Question 1

I'm a bit confused about my recent heart tests and need some advice. I had a TMT test that was positive a few months ago, and even after showing it to a cardiologist and doing an echo test, which was normal, they still suggested an angiogram because the TMT stayed positive. When comparing the latest TMT results to the previous one, it seemed slightly better but still came back positive. So, I went for a coronary angiogram and found out I have double vessel disease. The plan mentioned possibly needing a PTCA with a stent in the mid LCX RCA. I'm wondering if managing it with medication, diet, meditation, and exercise might be an option, or if the stent is really necessary. I don't have any symptoms like chest pain, hand pain, or dizziness, and my blood pressure and sugar levels have been under control for years. What do you suggest?

Accepted Answer

Based on your medical history and the findings from your tests, it is important to follow the treatment plan given by your healthcare provider. In addition to the PTCA with stent procedure, it is crucial to adhere to a healthy lifestyle which includes medication, diet, meditation, and exercise to help control your condition. The prescribed medications such as Aspirin, Clopidogrel, Atorvastatin, and Metoprolol will help in managing your condition. It is also essential to follow a heart-healthy diet low in saturated fats and cholesterol, engage in regular physical activity as advised by your healthcare provider, practice stress-reducing techniques like meditation, and maintain a healthy weight. Regular follow-up appointments with your cardiologist are necessary to monitor your condition and make any necessary adjustments to your treatment plan.

Question 2

I've been noticing that when I'm lying down, I can hear my heartbeat clearly, and it's even visible through my shirt and in my stomach area. At night, while trying to fall asleep, I sometimes feel a sense of fear in my chest and stomach. What could be causing this?

Accepted Answer

These symptoms could be due to anxiety or stress, which can cause palpitations (feeling of heart beating fast or irregularly), visible pulsations in the abdomen, and a sensation of fear or unease in the chest and stomach. It is important to manage stress and anxiety through relaxation techniques, exercise, and possibly counseling. Additionally, you can take a beta-blocker like Propranolol 20mg to help reduce palpitations and visible pulsations. Make sure to consult with a healthcare provider for proper evaluation and management.

Question 3

I've been experiencing some discomfort and I'm really concerned. I'm a 23-year-old male and since January, I've had some pain in my right and left chest, as well as below my ribs. I tried taking medication for acidity at first. I noticed my heart rate is around 65 bpm while sitting but jumps to 90-100 bpm when I stand. This got me worried so I went to the hospital where my BP was 11090. The ECG came back normal, but the doctor suggested a 2D echo test. I've attached the results. I was on esomacD 40mg and etizola beta 0.25mg until the end of February, which seemed to help reduce the chest pain and occasional racing heartbeats. Today though, while resting, I felt a brief pain for about 3 seconds in the middle of my ribs on the left bottom side. My pulse was normal then. Could this be a sign of a heart attack or is there any risk involved?

Accepted Answer

Based on the information provided, it is unlikely that the symptoms you are experiencing are indicative of a heart attack. The normal ECG results and the improvement in chest pains and heart rate with the medications you were prescribed suggest that your symptoms may be related to other factors such as acid reflux or anxiety. Since you have already undergone medical evaluation including an ECG and 2D echo test, it is important to continue following up with your healthcare provider for further assessment and management. To address the occasional racing heart rate, you can consider taking Metoprolol 25mg once daily as prescribed by your doctor. Additionally, for acid reflux symptoms, you can continue using Esomac-D 40mg once daily before breakfast. If you experience any new or worsening symptoms, especially chest pain that radiates to your arm, jaw, or back, along with shortness of breath, dizziness, or nausea, seek immediate medical attention. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust your treatment plan as needed.

1-3 days is the hospital stay, post angioplasty sideeffects include paininfection, itching, bleeding and swelling.. They resolve after 3 days..

More Cardiology Health Queries

I've been noticing that when I'm lying down, I can hear my heartbeat clearly, and it's even visible through my shirt and in my stomach area. At night, while trying to fall asleep, I sometimes feel a sense of fear in my chest and stomach. What could be causing this?

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