Question 1

I've noticed my heart rate is pretty high, around 110 bpm, even though all my tests like blood work, TMT, and the ECG are normal, with just sinus tachycardia showing up. I don't have any issues when I'm running, but the high heart rate still worries me. I'm really anxious about my heart, and even my blood pressure is normal. Could anxiety be causing this, or is there something else I should consider?

Accepted Answer

You may be experiencing anxiety-related tachycardia. In such cases, it is important to address the underlying anxiety to help reduce the heart rate. You can try taking propranolol (brand name: Inderal) as needed to help lower your heart rate and reduce anxiety symptoms. Additionally, practicing relaxation techniques such as deep breathing exercises or mindfulness meditation may also be beneficial in managing your anxiety and heart rate.

Question 2

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 3

I've been having chest pain for the past 56 days and it started with my back. I've done an ECG three times and an ECO once. My blood pressure is 14090, and I'm on Hifen Pofloxacin 400, Ecosprin 75, Amlovas 20, and a PPI as prescribed by my physician, but the pain in my chest is still there. Sometimes it even goes to my left hand. What should I do now?

Accepted Answer

Based on your symptoms and medications, it seems like you may be experiencing chest pain due to cardiac issues. Since the pain is still persistent and sometimes radiates to your left hand, it is important to seek further medical evaluation. I recommend that you consult with your physician to consider adjusting your current medication regimen. In the meantime, you can take a nitroglycerin tablet for immediate relief of chest pain. Additionally, it would be beneficial to undergo further cardiac investigations such as a stress test or coronary angiography to rule out any underlying heart conditions.

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