Question 1

I'm trying to understand the results of a recent angiogram and I'd love some clarity. It mentions a right femoral arterial approach with a normal LMCA, but there's a 90% stenosis in the proximal LAD and a 50% stenosis distally in the LCX. It also says the OM has a 90% stenosis in a small vessel, and the RCA has a 40% stenosis proximally. The renal angiogram shows everything is normal for both kidneys. My biggest worry is about the critical stenosis in the LAD. What does all this mean for my heart health, and what kind of treatment or lifestyle changes should I be considering?

Angioplasty is advised and a cardiologist opinion.

Last updated on 22 Jan 2025

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Accepted Answer

Angioplasty is advised and a cardiologist opinion.

Question 2

I'm a bit concerned about my health and would really appreciate some advice. Back in May 2017, I had an angioplasty and have been keeping up with my meds and exercises since then. Currently, I'm on cilacar for my blood pressure and crevast 7510. I us...

Accepted Answer

it is important to monitor your heart health regularly. Since you have already been taking lab tests once every three months and they have been normal, it is recommended to continue with this frequency for now. Additionally, it is advisable to undergo an ECG, treadmill test, and echo once every 6-12 months to assess your heart function and overall cardiovascular health. However, the frequency of these tests may vary based on your individual health condition and any specific recommendations from your cardiologist.

Question 3

I've been dealing with these ectopic palpitations for the last 8 months and it's really stressing me out. I went to a general physician who said it's nothing to worry about and it's just anxiety related. I have really bad cardiophobia anxiety. He put...

Accepted Answer

Based on your symptoms and reports, I recommend continuing with Ciplar LA 20 for the ectopic palpitations. In addition, you may benefit from an anti-anxiety medication such as Escitalopram 10mg once daily to help manage your cardiophobia anxiety. It is also important to address the concentric LVH detected in the echo report. You can start taking Losartan 50mg once daily to help manage the LVH. Regular follow-up with your cardiologist is essential to monitor your condition and make any necessary adjustments to your treatment plan.

Question 4

When should I consider getting a TMT test? Are there specific signs or symptoms that would mean I need one? I'm a 23-year-old guy and just want to understand when it might be necessary.

Accepted Answer

A TMT (Treadmill Test) is usually recommended for individuals who have symptoms such as chest pain, shortness of breath, palpitations, or dizziness during physical activity. It is also indicated for individuals with risk factors for heart disease such as a family history of heart disease, high blood pressure, high cholesterol, diabetes, or smoking history. As a 23-year-old male without any symptoms or risk factors, a TMT may not be necessary at this time. It is important to maintain a healthy lifestyle, including regular exercise and a balanced diet, to reduce the risk of heart disease in the future.

Question 5

I'm a 56-year-old guy, weighing 83 kg, and after 10 months of taking rosuvastatin, my LDL cholesterol is now 68 mgdL. I'm also dealing with hypertension and diabetes, taking metformin 500 mg and Ramipril 2.5 mg, as well as aspirin and metoprolol succ...

Accepted Answer

Based on your medical history and current medications, it is important to address your mildly positive TMT (Treadmill Test) result and the fact that you have not undergone angiography yet. To further improve your cardiovascular health and assess the status of your coronary arteries, it would be advisable to consult with a cardiologist for a more detailed evaluation. The cardiologist may recommend undergoing a coronary angiography to visualize any blockages in your coronary arteries and determine the best course of action. In the meantime, continue with your current medications: - Rosuvastatin for cholesterol management - Aspirin for antiplatelet effects - Metoprolol succinate for blood pressure control - Ramipril for blood pressure control - Metformin for diabetes management Ensure that you are following a healthy lifestyle with regular exercise, a balanced diet, and weight management. It is also essential to monitor your blood pressure, blood sugar levels, and cholesterol levels regularly. If you experience any chest pain, shortness of breath, or other concerning symptoms, seek immediate medical attention. Regular follow-ups with your healthcare provider are crucial for ongoing management and monitoring of your conditions.

Question 6

I'm traveling right now, and I'm a bit worried because my pulse rate is over 90. I've already taken Kipnor TR 40 and Etilaam 0.25. Is this normal for when you're active, or should I be concerned?

Accepted Answer

The normal pulse rate when you are active can vary depending on individual factors, but typically ranges from 100 to 170 beats per minute. Kipno tr 40 is a brand name for Metoprolol, which is a beta-blocker used to treat high blood pressure and chest pain. Etilaam 0.25 is a brand name for Etizolam, which is a benzodiazepine used to treat anxiety and sleep disorders. Since your pulse rate is above 90 after taking these medications, it is important to monitor your heart rate closely. If your pulse rate remains elevated or if you experience any concerning symptoms, please seek medical attention promptly.

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Related Questions

I'm a bit concerned about my health and would really appreciate some advice. Back in May 2017, I had an angioplasty and have been keeping up with my meds and exercises since then. Currently, I'm on cilacar for my blood pressure and crevast 7510. I us...

I've been dealing with these ectopic palpitations for the last 8 months and it's really stressing me out. I went to a general physician who said it's nothing to worry about and it's just anxiety related. I have really bad cardiophobia anxiety. He put...

When should I consider getting a TMT test? Are there specific signs or symptoms that would mean I need one? I'm a 23-year-old guy and just want to understand when it might be necessary.

I'm a 56-year-old guy, weighing 83 kg, and after 10 months of taking rosuvastatin, my LDL cholesterol is now 68 mgdL. I'm also dealing with hypertension and diabetes, taking metformin 500 mg and Ramipril 2.5 mg, as well as aspirin and metoprolol succ...

I'm traveling right now, and I'm a bit worried because my pulse rate is over 90. I've already taken Kipnor TR 40 and Etilaam 0.25. Is this normal for when you're active, or should I be concerned?

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