Question 1

Greetings, doctors. I'm really worried about my heart. I'm 36, weigh 45 kg, and stand 5'4". I've been through countless tests like ECG, echo, TMT, and USG, and they all show I'm normal. Despite this, I'm terrified that I'll die of a heart attack. I witnessed my cousin's grandmother die from a heart issue right in front of me a couple of years ago, and ever since, Ive been living in fear. Because of this fear, my heart's always palpitating, I have difficulty breathing, feel dizzy, and get chest pains sometimes. Even when I had palpitations, my ECG showed normal at 116 bpm. My blood pressure is also steady, usually at 12080 or 70. It's scary, and I've even quit my job over this stress. All my tests like thyroid, KFT, lipid, vitamins, and LFT are also normal. Should I consider coronary angiography or maybe something else? I'm just feeling lost and need guidance, please.

Accepted Answer

It sounds like you are experiencing a lot of anxiety and fear related to your heart health. Given your age, weight, and the normal test results you have mentioned, it is less likely that you have a serious heart condition. The symptoms you are describing, such as palpitations, difficulty breathing, dizziness, and chest pain, could be related to anxiety and panic attacks. To help alleviate your fears and symptoms, I recommend trying a medication called **Propranolol**. It is a beta-blocker that can help with palpitations, chest pain, and anxiety. You can start with a low dose of **10mg** once a day and gradually increase it as needed under medical supervision. In addition to medication, it would be beneficial for you to seek counseling or therapy to address the underlying anxiety and fear you are experiencing. **Sertraline** is an antidepressant that can also help with anxiety. You can start with a dose of **25mg** daily and adjust as needed. Remember to practice relaxation techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms. It is important to take care of your mental health as well as your physical health. If your symptoms persist or worsen, do not hesitate to follow up with a healthcare provider for further evaluation and support.

Question 2

I'm 22 and was recently at the cardiologist because I've noticed more skipped heartbeats. They did some tests like a TMT echo and an X-ray and said my heart's fine, but during the echo, there were some skipped beats. The doctor saw this and put me on Met XL 25, saying it's for long-term use. I've got a few worries thoughshould I be taking this medication at such a young age? Is it going to cause any issues in the future, especially if I occasionally forget a dose? My blood pressure is normal. Can you help me understand this better?

Accepted Answer

The medication prescribed to you by your cardiologist, Met XL 25, is a commonly used brand name for Metoprolol, which is a beta-blocker. It is often prescribed to manage various heart conditions, including irregular heartbeats. The dosage for Met XL 25 is usually one tablet once a day. Starting Metoprolol at a younger age, like 22 years old, is not uncommon, especially if you have been experiencing skipped heartbeats. It is important to follow your doctor's advice and take the medication as prescribed. In the long run, taking Metoprolol as directed should help manage your symptoms and improve your heart health. If you forget to take a dose of Met XL 25, simply take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. It is important not to double up on doses to make up for a missed one. Overall, Met XL 25 can be beneficial for managing your skipped heartbeats, and as long as you take it as prescribed by your doctor, there should not be any significant issues in the long run.

Question 3

I've got a weak heart and I'm dealing with blood pressure and cholesterol issues. My doctor has prescribed me a bunch of medications: Telemikind 40, Rosuvas, Prolomet XL 40, Clopilet, Finate 160, Rabekind, Amlopin 10, and Homocheck. Is this the right combination for my condition?

Accepted Answer

The medications you listed are commonly used for heart conditions and managing cholesterol levels. Here is the breakdown of the medications and their dosages: - Telemikind 40 (Telmisartan 40mg): This is used to treat high blood pressure. - Rosuvas (Rosuvastatin): This is used to lower cholesterol levels. - Prolomet XL 40 (Metoprolol ER 40mg): This is a beta-blocker used to treat high blood pressure and heart conditions. - Clopilet 75 (Clopidogrel 75mg): This is an antiplatelet medication to prevent blood clots. - Finate 160 (Fenofibrate 160mg): This is used to lower cholesterol and triglyceride levels. - Rabekind (Rabeprazole): This is a proton pump inhibitor used to reduce stomach acid. - Amlopin 10 (Amlodipine 10mg): This is used to treat high blood pressure and chest pain. - Homocheck: I am not familiar with this specific medication. It is possible that it is a supplement or a combination product. It's important to take these medications as prescribed by your doctor and attend regular follow-up appointments to monitor your condition.

That could be GERD avoid late night eating and consume bland diet and maintain healthy lifestyle.

More Cardiology Health Queries

I've got a weak heart and I'm dealing with blood pressure and cholesterol issues. My doctor has prescribed me a bunch of medications: Telemikind 40, Rosuvas, Prolomet XL 40, Clopilet, Finate 160, Rabekind, Amlopin 10, and Homocheck. Is this the right combination for my condition?

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