Question 1

I'm really worried after finding out from my CT coronary angiography that I have soft plaque in the proximal LAD causing moderate narrowing, and there's bridging in the mid LAD. Thankfully, my heart scan and 2D echo are normal. But now I'm kind of stressed about what precautions I should be taking and what medicines might help. I just feel unsure about the next steps and would love some guidance. What should I do to manage this situation?

Accepted Answer

Its understandable to feel concerned, but with your CT angiography showing mild narrowing (60%) and normal 2D echo, it suggests your heart function is still intact. For now, focus on lifestyle changes such as a heart-healthy diet, regular exercise, stress management, and medications like aspirin or statins as prescribed by your doctor to prevent further plaque buildup. Stay in close contact with your cardiologist for regular check-ups and guidance.

Question 2

I'm a 30-year-old male and last night, I suddenly experienced a spike in my blood pressure and heart rate. I was feeling restless for about 2-3 hours, and my blood pressure even hit 16090 with my heart rate jumping between 95-120 BPM. Even now, my he...

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety or a panic attack, which can cause a sudden increase in blood pressure and heart rate. However, given your history of kidney stones and abdominal pain, it's important to monitor your symptoms closely. To help manage your symptoms, you can consider taking a beta-blocker medication such as Metoprolol (50mg) to help lower your heart rate and blood pressure. Additionally, practicing relaxation techniques such as deep breathing or mindfulness meditation may also be beneficial in reducing anxiety levels. It's important to follow up with your healthcare provider for a proper evaluation and management plan, especially considering your history of kidney stones. Regular monitoring and follow-up are essential in your case.

Question 3

I've been dealing with high cholesterol and triglyceride levels for about three years now, and I've been keeping track of them regularly. I'm really concerned and would like some advice on medications that might help manage these levels. What would y...

Accepted Answer

Hi, for high cholesterol and triglyceride levels, you can consider taking Atorvastatin (brand name Lipitor) at a starting dose of 10-20 mg once daily. Additionally, Fenofibrate (brand name Tricor) can be added at a dose of 145 mg once daily to help lower triglyceride levels. It is important to follow up with your healthcare provider regularly to monitor your levels and adjust the dosage if needed.

Question 4

I've been having this weird twitching in my neck whenever I turn my head to the side or sneeze. I have MVP with mild regurgitation. Could this be related? Or is it maybe something else like JVP? Id really appreciate some advice.

xray neck ap and oblique view and phsiotherapy is advised to the patient..

Last updated on 22 Jan 2025

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Accepted Answer

xray neck ap and oblique view and phsiotherapy is advised to the patient..

Question 5

I'm really worried about my heart, and it's been like this for almost a year now. I've had palpitations around 45 times, and I've done a couple of ECGs, echoes, chest X-rays, and a TMT about 8 months ago, but everything came back normal. I don't have...

Accepted Answer

It sounds like you are experiencing anxiety and panic attacks rather than a heart problem, especially since your heart tests have come back normal. Your symptoms of feeling like sinking and floating, wobbling, fatigue, and worry are common in anxiety disorders. It's good that you are focusing on controlling your blood pressure and LDL levels. To address your anxiety symptoms, you can try relaxation techniques, such as deep breathing exercises, meditation, or yoga. Regular physical activity can also help reduce anxiety. In some cases, therapy or counseling may be beneficial. For your elevated blood pressure and LDL levels, your doctors may prescribe medications to help manage them. For high blood pressure, medications like Amlodipine or Losartan can be prescribed. For high LDL levels, medications like Atorvastatin can be used to lower cholesterol levels. It's important to continue following up with your doctors for regular check-ups and to discuss any new or worsening symptoms. If you continue to experience anxiety symptoms, you may benefit from a consultation with a mental health professional for further evaluation and management.

Question 6

I'm really worried about my baby girl. She's only 2 months old and was born preterm at 35 weeks. The doctors say she has a 6mm VSD, 3mm ASD, and moderate PDA, all left to right shunt. Her weight is 3.5kg right now. We've spoken to 23 pediatric cardio...

Accepted Answer

In the case of your daughter with VSD, ASD, and PDA, the decision for surgical correction depends on various factors such as the size of the defects, the presence of symptoms, and the overall health of the baby. Since your daughter is currently asymptomatic and is gaining weight normally, the timing of the surgery can be a bit more flexible. Considering the moderate size of the defects and the left to right shunt, it is generally recommended to wait until the baby is a bit older and bigger before considering surgery. Most pediatric cardiologists suggest performing the surgery before the baby reaches 1 year of age or weighs around 10kg. This allows for the baby to grow and develop, making the surgery safer and potentially reducing the risk of complications. It is important to continue monitoring your daughter closely for any signs of distress or worsening symptoms. Regular follow-ups with the pediatric cardiologist are crucial to track the progress of the defects and determine the optimal timing for the surgical correction.

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Related Questions

I'm a 30-year-old male and last night, I suddenly experienced a spike in my blood pressure and heart rate. I was feeling restless for about 2-3 hours, and my blood pressure even hit 16090 with my heart rate jumping between 95-120 BPM. Even now, my he...

I've been dealing with high cholesterol and triglyceride levels for about three years now, and I've been keeping track of them regularly. I'm really concerned and would like some advice on medications that might help manage these levels. What would y...

I've been having this weird twitching in my neck whenever I turn my head to the side or sneeze. I have MVP with mild regurgitation. Could this be related? Or is it maybe something else like JVP? Id really appreciate some advice.

I'm really worried about my heart, and it's been like this for almost a year now. I've had palpitations around 45 times, and I've done a couple of ECGs, echoes, chest X-rays, and a TMT about 8 months ago, but everything came back normal. I don't have...

I'm really worried about my baby girl. She's only 2 months old and was born preterm at 35 weeks. The doctors say she has a 6mm VSD, 3mm ASD, and moderate PDA, all left to right shunt. Her weight is 3.5kg right now. We've spoken to 23 pediatric cardio...

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