Question 1

I'm a bit worried about my heart health after my MI last January 2018. I was hospitalized and prescribed Elaxim, but no surgeries or stent were necessary. For the past year and a half, I've been taking Clavix AS 150 and Tonact 80mg, but recently I've been having a pricking pain in my chest and sometimes muscle cramps. I saw another cardiologist who suggested switching to Remetor CV and Nuroking D3 since my vitamin D and B12 levels are low. Are these new meds going to be effective for me? How does my heart compare to someone with a normal heart now? I also did a TMT a month ago and walked for 14.9 minutes. What should I be careful about? I drink occasionally, like once every 15 days, is that okay? I dont smoke. Also, I get anxious trying to tell apart a stomach pain from a heart pain since I panic every time I feel those chest pains. What should I look out for?

Accepted Answer

The medications Remetor CV and Nuroking D3 prescribed by your cardiologist are appropriate for your condition, especially considering your low vitamin D and B12 levels. Remetor CV contains a combination of medications to help manage your heart health, and Nuroking D3 will help improve your vitamin D levels. It is essential to follow your doctor's advice and take the shots as recommended to address your nutritional deficiencies. In comparison to a normal person's heart, your heart health may require closer monitoring and specific medications to manage the aftermath of a heart attack. It is crucial to continue taking your prescribed medications, follow a heart-healthy diet, engage in regular physical activity as tolerated, and attend regular follow-up appointments with your cardiologist. Regarding your lifestyle, it is generally safe to consume alcohol occasionally, as long as it is in moderation and does not interfere with your medications or overall health. However, it is advisable to limit alcohol intake and be mindful of any adverse effects it may have on your heart health. To differentiate between gastric pain and heart pain, it is essential to pay attention to the characteristics of the pain. Heart-related chest pain is often described as pressure, tightness, or squeezing sensation that may radiate to the arms, neck, jaw, or back. It is usually triggered by physical exertion or emotional stress and may be accompanied by shortness of breath, sweating, nausea, or lightheadedness. Gastric pain, on the other hand, is typically associated with digestion, may worsen after meals, and can be accompanied by symptoms like bloating, burping, or acid reflux. If you experience chest pain and are unsure of the cause, it is always best to seek medical attention promptly to rule out any serious cardiac issues.

Question 2

I've been having a really hard time with my sleep schedule. I tend to crash around 7 or 8 in the evening and can barely stay up past 9 p.m. It's like my body just shuts down after dinner, and I'm struggling to understand why this is happening. On top of that, I'm experiencing some other weird stuff. Whenever I sit down or stand up quickly, my heart starts racing like crazy, and it also happens if I suddenly fall onto the bed. I've heard of postural orthostatic tachycardia syndrome and anxiety symptoms, and I know they can cause things like this, along with heavy sweating and really dry skin. But even after trying anxiety meds, nothing seems to change. What could be going on with me? Any ideas?

Accepted Answer

It sounds like you may be experiencing symptoms of postural orthostatic tachycardia syndrome (POTS). POTS is a condition characterized by an abnormal increase in heart rate that occurs after sitting up or standing. The symptoms you described, such as racing heart when changing positions, feeling tired in the evening, and sweating, can be associated with POTS. For the symptoms of POTS, you can try increasing your fluid and salt intake, wearing compression stockings, and doing exercises to improve blood flow. Additionally, medications like midodrine or fludrocortisone may be prescribed to help manage your symptoms. It is important to consult with a healthcare professional for a proper diagnosis and treatment plan.

Question 3

I'm 24 and recently found out I have sinus tachycardia and Grade 1 MVP. My Holter monitor showed a few ectopics, and I've been having anxiety that pushes my heart rate to around 130 bpm when I go out. My doctor suggested taking INDERAL 10 twice a day, but I'm worried. I've heard that once you start on beta blockers, you can't stop them. Is that true? Should I really begin this medication?

Accepted Answer

Inderal (propranolol) can be an effective treatment for managing your heart rate and anxiety symptoms. However, it is essential to work closely with your doctor to ensure the medication is appropriately adjusted for your need

Visit Physician for evaluation and appropriate management

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