Question 1

I'm a bit concerned about my health and would really appreciate some advice. Back in May 2017, I had an angioplasty and have been keeping up with my meds and exercises since then. Currently, I'm on cilacar for my blood pressure and crevast 7510. I used to take ecosprin 7520, but my ENT doctor suggested that it could have been causing my nasal block and sinus issues. I've had two nasal surgeries to remove polyps, and I've been on crevast for the past month. So, I'm just wondering how often I should be getting my ECG, treadmill, echo, and other tests done. I've been doing lab tests every three months and everything's come back normal. Any guidance on this would be really helpful.

Accepted Answer

it is important to monitor your heart health regularly. Since you have already been taking lab tests once every three months and they have been normal, it is recommended to continue with this frequency for now. Additionally, it is advisable to undergo an ECG, treadmill test, and echo once every 6-12 months to assess your heart function and overall cardiovascular health. However, the frequency of these tests may vary based on your individual health condition and any specific recommendations from your cardiologist.

Question 2

I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he was on Brilinta, but they told him to stop because his platelet count dropped to 58,000. He's having chest pain now, and I'm wondering what we should be doing here? Is his health in serious risk? What steps should we take to manage this situation?

Accepted Answer

Given the patient's history of angioplasty, a 70% arterial blockage, elevated creatinine level of 3.2, and low platelet count of 58,000, the current chest pain is concerning and requires immediate medical attention. The discontinuation of Brilinta due to low platelet counts increases the risk of clot formation. The patient should be evaluated urgently by a cardiologist and a nephrologist to manage both the cardiac and renal issues. Alternative anti-platelet strategies may be needed, and continuous cardiac monitoring, possibly including a coronary angiogram, should be performed. A multidisciplinary approach involving cardiologists, nephrologists, and hematologists is essential to address the complexities of his condition

Question 3

I'm a 43-year-old guy, and I've been dealing with some chest pain, so I had an echocardiogram done. They found grade 1 diastolic dysfunction. My blood pressure's been a bit off too; usually, the systolic pressure is between 120 and 126, but the diastolic is always around 90 to 96. I've also been taking Roseday 10mg for a few months since my LDL cholesterol was slightly above the borderline. I'm really curious if I should be on any medication for my blood pressure and if I should be concerned about this diastolic dysfunction thing. Does it get worse over time?

Accepted Answer

Consider medication for high diastolic BP, especially since its consistently elevated.
Continue your current medication (Roseday) for cholesterol management, but ensure your BP is addressed as well.
Be proactive about lifestyle changes, such as diet, exercise, and stress management.
Regularly monitor your heart function and consult your cardiologist for any necessary adjustments.

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

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