Question 1

I'm taking medicine for high BP, but I'm having this recurring chest pain, and it's really concerning. On top of that, I'm dealing with severe throat pain, making it hard for me to eat or swallow anything. My blood pressure is all over the place, and I'm not sure what foods I should be eating or what precautions I should be taking. Could you provide some advice on how to handle this situation?

Accepted Answer

An echo and ecg is advised  to the patient..

Question 2

I'm trying to understand what a zero calcium score really means for my heart health. My CT scan showed a score of zero, and my doctor mentioned that I'll need another scan in 10 years. He ordered some blood tests for cholesterol and Hs-CRP, which he said were good, and mentioned there's no hard plaques and a very low risk of soft plaques since there's no sugar, cholesterol, or inflammation. What does this say about my risk for a heart attack? And can a CT scan show more about my coronary arteries besides just looking for calcium deposits?

Accepted Answer

A zero calcium score on a CT scan indicates that there is no evidence of calcium deposits in your coronary arteries. This is a good sign as it suggests a low risk of coronary artery disease and heart attack. The fact that your cholesterol test and Hs-CRP test results were good further supports this. The CT scan can also provide information about the anatomy of your coronary arteries, such as any blockages or narrowing that may be present. Since your doctor has recommended a repeat scan after 10 years, it is important to continue following up with regular check-ups to monitor your heart health.

Question 3

I'm a bit worried because I've been experiencing palpitations and when I took an ECG, it showed sinus tachycardia. My 2D echo test came back normal, so my doctor prescribed Betacap TR 20mg. After a week of taking it, the follow-up ECG was normal. Can you explain what sinus tachycardia is? Should I be concerned about any heart-related issues? I've also been dealing with anxiety for the past six months. I've attached my ECGs. Can you take a look and let me know what's going on? I'm really worried about my health.

Accepted Answer

Sinus tachycardia is a condition where the heart beats at a faster rate than normal, typically over 100 beats per minute. It is usually a normal response to stress, exercise, or certain medications. In your case, since your 2d echo test was normal and your follow-up ECG was also normal after taking Betacap TR 20mg, there is likely nothing to worry about. Betacap TR 20mg is a brand name for Propranolol, which is a beta-blocker medication that helps to slow down the heart rate and reduce palpitations. For your anxiety, you can continue taking Betacap TR 20mg as prescribed by your doctor. Additionally, you may benefit from therapy or relaxation techniques to help manage your anxiety symptoms. Overall, it seems like your heart is healthy and the medication is helping with your symptoms. Keep following up with your doctor for further guidance and monitoring.

yes it is a concern immediate cardiologist opinion is required.

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