- male
- 55 Years
- 22/01/2025
I'm really worried about my dad who's 55 and has diabetes and high blood pressure. He went for a cardiac check-up about 10 days ago. The ECG came back abnormal but the 2D echo was normal, and the TMT report was positive. They started him on clopitab 75mg along with his regular meds for BP and diabetes, and now they've advised an angiogram. But here's the thing, he has no chest pain or symptoms, and he walks daily. I'm wondering if a CT angio might be a better option since it uses barium dye, and if the calcium score is negative, wed know theres less risk for a cardiac arrest. Could you give me some advice on this?
Answered by 1 Apollo Doctors
Follow advice of your cardiologist
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?
Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm dealing with grade 2 renal disease and would really appreciate some dietary advice. I'm already taking medications like Nefrosavenicardia 20mg and Aztar R. Is this enough, or should I be doing something else?
salt restricted diet ,DASH diet , fruits and green leafy vegetables and legumes is advised to the patient. Also fluid restriction is advised..since excess fluid intake may worsen the symptoms..
Answered by 1 Apollo Doctors
I'm really worried about this stiffness in my left ventricle. What can I do to help it get better, and are there specific things I should avoid doing? Can it be cured? I'm not sure what steps to take, and it's a bit overwhelming. Any advice would be really appreciated.
Stiffness in the left ventricle can be managed with medications such as ACE inhibitors like Lisinopril or ARBs like Losartan to help relax the blood vessels and lower blood pressure. Beta-blockers such as Metoprolol can also be prescribed to reduce the heart rate and workload on the heart. In addition, diuretics like Furosemide may be used to reduce fluid buildup in the body. It is important to follow a low-sodium diet to reduce fluid retention and avoid alcohol and tobacco which can worsen heart conditions. Regular exercise as recommended by your healthcare provider can help improve heart function. It is also important to manage stress and get an adequate amount of sleep to support heart health. Remember to take your medications as prescribed, attend regular follow-up appointments with your healthcare provider, and report any new or worsening symptoms promptly.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.