Question 1

I've been dealing with some stuff after getting COVID and it's kind of worrying me. So, I'm a 22-year-old guy, and after COVID I noticed my heart rate was going up. My doctor put me on Nebicard 2.5, and I've been taking it since November 2021. It's helped with slowing my heart rate, but now it's sometimes dropping below 60 bpm. At home, my blood pressure readings are like 109121 with 6075 and sometimes 11569. But whenever I go to the doctor's office, it spikes because I'm so nervous. All my ECG and echo tests look normal though. Is there a way for me to maybe reduce the dosage of Nebicard? I'm trying to figure out if that's something I should be doing or if I should keep going as is. Can you give me some advice on this?

Accepted Answer

Since your heart rate has been well controlled with Nebicard 2.5 and your ECG and echo results are normal, it is important to consult with your doctor before making any changes to your medication dosage. However, if you are looking to reduce the dosage, you can discuss with your doctor about switching to Nebicard 2.5 every other day or reducing the dosage to Nebicard 1.25 under their guidance. It is important to monitor your heart rate and blood pressure regularly while adjusting the dosage.

Question 2

I'm 46 and worried about heart disease. What can I do to prevent it or even reverse it? My blood pressure is at 13588, HDL is 30, LDL is 80, and triglycerides are 150. I've had a CT Calcium score of 12, which isn't great for my age since it puts me in the 81 range. I'm on a BP med, 10mg statin, fish oil, garlic, Vitamin D, aspirin, CoQ10, and other stuff. There's no family history of heart disease, and I've been sticking to a low-fat diet for ages, so I was really surprised with the Calcium score. Any advice on what I could be doing differently?

Accepted Answer

To prevent and reverse heart disease, it's important to make some lifestyle changes. Despite your efforts with a low-fat diet, your CT Calcium score of 12 indicates some level of coronary artery calcification, which can be a sign of early heart disease. Here are some recommendations based on your current medications and supplements: 1. Blood Pressure Medication: Continue taking your BP medication as prescribed to keep your blood pressure under control. 2. Statin (10mg): This medication helps lower LDL cholesterol. Consider discussing with your doctor about potentially increasing the dosage based on your current LDL level of 80. 3. Fish Oil: Omega-3 fatty acids in fish oil can help lower triglycerides. Consider increasing the dosage to further improve your triglyceride levels. 4. Garlic: Garlic supplements may have some cardiovascular benefits. Continue taking it as it may help with overall heart health. 5. Vitamin D: Ensure you are getting enough Vitamin D through supplements or sunlight exposure, as Vitamin D deficiency can be linked to heart disease. 6. Aspirin: Aspirin is often recommended for its blood-thinning properties. Continue taking it as prescribed by your doctor. 7. CoQ10: Coenzyme Q10 is an antioxidant that may help improve heart health. Continue taking it for its potential benefits. In addition to your current regimen, here are some additional recommendations to consider: - Increase physical activity: Aim for at least 150 minutes of moderate-intensity exercise per week. - Improve diet: Consider a heart-healthy diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats like those found in nuts and olive oil. - Stress management: Practice stress-reducing activities like yoga, meditation, or deep breathing exercises. - Regular check-ups: Continue monitoring your cholesterol levels, blood pressure, and overall heart health with regular visits to your healthcare provider. By making these lifestyle changes and working closely with your healthcare provider, you can further reduce your risk of heart disease and potentially reverse some of the early signs of coronary artery calcification.

Question 3

I'm trying to understand what a left anterior hemiblock means when it shows up on an ECG. Should I be worried about it? Is there a need for any kind of treatment, or is it something that won't affect my health too much?

Accepted Answer

Left anterior hemiblock (LAHB) on an ECG indicates an abnormality in the electrical conduction pathway of the heart, specifically affecting the left anterior fascicle of the left bundle branch. While LAHB can be benign in some individuals, it can also be associated with underlying heart conditions such as hypertension, ischemic heart disease, or cardiomyopathies. Whether it requires treatment depends on the presence of symptoms and any underlying heart conditions. It's important to consult with your cardiologist for a comprehensive evaluation to determine the significance of LAHB in your case and to discuss whether any further tests or treatments are necessary.

do ECG and proceed

More Cardiology Health Queries

I'm trying to understand what a left anterior hemiblock means when it shows up on an ECG. Should I be worried about it? Is there a need for any kind of treatment, or is it something that won't affect my health too much?

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