Question 1

Sometimes I get this feeling of tiredness and shortness of breath that usually lasts for a few days. I've been experiencing it on and off for the past couple of years, but there are no other symptoms accompanying it. Im a 34-year-old male, and Ive had my ECG, echo, and lipid profile checked, and everything came back normal. Could there still be a chance of a heart issue, and is there any other test I should consider?

Accepted Answer

There may still be a possibility of underlying cardiac issues. To further investigate, you can consider undergoing a stress test (TMT - Treadmill Test) to assess your heart's response to physical activity and detect any abnormalities that may not be present at rest. Additionally, a Holter monitor can be used to monitor your heart's activity over a 24-48 hour period to capture any irregularities that may not show up during a standard ECG. These tests can provide more insights into your cardiac health beyond the initial screening tests you have already done.

Question 2

I'm Mukesh and I've been dealing with some health issues for the last three years. My doctor told me my blood pressure is high, but my ECG is normal. My cerum creatinine is 0.91, and cholesterol levels reported in February 2017 are at t.col130, HDL 44.1, triglycerides 113.9, LDL 63.12, and VLDL 22.78. The chest X-ray came back normal too. I've been taking Tenolol 50 and Anxit 0.25 as prescribed, but I'm still having the same issues and sometimes I have trouble breathing. Could you help me understand what's going wrong and if there's anything else I should be doing?

Accepted Answer

Mukesh, given your history of high blood pressure and normal test results including ECG, cholesterol levels, and chest X-ray, it's important to manage your hypertension and associated symptoms effectively. Tenolol (a beta-blocker) and Anxit (an anxiety medication) are useful, but if your symptoms persist, further evaluation is needed. Breathing problems can be related to anxiety, uncontrolled blood pressure, or other underlying conditions. I recommend following up with your healthcare provider to reassess your treatment plan. They may adjust your medications, explore other causes for your symptoms, and possibly refer you to a specialist if needed.

Question 3

For how long can we rely on the CT coronary angio results? My mom is 65, diabetic, and had one done in February 2020it all looked pretty normal back then, no plaque in the main artery and a calcium score of zero. Her recent ECG also came back normal and she's not having any symptoms, but we've found that she has mild pulmonary hypertension with a systolic pressure of 34 mmHg on a 2D echo. She's not taking any blood thinners right now. Do you think we should consider repeating the CT angio?

Accepted Answer

CT coronary angiography is a non-invasive imaging test that can provide detailed information about the coronary arteries. In your mother's case, since her CT angio done in Feb 2020 showed a fairly normal result with no plaque in the main artery and a calcium score of zero, it indicates a low risk of significant coronary artery disease at that time. Given that the recent ECG is normal and your mother has no complaints, the decision to repeat the CT angio should be based on her current symptoms, risk factors, and overall clinical condition. Mild pulmonary hypertension as seen in the 2D echo with a systolic pressure of 34 mmHg may not necessarily warrant a repeat CT angio unless there are new symptoms or concerns regarding her cardiac health. It is important to continue monitoring her condition regularly with follow-up visits to her healthcare provider, who can assess the need for any further investigations or adjustments to her treatment plan.

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