Question 1

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?

Accepted Answer

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Question 2

I'm a 29-year-old male with a BMI of 32, and I've been dealing with this weird chest pain for the last 6 to 8 months. It kind of moves around between the right and left side of my chest, and every morning there's this dull pain on the left side that just goes away after a while. It's starting to bug me. Could this be something serious, or is it just normal?

Accepted Answer

You may be experiencing musculoskeletal chest pain, especially given the fluctuating nature of the pain and the fact that it is more noticeable in the morning and improves throughout the day. However, it's important to rule out any other potential causes of chest pain. Given your age, gender, and BMI, it's important to consider lifestyle factors that may be contributing to your symptoms. I recommend trying over-the-counter pain relievers such as acetaminophen or ibuprofen for relief. Additionally, incorporating regular exercise, maintaining a healthy weight, and improving your posture may help alleviate the chest pain. If the pain persists or worsens, it's important to consult with a healthcare professional for further evaluation and management.

Question 3

I'm really worried about some health stuff. I recently took a test that showed mild PAH, and I'm wondering if that's something I need to be concerned about. Ever since I moved to India from Australia, my anxiety has gotten really bad. I've had a pulse of 134 a few times, especially during the lockdown and just yesterday because I was so tense. I'm 33, 4 ft 8 in, and weigh 44 kilos. I eat really healthily, avoiding processed foods and carbs. Should I be worried about these things or am I overthinking it?

Accepted Answer

Mild pulmonary arterial hypertension (PAH) can be a cause for concern, but its impact varies depending on the underlying cause and overall health. Elevated heart rates during periods of tension and anxiety are not uncommon and can exacerbate feelings of discomfort. Given your history of anxiety, its important to manage stress effectively and monitor your heart health.

Since you have a history of mild PAH and experience significant anxiety, it would be beneficial to discuss this with your cardiologist and possibly a mental health professional. They can help monitor your condition and provide strategies to manage anxiety, which can, in turn, help stabilize your heart rate. Techniques such as mindfulness, cognitive-behavioral therapy (CBT), or medication might be recommended.

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