Question 1

I'm a bit confused about the TMT and Echo results for my dad, who's 50. The Echo came back normal with an EF of 60, and the TMT showed good effort tolerance. But there were upsloping ST changes at the peak of the test. The report says it's negative for exercise-induced reversible ischemia. Is it normal to have these upsloping ST changes? Should I be worried about this?

Accepted Answer

The upsloping ST changes at the peak of the TMT test can be considered normal if the test is negative for exercise-induced reversible ischemia. It is important to correlate these findings with your father's overall clinical history and risk factors for heart disease. In this case, no further intervention may be needed based on the test results provided.

Question 2

I've been experiencing this odd pin-pricking sensation on the left side of my chest for the past couple of days. It's happening now and then, not consistently. I remember having similar pain about three years ago, but it went away on its own back then. Should I be worried this time? What might be causing this sensation?

Accepted Answer

pin-pricking sensation in the left side of the chest can be unsettling. Given that you've experienced similar pain 3 years ago, which resolved on its own, it's essential to take this incident seriously and explore possible explanations.

_Possible Causes_

1. _Costochondritis_: Inflammation of the cartilage that connects the ribs to the breastbone can cause sharp, stabbing pains.
2. _Musculoskeletal issues_: Strained or pulled muscles in the chest wall can lead to pin-pricking sensations.
3. _Gastrointestinal issues_: Gastroesophageal reflux disease (GERD), acid reflux, or stomach ulcers can cause chest pain.
4. _Cardiovascular concerns_: Although less likely, it's essential to rule out cardiovascular issues, such as angina or pericarditis.

_What to Do Next_

1. _Consult a doctor_: Schedule an appointment with your primary care physician to discuss your symptoms.
2. _Monitor your symptoms_: Keep a journal to track when the pin-pricking sensation occurs, how long it lasts, and any potential triggers.
3. _Avoid heavy lifting or strenuous activities_: Until you've consulted with your doctor, avoid any activities that may exacerbate the discomfort.

If you experience any of the following, seek immediate medical attention:

- Severe chest pain or pressure
- Difficulty breathing
- Dizziness or fainting
- Pain radiating to your arms, back, or jaw

Question 3

Is banana good for high blood pressure?

Accepted Answer

Potassium reduces the effect of sodium on the body. Hence, eating bananas lower blood pressure due to their high potassium content.

There are many possible explanations What drugs is the patient currently on. An ACE inhibitor can cause dry cough Also what about his heart function sometimes CHF can also cause cough consult cardiologist

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