease (COPD), pulmonary embolism, or cardiac issues like coronary artery disease or pericarditis; they will evaluate your symptoms, medical history, and test results to determine the cause of your chest pain and develop an appropriate treatment plan.

Question 2

I've been having chest pain when I walk or go up stairs, so I got a CT angiography done. The report shows I have myocardial bridging of the proximal LAD, about 1.8 cm long. The doctor said not to worry and that no treatment is needed, but the pain on my left side isn't going away. Can you help me understand what this all means and what I should do next?

Accepted Answer

Since you are experiencing persistent chest pain despite the reassurance from your doctor, it may be helpful to consider medication to help manage your symptoms. You can try taking a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, under the guidance of your doctor. The usual starting dose for Diltiazem is 120 mg to 180 mg per day, taken in divided doses. This medication can help relax the smooth muscle in the walls of your coronary arteries and improve blood flow to the heart muscle, potentially reducing chest pain associated with your condition. However, please consult with your doctor before starting any new medication.

Question 3

I've noticed over the last couple of days that my blood pressure has been lower than usual. My systolic pressure is hovering between 90 and 100, and the diastolic numbers are around 50 to 60. I'm a bit concerned about what's causing this drop. What might be going on and what should I do about it?

Accepted Answer

Low blood pressure, with systolic pressure between 90 to 100 mmHg and diastolic pressure between 50 to 60 mmHg, can be caused by various factors, including dehydration, certain medications, heart conditions, endocrine issues, or nutritional deficiencies. To address this, ensure you are well-hydrated and consider consuming a balanced diet with adequate salt intake. Avoid sudden changes in posture, such as quickly standing up from a seated or lying position. It's essential to consult with your healthcare provider to determine the underlying cause of your low blood pressure and receive appropriate advice or adjustments to any current medications.

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More Cardiology Health Queries

I've recently quit smoking, but I'm still experiencing chest pain. I had a stress test done, and it came back normal. Could you suggest a doctor who might be able to help me with this?

I've noticed over the last couple of days that my blood pressure has been lower than usual. My systolic pressure is hovering between 90 and 100, and the diastolic numbers are around 50 to 60. I'm a bit concerned about what's causing this drop. What might be going on and what should I do about it?

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