- male
- 65 Years
- 22/01/2025
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?
Answered by 1 Apollo Doctors
Angioplasty is advised and a cardiologist opinion.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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go to any near by government district hospital, there all this facilities will be available
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I'm dealing with severe anxiety and depression symptoms for the past few years, and I've had a couple of panic attacks. Now I'm seeing some ECG changes, but my Troponin levels are within normal limits. Both my ECHO and Angiography came out normal. Does this mean my heart is okay? Is it safe for me to do intense exercise? Sometimes I feel a sharp pain in my chest area that only lasts for a few seconds and goes away quickly. Any idea why my ECG has changed? What can I do about feeling weak all the time? And it's weird, but my feet are always cold. Any thoughts on what's going on?
The ECG changes could be related to your anxiety and panic attacks, but it's important to monitor them closely. To address the sharp pain in your heart area, you can take a low dose of a beta-blocker like Metoprolol (25-50mg) as needed for chest pain relief. For your weakness, you can try taking a daily dose of a multivitamin like Centrum to ensure you're getting essential nutrients. Cold feet can be improved by wearing warm socks and keeping your feet elevated when possible. Regular exercise is beneficial for anxiety and depression, but start with low to moderate intensity workouts and gradually increase the intensity based on your tolerance.
Answered by 1 Apollo Doctors
I'm a bit worried about my resting pulse rate, which is around 55 to 60, but when I work out it goes up to 75 to 80. My ECG and lipid profile are normal, and I take Telpres CT for my blood pressure, which is also normal. I'm curious if this medication could be what's making my pulse lower. Should I be concerned about my resting pulse rate, or is this within a normal range?
Your resting pulse rate of 55 to 60 beats per minute is within the normal range for adults, especially if you are physically active. When you workout, it is normal for your pulse rate to increase to 75 to 80 beats per minute. Telpres CT is a combination medication that contains Telmisartan and Chlorthalidone, which is commonly used to treat high blood pressure. Telpres CT, specifically the Chlorthalidone component, can sometimes cause a slight decrease in heart rate as a side effect. However, in your case, with a resting pulse rate of 55 to 60, it is more likely that your lower pulse rate is due to your good physical fitness rather than the medication. As your ECG and lipid profile reports are normal, and you are maintaining a normal blood pressure with Telpres CT, there is no need to be concerned about your pulse rate. It is important to continue monitoring your blood pressure regularly and follow up with your healthcare provider for any concerns.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.