Question 1

I'm really concerned about my father who's been dealing with Atrial Fibrillation for about 6 years now. A month ago, we talked to the doctor who recommended Eliquis 5mg, which he's been taking consistently. He's wondering if it's safe to stop taking the medication on his own, or if he should check with the doctor first. Could you offer some guidance on how to approach this situation?

Accepted Answer

It is important for your father to not stop taking Eliquis (Apixaban) 5mg suddenly without consulting the doctor. Abruptly stopping the medication can increase the risk of blood clots and stroke in patients with Atrial Fibrillation. Your father should consult with his doctor before making any changes to his medication regimen.

Question 2

I'm a 37-year-old guy weighing around 60 kg and I've been on enalapril 5 and met xl 12.5 tablets for my hypertension for the last six months. Recently, during a pre-employment medical checkup, I noticed that the RBC count and size in my blood report ...

Accepted Answer

It's important to address the abnormal RBC count and size in your blood report. Since your family physician is not readily available, I recommend consulting with a local physician in Oman to further investigate the cause of the abnormal RBC findings. It's important to determine the underlying reason for this abnormality before making any changes to your current medication regimen. However, in the meantime, you can continue taking enalapril 5 and met xl 12.5 as prescribed for your hypertension. These medications help in managing high blood pressure effectively. Make sure to follow the dosage instructions provided by your healthcare provider.

Question 3

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of ...

Accepted Answer

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Question 4

I'm looking for some help understanding my ECG report. One of the doctors mentioned something called Prolonged QT syndrome, and I'm not exactly sure what that means. Could you give me some more details about it? I've also attached the medications I'v...

Accepted Answer

The Prolonged QT syndrome is a heart condition that can potentially cause fast, chaotic heartbeats, which can be life-threatening. It is diagnosed based on an electrocardiogram (ECG) that shows a prolonged QT interval, indicating a delay in the heart's electrical recharging system. This delay can lead to arrhythmias and fainting spells. For the treatment of Prolonged QT syndrome, medications like Beta-blockers are commonly prescribed to help regulate the heart rate and reduce the risk of arrhythmias. In your case, the medication prescribed is **Propranolol** at a dosage of 40mg twice daily. Propranolol is a beta-blocker that helps to stabilize the heart's electrical activity and prevent dangerous heart rhythms. It is important to take the medication as prescribed by your doctor and to follow up regularly to monitor your heart's condition. If you experience any concerning symptoms or side effects, be sure to contact your healthcare provider for further guidance.

Question 5

I've been having some pain for the last couple of days, and since I have high blood pressure and I'm on amlopres, I'm a bit worried. Could this pain be related to my medication or my blood pressure? What should I do?

Accepted Answer

recheck BP Once, advised ecg and to continue BP medications.

Question 6

I'm having trouble with a high heart rate. Sometimes it spikes over 100, and if I walk for just 5 minutes, it quickly jumps to around 120-130. Doing even a little bit of exercise can push it to 150. I've already had a 2D echo and TMT, but my doctor s...

Accepted Answer

Given that your 2D echo and TMT results are normal, the elevated heart rate could be due to factors such as anxiety, deconditioning, thyroid issues, or other non-cardiac causes. It might be helpful to check your thyroid function with blood tests like TSH, Free T4, and Free T3, as hyperthyroidism can elevate heart rate. Monitoring for conditions like anemia with a complete blood count (CBC) and checking electrolyte levels might also be beneficial. To manage and prevent a high heart rate, consider stress-reduction techniques like mindfulness or yoga, ensure adequate hydration, and gradually increase your physical activity to improve cardiovascular fitness. Consult your healthcare provider to discuss these potential tests and management strategies further.

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Related Questions

I'm a 37-year-old guy weighing around 60 kg and I've been on enalapril 5 and met xl 12.5 tablets for my hypertension for the last six months. Recently, during a pre-employment medical checkup, I noticed that the RBC count and size in my blood report ...

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of ...

I'm looking for some help understanding my ECG report. One of the doctors mentioned something called Prolonged QT syndrome, and I'm not exactly sure what that means. Could you give me some more details about it? I've also attached the medications I'v...

I've been having some pain for the last couple of days, and since I have high blood pressure and I'm on amlopres, I'm a bit worried. Could this pain be related to my medication or my blood pressure? What should I do?

I'm having trouble with a high heart rate. Sometimes it spikes over 100, and if I walk for just 5 minutes, it quickly jumps to around 120-130. Doing even a little bit of exercise can push it to 150. I've already had a 2D echo and TMT, but my doctor s...

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