Question 1

I'm a bit confused and concerned about my heart health. I had an ECG that showed a myocardial infarction, but after doing 45 more ECGs, they all turned out normal. My echocardiogram is normal too, and the cardiac markers came back negative. I don't know why this happened, and it's making me anxious. The initial reason for the ECG was some giddiness I felt. Should I be worried about these results?

Accepted Answer

It is possible that the initial ECG showing myocardial infarction was a false positive result, which can sometimes occur due to technical errors or other factors. Since subsequent ECGs, echo, and cardiac markers are normal, it is reassuring that there is no evidence of ongoing heart damage. However, it is important to continue monitoring your symptoms and follow up with your healthcare provider for further evaluation if you experience any recurrent symptoms such as chest pain, shortness of breath, or dizziness.

Question 2

I've been experiencing this really weird thing where I suddenly get dizzy and faint after using the bathroom. I woke up this last time with a hurt nose, and it's actually the third time it's happened over the past five years. The first two times, I had a fever, so I figured that was the cause, but this time I'm not sick. I've seen a bunch of doctors, but no one seems to figure it out. They keep asking if I have issues with my BP or if I'm feeling hot. I dont have any of these problems normally, so Im really puzzled. Could there be something else going on that were missing?

Accepted Answer

This episode of dizziness and fainting could be related to a condition called vasovagal syncope, which can be triggered by various factors such as urination. To help prevent these episodes, you can try increasing your fluid and salt intake to maintain blood pressure. Additionally, you can use medications like Fludrocortisone (brand name Florinef) at a dose of 0.1-0.2 mg per day to help increase blood volume and prevent episodes of fainting. It is important to discuss this with your doctor to see if this medication is suitable for you.

Question 3

Hey, I'm really concerned about my mother-in-law. She had a heart attack yesterday and she's in the hospital being watched by the doctors. They've done an ECG but haven't done angiography or an Echo yet. Is angiography absolutely necessary after a heart attack? If it is, why might the doctors be taking so long to do it? I'm not sure how urgent this procedure isshouldn't it be done quickly after the heart attack?

She's stable for now, she can talk, but she's experiencing some pain in her back. I tried asking one of the doctors about the angiography and ended up getting yelled at, which has left me feeling frustrated and worried about what's happening. Is delaying angiography risky? Should we consider moving her to a different hospital?

Accepted Answer

It is important to understand the reasons behind the delay in performing angiography in your mother-in-law's case. Angiography is typically recommended to assess the extent of blockages in the coronary arteries following a heart attack. While it is an important diagnostic tool, the timing of angiography depends on various factors such as the patient's stability, overall condition, and the presence of any complications. In cases where the patient is stable and there are no urgent indications for immediate angiography, doctors may opt for a conservative approach to allow for stabilization and further assessment. The decision to delay angiography may also be influenced by the availability of resources, the presence of other medical conditions, and the overall clinical judgment of the healthcare team. It is essential to trust the expertise of the medical team caring for your mother-in-law and to have open communication with them regarding any concerns or questions you may have. If you are unsure about the reasons for the delay or if you have specific concerns about the timing of angiography, it is important to discuss these issues with the treating physicians in a respectful and collaborative manner. As for the risk of delaying angiography, while prompt intervention is generally recommended in cases of acute coronary syndrome, a short delay in stable patients may not necessarily lead to adverse outcomes. However, it is crucial to follow the guidance of the medical team and to ensure that appropriate monitoring and management are in place during this period. Moving the patient to another hospital should be considered only after careful evaluation of the reasons for the delay, the expertise of the current healthcare team, and the resources available at the alternative facility. It is important to weigh the potential benefits and risks of transferring the patient and to make an informed decision in consultation with the treating physicians. Overall, it is essential to trust the medical team's judgment, maintain open communication, and work together towards the best possible care for your mother-in-law during this critical time.

I'm really concerned because my friend just had angiography and then angioplasty three days later. Now, due to complications, another angiography and possibly angioplasty are needed just three weeks after the first. Are there any risks with having these procedures so frequently?

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