Question 1

I'm really worried about my husband. About eight months ago, he had some chest pain, so we went for a check-up. They did an ECG, an echo, and a stress test, and thankfully everything seemed normal, but he had high blood pressure and his triglycerides were around 250. He's been on medication for BP since then, including Prolomet XL 50, Hytel H, Tonact D, and Nulong 5mg. But just yesterday, he experienced chest pain again. We went to the doctor and did another ECG, which came back normal. The doctor said it might be muscle pain and gave him some pain medicine. I'm still worried it could be related to his heart. Should we be looking at other tests, like an echo again or something else, to be sure everything's okay with his heart?

Accepted Answer

It is good that your husband's ECG results have been normal. Since he has a history of chest pain and high triglycerides, it is important to monitor his heart health closely. Given the symptoms of chest pain, it would be advisable to follow up with an echocardiogram (echo) to assess the structure and function of the heart. Additionally, considering his risk factors, a stress test or a coronary angiography may also be recommended by the doctor to further evaluate his heart health and rule out any underlying heart conditions. In the meantime, continue with the prescribed medications including Prolomet XL 50 for blood pressure, Hytel H for hypertension, Tonact D for cholesterol, and Nulong 5mg.

Question 2

I'm feeling pretty worried because I've been dealing with dizziness and lightheadedness for about three weeks now, and on top of that, I've had chest and shoulder pain for the past 45 days. Could these symptoms be related? I'm really anxious about whether this might be a heart issue. What do you think?

Accepted Answer

The symptoms you are experiencing, such as dizziness, lightheadedness, chest pain, and shoulder pain, could be related to a heart problem. It is important to seek medical attention promptly. You may need to take medications like Aspirin 75mg for chest pain and Clopidogrel 75mg for heart protection. Additionally, you may require further evaluation and tests such as an ECG, echocardiogram, or cardiac enzymes to determine the cause of your symptoms and the appropriate treatment.

Question 3

I'm curious about my health situation. I've been on Amcard for the past 10 years, but this year my blood pressure isn't controlled. I recently did a lipid profile, and while my cholesterol level went down from 210 to 165, my triglycerides have gone up from 135 to 195. I also drink about 200 ml of alcohol every day and have been doing so for the last 30 years. Could this be affecting my test results, and should I be concerned or make some changes?

Accepted Answer

Alcohol intake can significantly impact triglyceride levels. I recommend reducing your alcohol consumption to help lower your triglyceride levels. In addition, you can discuss with your doctor about adding a medication like Atorvastatin to help lower your triglyceride levels. The usual dosage for Atorvastatin is 10-80 mg per day, depending on your specific needs. Regular monitoring and follow-up with your healthcare provider are essential to manage your blood pressure and lipid levels effectively.

I'm trying to understand the seriousness of some heart blockages that were reported. Can you explain what level of concern is typical for this kind of issue? Is there any immediate action I should be thinking about?

Patient is advised for angioplasty depending on the blockade of the coronary arteries. Cardiologist opinion is advised to the patient.

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