Question 1

I'm a 56-year-old guy, weighing 83 kg, and after 10 months of taking rosuvastatin, my LDL cholesterol is now 68 mgdL. I'm also dealing with hypertension and diabetes, taking metformin 500 mg and Ramipril 2.5 mg, as well as aspirin and metoprolol succinate 25 mg. I haven't done an angiography yet. Given that I'm on all these medications, what should my next steps be to improve my health?

Accepted Answer

Based on your medical history and current medications, it is important to address your mildly positive TMT (Treadmill Test) result and the fact that you have not undergone angiography yet. To further improve your cardiovascular health and assess the status of your coronary arteries, it would be advisable to consult with a cardiologist for a more detailed evaluation. The cardiologist may recommend undergoing a coronary angiography to visualize any blockages in your coronary arteries and determine the best course of action. In the meantime, continue with your current medications: - Rosuvastatin for cholesterol management - Aspirin for antiplatelet effects - Metoprolol succinate for blood pressure control - Ramipril for blood pressure control - Metformin for diabetes management Ensure that you are following a healthy lifestyle with regular exercise, a balanced diet, and weight management. It is also essential to monitor your blood pressure, blood sugar levels, and cholesterol levels regularly. If you experience any chest pain, shortness of breath, or other concerning symptoms, seek immediate medical attention. Regular follow-ups with your healthcare provider are crucial for ongoing management and monitoring of your conditions.

Question 2

I've been feeling a bit uneasy since lunch yesterday and decided to see a doctor around 5:30 because I was anxious. He suggested an ECG, and my report mentioned a moderate T wave abnormality and an anterior ischemia with 0.1 mV T wave in V3V4, calling it an abnormal ECG. Do you think I should see a cardiologist about this? Is there something serious I need to be concerned about?

Accepted Answer

the probable diagnosis is asthma,chronic ronchitis, bronchopneumonia etc, pulmonologist opinion is advised.

Question 3

I've been experiencing these weird palpitations for the past four months whenever I lie down, and I'm really starting to worry. I had my blood pressure, thyroid levels, ECG, and an echocardiogram checked, and everything came back normal except for the ECG showing sinus tachycardia. Also, I had Covid about ten months ago. I'm not sure what I should do next. Any advice?

Accepted Answer

Given that your BP, thyroid, ECG, and echo were normal, but you are still experiencing palpitations, particularly when lying down, it is important to further investigate potential causes. Sinus tachycardia can be due to various factors, including stress, anxiety, dehydration, or even residual effects from a previous COVID-19 infection. Since you've had COVID-19, it could also be related to post-viral syndrome, which sometimes affects the heart. You should consider consulting a cardiologist for a more detailed evaluation, which may include a 24-hour Holter monitor to track your heart rate variability over a day, especially during sleep. Additionally, ensuring adequate hydration, managing stress, and avoiding stimulants like caffeine might help reduce palpitations.

I've been experiencing some pain in my left armpit and the far left side of my chest, near the armpit, for almost an hour. It's not super sharp, but it's definitely something I've never felt before. It went away after a while, and I feel fine now. Do you think I should be worried about this?

Electrocardiogram is advised ,kindly review with the reports..

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