Question 1

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?

Accepted Answer

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Question 2

I recently had a blood pressure reading of 140 over 100 and my doctor prescribed some medication. Later, I went through an echo and it turned out I have high anxiety. I'm curious, can echo tests really measure anxiety? And do you think this is something that can be cured, or does it mean I'll be on medication for both anxiety and blood pressure for the rest of my life?

Accepted Answer

Anxiety cannot be measured in an echocardiogram. Anxiety is a psychological condition that is typically diagnosed based on symptoms and a clinical evaluation by a mental health professional. Treatment for anxiety may include therapy, lifestyle modifications, and medications such as selective serotonin reuptake inhibitors (SSRIs) like Sertraline. It is possible to manage and even overcome anxiety with the right treatment approach. However, it is important to follow your doctor's recommendations and continue with any prescribed medications for both anxiety and high blood pressure to effectively manage both conditions.

Question 3

What is a good blood pressure by age?

Accepted Answer

In earlier times, Blood pressure was defined according to age. With all the new research data, Hypertension is defined only by increase in numbers in blood pressure which applies similarly for all adults above 18 years of age. Normal blood pressure is a reading less than 120/80 mm Hg. Any reading above 120/80 mm Hg checked consequently for three days needs a doctor's opinion.

I've been experiencing some fluctuations in my blood pressure and pulse rate. Sometimes my blood pressure goes to 9060, and my pulse hits 112, but other times, my pulse rate drops to around 60. I'm really wondering if this is something normal. Could you help me understand what's going on?

no its not normal ,visit Cardiologist for evaluation and appropriate management

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What is a good blood pressure by age?

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