Question 1

I'm really worried about my dad's health. Last Friday, he had a major heart failure and after carrying out an angiogram, the doctor found out that there are three blockages in his heart. They also mentioned that his ejection fraction or EF is at 20 which is quite low, and because of that, they can't perform angioplasty or bypass surgery. I'm really unsure about what steps we can take to improve his condition. Could you guide me on how to help him get better or what options we might have?

Accepted Answer

With a low ejection fraction (EF) of 20% and multiple blockages in the heart, the main goal of treatment would be to improve his heart function and manage his symptoms. Medications such as ACE inhibitors, beta blockers, and diuretics can help improve heart function and reduce the workload on the heart. In addition, medications like statins can help manage cholesterol levels and prevent further blockages. It's important for your father to follow a healthy lifestyle, including a heart-healthy diet, regular exercise, and avoiding smoking and excessive alcohol intake. Regular monitoring by his healthcare team is crucial to adjust his treatment as needed.

Question 2

I'm experiencing this dull pain on the left side of my chest, kind of between the center of my left chest rib and going up towards my left shoulder. It's been happening for about 3 days now, and it gets worse when I lean forward or round my shoulders...

Accepted Answer

Based on your description, the dull pain you are experiencing on the left side of your chest that worsens with certain movements could be musculoskeletal in nature. It may be due to muscle strain or inflammation in the chest wall or shoulder muscles. I recommend taking a muscle relaxant such as **Cyclobenzaprine** 10mg twice a day for a few days to help relieve the pain and discomfort. Additionally, applying a topical pain relief gel containing **Diclofenac** to the affected area can also provide relief. Remember to avoid activities that worsen the pain and try to maintain good posture to prevent further strain. If the pain persists or worsens, it is advisable to consult a healthcare professional for further evaluation and management.

Question 3

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 th...

Accepted Answer

Frequent angiography and angioplasty procedures can carry certain risks, such as increased chances of bleeding, infection, damage to blood vessels, and allergic reactions to contrast dye. Additionally, there is a risk of developing blood clots at the site of the procedure. To help reduce these risks, your friend's healthcare provider may prescribe medications such as Aspirin and Clopidogrel to prevent blood clots, as well as medications like Atorvastatin to manage cholesterol levels and reduce the risk of further complications. It is important for your friend to follow the prescribed medication regimen and attend all follow-up appointments to monitor for any potential complications.

Question 4

I've noticed my grandma's pulse tends to skip beats every now and then. She's in her eighties and seems pretty frail. Should I be worried about this?

Accepted Answer

Skipped pulses can be concerning, especially in older adults. It is important to have your grandma evaluated by a healthcare professional to determine the underlying cause. In the meantime, she may benefit from taking a low dose of aspirin (75-100mg) daily to help prevent blood clots and improve blood flow. Additionally, she should ensure proper hydration and electrolyte balance.

Question 5

My father-in-law recently had an ECG due to some chest pain, which we thought was from acidity. To our surprise, it showed a coronary blockage. What should we do next? I'm just a bit worried about what the usual procedure is for handling something li...

Accepted Answer

The next step would likely be to perform a coronary angiography to further evaluate the blockage in the coronary arteries. Depending on the severity and location of the blockage, the treatment options may include medication such as Aspirin and Clopidogrel to prevent blood clots, as well as a procedure such as angioplasty with stent placement or coronary artery bypass surgery. The specific treatment plan will be determined by the cardiologist based on the findings of the angiography.

Question 6

I've been dealing with high blood pressure around 175110 and usually manage it with Amlopress AT, but lately, Ive had to take Calcigard 5mg and Lasix 40mg to try and control it. It seems to help for a bit, but then my pressure goes right back up afte...

Accepted Answer

. It seems like your blood pressure is not well controlled with the current medication. I would recommend discussing with your doctor about adjusting your treatment plan. In addition to your current medications, you may benefit from adding a different class of antihypertensive medication such as an ACE inhibitor or a beta-blocker. For example, you can consider adding a medication like Concor 5mg (beta-blocker) or Ramipril 5mg (ACE inhibitor) to help better control your blood pressure. It's important to follow up with your doctor for further evaluation and management.

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Related Questions

I'm experiencing this dull pain on the left side of my chest, kind of between the center of my left chest rib and going up towards my left shoulder. It's been happening for about 3 days now, and it gets worse when I lean forward or round my shoulders...

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 th...

I've noticed my grandma's pulse tends to skip beats every now and then. She's in her eighties and seems pretty frail. Should I be worried about this?

My father-in-law recently had an ECG due to some chest pain, which we thought was from acidity. To our surprise, it showed a coronary blockage. What should we do next? I'm just a bit worried about what the usual procedure is for handling something li...

I've been dealing with high blood pressure around 175110 and usually manage it with Amlopress AT, but lately, Ive had to take Calcigard 5mg and Lasix 40mg to try and control it. It seems to help for a bit, but then my pressure goes right back up afte...

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