- 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?
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View allI'm curious if it's normal for my heart to race and beat really hard, almost like it's going to jump out of my chest, whenever I'm anxious or getting up from sleeping. It feels pretty intense and I'm also quite thin. I've done an ECG, an echo, and had blood tests, and everything came back normal. Is this something I should be worried about?
Experiencing a racing heart and strong heartbeats when anxious or when standing up quickly can be related to anxiety and a condition called orthostatic hypotension, which is a sudden drop in blood pressure upon standing. Given that your ECG, echo, and blood tests are normal, it's less likely to be a severe cardiac issue. Managing anxiety through techniques like deep breathing exercises, mindfulness, or therapy can help. Additionally, when standing up, try to do it slowly to give your body time to adjust. If your symptoms persist or worsen, consult your healthcare provider for further evaluation and to discuss additional strategies for managing your symptoms.
Answered by 1 Apollo Doctors
I've been feeling really off lately, like yesterday before lunch I was sweating a lot and my whole body felt weak, especially my legs. I tried eating some chocolate and rice but I was still sweating. So I went to the hospital and they said my BP was fine, and my GRBS was 153, about 45 minutes after eating. The ECG said sinus tachycardia, borderline ECG, and short PR interval, but the doctors said everything's normal when they compared it to an old ECG I had. I'm worried because I take Esomac for gastric issues and Cardace for BP, but I've been having mild chest pains almost every day. Ive done tmt echo tests many times and they always come back normal, but Im so anxious about my heart all the time. Now, I get really tired just walking for like 20 minutes. What could be going on?
The ECG from yesterday shows sinus tachycardia, borderline ECG, and a short PR interval. Given your symptoms of sweating, weakness, and fatigue, along with your history of mild chest pain and anxiety about your heart, it is important to continue monitoring your heart health closely. Since your previous ECGs have been normal, it is reassuring that there are no significant changes at this time. Considering your current medications, Esomac 40mg for gastric issues and Cardace H5 for blood pressure, it is essential to continue taking them as prescribed. To address your concerns about tiredness and anxiety, I recommend discussing with your healthcare provider about the possibility of adjusting your medications or exploring other treatment options. In addition, it is crucial to maintain a healthy lifestyle, including regular exercise within your limits, a balanced diet, and stress management techniques. If you experience any worsening symptoms or new concerns, do not hesitate to seek medical attention promptly.
Answered by 1 Apollo Doctors
I'm concerned about my blood pressure; it's around 140 over 88. I'm wondering what precautions I should take? Also, what should I include in my diet? And could you recommend some exercises I should consider? I'm 184 cm tall and weigh 80 kg.
To help lower your blood pressure, you should focus on maintaining a healthy lifestyle. Start by incorporating a diet rich in fruits, vegetables, whole grains, and lean proteins while limiting your intake of saturated fats, cholesterol, and sodium. Consider the DASH (Dietary Approaches to Stop Hypertension) diet as a guide. Additionally, engage in regular physical activity such as brisk walking, jogging, cycling, or swimming for at least 30 minutes most days of the week. Aim to achieve and maintain a healthy weight by combining a balanced diet with exercise. It's also important to manage stress levels, get an adequate amount of quality sleep, and limit alcohol consumption. In terms of medication, if lifestyle modifications are not sufficient, you may need to consult a healthcare provider for prescription antihypertensive medications
Answered by 1 Apollo Doctors
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.



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