Question 1

For how long can we rely on the CT coronary angio results? My mom is 65, diabetic, and had one done in February 2020it all looked pretty normal back then, no plaque in the main artery and a calcium score of zero. Her recent ECG also came back normal and she's not having any symptoms, but we've found that she has mild pulmonary hypertension with a systolic pressure of 34 mmHg on a 2D echo. She's not taking any blood thinners right now. Do you think we should consider repeating the CT angio?

Accepted Answer

CT coronary angiography is a non-invasive imaging test that can provide detailed information about the coronary arteries. In your mother's case, since her CT angio done in Feb 2020 showed a fairly normal result with no plaque in the main artery and a calcium score of zero, it indicates a low risk of significant coronary artery disease at that time. Given that the recent ECG is normal and your mother has no complaints, the decision to repeat the CT angio should be based on her current symptoms, risk factors, and overall clinical condition. Mild pulmonary hypertension as seen in the 2D echo with a systolic pressure of 34 mmHg may not necessarily warrant a repeat CT angio unless there are new symptoms or concerns regarding her cardiac health. It is important to continue monitoring her condition regularly with follow-up visits to her healthcare provider, who can assess the need for any further investigations or adjustments to her treatment plan.

Question 2

I've been having shortness of breath and recently got an Echo done, which said there was mild LVH. A couple of days ago, I noticed a little blood when I spit, and my doctor recommended I take Augmentin 625 and Montair LC for a week. I've been on them for two days now, but I noticed bright red blood when I spit again today, with no mucus color. I also have GERD and have had this issue for more than six years. Could the medication or the GERD be causing this, or should I be worried about something more serious?

Accepted Answer

check for TB once and review

Question 3

I've been taking medicine for blood pressure for a few years now, and I'm 45. Lately, even short walks or a couple of stairs have been really tough. I used to handle longer walks and more stairs without any issues. I had an ECG done three months ago, and it looked normal. I don't have trouble just going about my day, but my blood sugar is kind of borderline too. I'm wondering what test would be better to figure out what's going onan echo or a TMT?

Accepted Answer

Based on your symptoms and medical history, it would be advisable to go for a TMT (Treadmill Test) to assess your cardiac function and determine if there are any underlying issues causing your symptoms. TMT is a stress test that helps evaluate how well your heart responds to exertion. It can provide valuable information about your heart's health and function, especially in cases where there are symptoms like shortness of breath and decreased exercise tolerance. It is a non-invasive test that can help in diagnosing any potential heart problems.

Ecg and chest x -ray is advised to the patient.

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