Question 1

I'm 29 years old and I've been dealing with chest pain for the past week. My blood pressure is under control now, but the initial ECG was abnormal. We did a 2D echo and that came back normal. I've been prescribed medications like Nico Star, Angiplan 2.5, and Plevix. I feel like I'm too young for this kind of medication. Could you guide me on what I should do next?

Accepted Answer

It sounds like you are experiencing chest pain and have been prescribed medications for it. The medications you mentioned are: - Nico Star (Nicorandil) 2.5mg: This medication helps to widen the blood vessels and improve blood flow to the heart. The usual dose is 2.5mg twice daily. - Angiplan (Amlodipine) : This medication is used to treat high blood pressure and chest pain (angina). The usual dose is 5mg once daily. - Plavix (Clopidogrel): This medication helps to prevent blood clots. The usual dose is 75mg once daily. It is important to follow your doctor's advice and continue taking the medications as prescribed. These medications are commonly used to manage chest pain and other heart conditions, regardless of age. If you have any concerns about the medications or their side effects, please discuss them with your healthcare provider.

Question 2

I'm worried because my heart rate is always above 90, even when I'm just relaxing. I've had Eclampsia with a high heart rate and blood pressure before, and my doctor prescribed Ivabrad 5 mg. They mentioned I could stop taking it after a month. I've got a month's supply left, and I'm wondering if I can keep taking Ivabrad to help with my heart health. Is that a good idea?

Accepted Answer

Ivabradine 5 mg is a medication commonly used to lower heart rate in certain heart conditions. Since you were prescribed this medication for a specific reason and advised to stop after a month, it is important to follow your healthcare provider's instructions. If you have remaining tablets and are concerned about your heart health, you can continue taking ivabradine as prescribed until you finish the course. However, it is recommended to consult with your doctor before starting or stopping any medication regimen.

Question 3

I've been having some health issues that are making me anxious. My ECG today showed a low T wave in V4 and a slight ST depression in V6. I'm not sure what that means, and I'm a bit worried about it. I also tend to get high blood pressure sometimes, and my lipid and cortisol levels are up. What can I do about all this? Should I be getting any more tests done?

Accepted Answer

Based on your ECG findings of low T wave in V4 and slight ST depression in V6, along with your history of anxiety, high blood pressure, high lipid levels, and high cortisol levels, it is important to further evaluate your cardiac health. I recommend you to consult a cardiologist for a detailed evaluation and management plan. Further tests that may be recommended include: 1. Stress test (Treadmill test) to assess your heart's response to physical activity. 2. Echocardiogram to evaluate the structure and function of your heart. 3. Holter monitor or event monitor to monitor your heart's activity over a period of time. 4. Blood tests to assess your cholesterol levels, blood sugar levels, and other cardiac markers. In the meantime, it is important to manage your anxiety, high blood pressure, high lipid levels, and high cortisol levels. You can consider medications such as Atorvastatin for high cholesterol, Amlodipine for high blood pressure, and Alprazolam for anxiety. However, the specific dosage and duration of these medications should be determined by your healthcare provider after a thorough evaluation.

It depends on age But. < or =14090 is ok

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