Question 1

I'm really worried about my father. He's been diagnosed with severe coronary ectasia and previously, doctors mentioned that a bypass surgery isn't an option for him. I'm wondering if treatments like Ace Inhibitors or the drug Entresto could be effective in his situation? Lately, he's been having more frequent chest pains and feeling a lot of unease. Could you provide some guidance on this?

Accepted Answer

For the treatment of coronary ectasia, Ace Inhibitors such as Lisinopril can be beneficial in managing symptoms and improving heart function. The recommended dosage of Lisinopril is usually starting at 2.5-5 mg once a day, which can be adjusted by the doctor based on individual response. Entresto, which is a combination of Sacubitril and Valsartan, can also be considered for the treatment of heart failure in patients with reduced ejection fraction. The usual starting dose of Entresto is 4951 mg twice daily, which can be increased to the target maintenance dose of 97103 mg twice daily as tolerated. However, it is important to consult with your father's healthcare provider before starting any new medication or making changes to his current treatment plan. Regular monitoring and follow-up with a healthcare professional are essential in managing coronary ectasia and associated symptoms.

Question 2

I'm really worried about my blood pressure, which is at 8065. I feel so weak and am considered underweight, weighing only 39.2 kg at a height of 5'3". I'm currently taking Health OK multivitamins to help with my low blood pressure, but I'm anxious if these numbers will ever get to normal. Do you think I'll be able to achieve a normal heart rate, or is this something I'll have to deal with forever? I'm only 20, so this has me pretty concerned.

Accepted Answer

Low blood pressure can be concerning, especially if it is causing symptoms like weakness. In your case, being underweight may also contribute to low blood pressure. To help increase your blood pressure and improve your symptoms, you can try increasing your salt and fluid intake, wearing compression stockings, and eating frequent small meals. To address your anxiety and support your heart rate, you can consider taking a beta-blocker medication like Metoprolol. The usual starting dose for Metoprolol is 25mg once daily, which can be adjusted as needed under medical supervision. It's important to continue monitoring your blood pressure and heart rate regularly, and make lifestyle changes to support your overall health. If you have persistent concerns or symptoms, it's advisable to consult a healthcare professional for further evaluation and management.

Question 3

I'm a 22-year-old guy and I've been having this mild chest pain on the left side for about 34 months now. It's not constant but happens occasionally, and it feels like my chest is getting a bit heavier. I notice my heartbeat sometimes during these episodes, and there's this weird sensation like something's there in my chest. The pain usually spreads to my left hand and shoulder, and my hand feels kind of numb for about 20 seconds before it all goes away. I went through an ECG, which showed an abnormal heartbeat, but the 2D Echo came out normal. I had COVID-19 around 56 months ago and took the prescribed medication. This chest pain started only after I recovered. Could it be related to my past COVID infection, or is there something else going on?

Accepted Answer

refer cardiologist

I'm trying to understand what "borderline ECG" really means. Should I be worried about it? I've attached my ECG report. Can you help explain what it indicates?

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

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