Question 1

I recently had a heart attack and my LVEF is only 26. The angiography shows 100% blockage in my LAD and 80% in another artery. One doctor recommends CABG while another suggests ICD implantation. Is it safe to undergo surgery with such a low LVEF? I'm really confused about which option is better for my condition.

Accepted Answer

risky but sx is the only option .

Question 2

I'm taking Navicard 5 mg regularly, as prescribed by my doctor. But recently, I've been having some mild chest pain, so I saw a cardiologist who prescribed Angizem CD 90 for my morning dose. He didnt mention anything about the Navicard though. Now I'm wondering, should I be taking both medications, or just one of them?

Accepted Answer

yes u can use it, visit ur physician for apprpropriate managent

Question 3

I've been really anxious about something that's been going on with me. I got my first dose of the Covishield vaccine on the 13th of last month. The first couple of days, I had a fever and body pains, which went away pretty quickly. But then on the third day, I started having this sharp chest pain on my lower left side, so I went to a cardiologist. They did an ECG and a 2D echo and said everything looked normal, probably just muscle pain or acid reflux, and gave me some meds like prantoprazole and paracetamolchlorzoxazone, which seemed to help at first.

But now, almost two weeks later, the chest pain came back for an hour and went away after I took prantoprazole. Then my left arm started hurting, and that hasnt stopped. I don't have the chest pain anymore, but the arm ache is persistent. I'm worried if this is related to the vaccine or just acid reflux like they said, or if it could be something more serious like myocarditis or pericarditis. I've been Googling a lot and getting more concerned. Can you help? What's really going on with me?

Accepted Answer

It sounds like you are experiencing some concerning symptoms after receiving your Covishield vaccination. The chest pain, especially if it is sharp and on the lower left side, can be alarming. However, since your cardiologist has already ruled out any cardiac issues based on the ECG and 2D echo, it is reassuring. The recurrence of chest pain and the new symptom of left arm aching could be related to muscle pain or acid reflux, as suggested by your doctor. It is less likely to be myocarditis or pericarditis, especially if the cardiac tests were normal. To help with your symptoms, you can continue taking the medications prescribed by your doctor. In addition, you can try using a muscle relaxant and pain reliever like **Myoril (Thiocolchicoside)** along with **Paracetamol** for the left arm ache. Make sure to follow the recommended dosage for each medication. If the symptoms persist or worsen, it would be advisable to follow up with your doctor for further evaluation. Keep monitoring your symptoms and seek medical attention if you have any new or concerning symptoms.

U can try exercise and diet control with low dose artorvastatin

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