Question 1

I've been feeling really uneasy since I had a stent put in about three weeks ago after a heart attack. Even though I'm vegetarian and don't smoke or drink, I still had blockages in my heart arteries. They put a stent in one blockage, but for the others, theyre just relying on medication. Now Ive got this weird heaviness and tightness in my chest, and it feels like something's moving or pinching around my heart sometimes. It's really uncomfortable and I can't focus on much because of it. I'm worried if this is a normal feeling after a stent or if maybe there are more blockages causing this. Could you tell me what might be going on or what I should do about these sensations? I'm in Canada if that helps.

Accepted Answer

could be due to various reasons, including post-stent surgery effects or potential issues with other blockages in your arteries. Given your recent heart attack and stent placement, it's important to follow up with your healthcare provider for a thorough evaluation. They may need to assess your current symptoms, perform additional tests such as an ECG or echocardiogram, and adjust your medication regimen if necessary. In the meantime, to alleviate your discomfort and improve your symptoms, you can consider taking medications such as: - Aspirin (e.g., Bayer Aspirin) 81mg daily to prevent blood clot formation - Clopidogrel (e.g., Plavix) 75mg daily to prevent blood clots and stent thrombosis - Atorvastatin (e.g., Lipitor) 40-80mg daily to lower cholesterol levels and reduce the risk of further blockages - Ramipril (e.g., Altace) 2.5-10mg daily to manage blood pressure and protect the heart - Metoprolol (e.g., Lopressor) 25-100mg twice daily to control heart rate and blood pressure It's essential to adhere to your prescribed medication regimen, follow a heart-healthy diet, engage in regular physical activity as tolerated, manage stress, and attend cardiac rehabilitation if recommended by your healthcare provider. If your symptoms persist or worsen, seek immediate medical attention or contact your healthcare provider for further guidance. Take care of yourself and prioritize your heart health.

Question 2

I've got high cholesterol and I'm wondering if having 1kg of milk daily is okay or if I should cut back. Can you suggest how much milk would be beneficial for my condition?

Accepted Answer

For high cholesterol, consuming 1kg of milk per day may not be the best approach as it is high in saturated fats which can contribute to elevated cholesterol levels. It is recommended to limit saturated fats in the diet. Instead, focus on a balanced diet that includes low-fat dairy products in moderation. A more suitable option for managing cholesterol levels would be to incorporate plant-based alternatives such as almond milk or soy milk which are lower in saturated fats. Additionally, including foods rich in soluble fiber such as oats, fruits, and vegetables can help lower cholesterol levels. There is no specific dosage of milk recommended for managing cholesterol, but it is advisable to consult with a dietitian for personalized dietary recommendations based on individual health needs.

Question 3

I'm thinking about doing a TMT in a week since I've had hyper acidity issues. I've already done tests like a thyroid profile, ECG, and echo, and everything came back normal. A friend suggested I should consider a TMT as well. Do you think there's a c...

Accepted Answer

A TMT (Treadmill Test) is commonly used to assess the heart's response to stress and can help diagnose coronary artery disease. Given that your thyroid profile, ECG, and echo are normal, the chances of a positive TMT result are lower. However, it is still important to proceed with the TMT as advised. If you experience hyperacidity during the test, you can take antacids like "Ranitidine" 150mg before the test to help manage the symptoms.

Question 4

I'm really curious about something - I've had tons of ECGs, echos, and TMTs over the past year, and while I suspect I might have POTS because my heart rate jumps to 120 bpm when I walk, that's not what I'm most concerned about right now. Today, I'm e...

Accepted Answer

It is important to consider the possibility of musculoskeletal chest pain, especially given the description of sharp, localized pains that last for a few seconds and can be triggered or worsened by stretching. The fact that you have been coughing for the last few days also suggests a potential respiratory component to your symptoms. To address the sharp chest pains, you can try taking over-the-counter pain relievers such as acetaminophen or ibuprofen. Additionally, using a heating pad on the affected area may help alleviate the discomfort. It is also advisable to practice deep breathing exercises to help relax the chest muscles. If the symptoms persist or worsen, it would be prudent to follow up with your healthcare provider for further evaluation and to rule out any cardiac issues.

Question 5

I'm a bit worried about my resting pulse rate, which is around 55 to 60, but when I work out it goes up to 75 to 80. My ECG and lipid profile are normal, and I take Telpres CT for my blood pressure, which is also normal. I'm curious if this medicatio...

Accepted Answer

Your resting pulse rate of 55 to 60 beats per minute is within the normal range for adults, especially if you are physically active. When you workout, it is normal for your pulse rate to increase to 75 to 80 beats per minute. Telpres CT is a combination medication that contains Telmisartan and Chlorthalidone, which is commonly used to treat high blood pressure. Telpres CT, specifically the Chlorthalidone component, can sometimes cause a slight decrease in heart rate as a side effect. However, in your case, with a resting pulse rate of 55 to 60, it is more likely that your lower pulse rate is due to your good physical fitness rather than the medication. As your ECG and lipid profile reports are normal, and you are maintaining a normal blood pressure with Telpres CT, there is no need to be concerned about your pulse rate. It is important to continue monitoring your blood pressure regularly and follow up with your healthcare provider for any concerns.

Question 6

I'm having some trouble with mild heart palpitations and anxiety, so my cardiologist put me on Telma 40 and propranolol 40 mg. The good news is my palpitations and angina are gone since starting propranolol, but now I'm experiencing some erection iss...

Accepted Answer

1. Instead of Propranolol 40 mg, you can use Nebivolol. The recommended dosage for Nebivolol is 5 mg to 10 mg once daily. It is also effective in managing heart palpitations and anxiety, with a lower risk of causing erectile dysfunction compared to Propranolol. 2. You can take Tadalafil with Propranolol, but it is important to consult with your cardiologist or healthcare provider before combining these medications. Tadalafil is used to treat erectile dysfunction, and the combination with Propranolol may help alleviate the erection problem you are experiencing. The usual starting dose of Tadalafil is 10 mg taken prior to anticipated sexual activity, with a maximum frequency of once per day.

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Related Questions

I've got high cholesterol and I'm wondering if having 1kg of milk daily is okay or if I should cut back. Can you suggest how much milk would be beneficial for my condition?

I'm thinking about doing a TMT in a week since I've had hyper acidity issues. I've already done tests like a thyroid profile, ECG, and echo, and everything came back normal. A friend suggested I should consider a TMT as well. Do you think there's a c...

I'm really curious about something - I've had tons of ECGs, echos, and TMTs over the past year, and while I suspect I might have POTS because my heart rate jumps to 120 bpm when I walk, that's not what I'm most concerned about right now. Today, I'm e...

I'm a bit worried about my resting pulse rate, which is around 55 to 60, but when I work out it goes up to 75 to 80. My ECG and lipid profile are normal, and I take Telpres CT for my blood pressure, which is also normal. I'm curious if this medicatio...

I'm having some trouble with mild heart palpitations and anxiety, so my cardiologist put me on Telma 40 and propranolol 40 mg. The good news is my palpitations and angina are gone since starting propranolol, but now I'm experiencing some erection iss...

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