Question 1

I've been feeling some chest discomfort lately and it's got me a bit worried. Back in 2013, I had an angiography after a positive TMT test, but everything was perfectly clear then. Now, my TMT test has come back positive again. I'm wondering what steps I should take next. Do you think I might need another angiography, or is there another approach I should consider?

Accepted Answer

If you are experiencing chest discomfort and your TMT test has come back positive again, it is advisable to consult your doctor for further evaluation. Another angiography may be recommended to assess the current status of your coronary arteries and determine the appropriate treatment plan. In the meantime, you can take medications like Aspirin 75mg once daily and Atorvastatin 20mg once daily to help manage your symptoms.

Question 2

I'm trying to come off the beta blockers my doctor prescribed for the heart palpitations linked to my anxiety. I'm a bit worried about the process and wondering if stopping them might lead to any issues or side effects afterward. Can you help guide m...

Accepted Answer

To come off beta blockers that were prescribed for anxiety symptoms like heart palpitations, it is important to gradually taper off the medication under the supervision of your healthcare provider. Abruptly stopping beta blockers can lead to rebound symptoms such as increased heart rate, blood pressure, and anxiety. One common beta blocker used for anxiety symptoms is Propranolol. Your doctor may gradually reduce your dosage over a period of time to minimize withdrawal symptoms. It is important to follow your doctor's instructions carefully during this process. After stopping beta blockers, some individuals may experience a temporary increase in heart rate and blood pressure. However, these symptoms typically subside as your body adjusts to being off the medication. If you have any concerns or experience any troubling symptoms during the tapering process, be sure to contact your healthcare provider for further guidance.

Question 3

I'm a bit worried about my husband's health. His vitamin B12 levels are at 185, and his vitamin D is 6.7. Plus, his homocysteine is pretty high at 56. The doctor has mentioned he should take Nurokind Plus for a long time. Is there anything else he sh...

Accepted Answer

In addition to taking Nurokind Plus for his vitamin B12 deficiency, vitamin D deficiency, and high homocysteine levels, your husband can also make some lifestyle changes to improve his HDL cholesterol levels. He should focus on incorporating more healthy fats into his diet, such as olive oil, avocados, and fatty fish like salmon. Regular exercise, especially aerobic exercise, can also help raise HDL levels. Additionally, quitting smoking and reducing alcohol consumption can have a positive impact on HDL cholesterol.

Question 4

I've done all the tests like an ECG, echo, and TMT, and they all came back normal, but I've been having this pain on my left side of the chest for a month now. I'm worried because it feels like it might be leading up to a heart attack. Could it still...

Accepted Answer

Since your ECG, echo, and TMT results are normal, your chest pain may not be related to a heart attack. However, it is important to further evaluate the cause of your chest pain. You can try taking a pain reliever like acetaminophen (Tylenol) 500mg as needed for the chest pain. If the pain persists or worsens, you may consider taking an antacid like omeprazole (Prilosec) 20mg once a day to see if it helps with the pain. Additionally, practicing relaxation techniques and stress management may also be beneficial.

Question 5

I'm a bit worried because my blood pressure has been high for a few days now. Even after taking two BP tablets, it hasn't returned to normal. Plus, I also have thyroid issues. What could be happening, and should I be doing something else?

That might need hospitalisation for close monitoring of your BP, vsist Physician for appropriate management

Last updated on 07 Feb 2025

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Accepted Answer

That might need hospitalisation for close monitoring of your BP, vsist Physician for appropriate management

Question 6

I'm wondering if it's normal to have tachycardia because both my ECG and echo tests came back normal, but I still experience it. My heart feels like it's beating really loudly, and when I check my pulse with an oximeter, it can shoot up to around 120...

Accepted Answer

Tachycardia, or a fast heart rate, can be concerning even if your ECG and echo are normal. Since you are experiencing symptoms such as a loud heartbeat and fluctuations in your pulse rate, it is important to further investigate the underlying cause. To address your tachycardia and associated symptoms, you may consider undergoing additional tests such as a Holter monitor to continuously record your heart's activity over 24-48 hours, a stress test to evaluate your heart's function during physical activity, and blood tests to check for any underlying medical conditions. In the meantime, to help manage your tachycardia symptoms, you can consider taking medications such as Metoprolol (25-50mg) to help regulate your heart rate and reduce the sensation of palpitations. It is important to follow up with your healthcare provider for further evaluation and management.

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Related Questions

I'm trying to come off the beta blockers my doctor prescribed for the heart palpitations linked to my anxiety. I'm a bit worried about the process and wondering if stopping them might lead to any issues or side effects afterward. Can you help guide m...

I'm a bit worried about my husband's health. His vitamin B12 levels are at 185, and his vitamin D is 6.7. Plus, his homocysteine is pretty high at 56. The doctor has mentioned he should take Nurokind Plus for a long time. Is there anything else he sh...

I've done all the tests like an ECG, echo, and TMT, and they all came back normal, but I've been having this pain on my left side of the chest for a month now. I'm worried because it feels like it might be leading up to a heart attack. Could it still...

I'm a bit worried because my blood pressure has been high for a few days now. Even after taking two BP tablets, it hasn't returned to normal. Plus, I also have thyroid issues. What could be happening, and should I be doing something else?

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