apollo
  • Male
  • 48 Years
  • 29/01/2025

I've been having sweating and breathlessness when going up the stairs, and there's some numbness in my palm along with a light pain in my chest. I talked to a cardiologist who's pretty experienced, and after checking out my echo report, they've suggested I get an angiography. I'm really unsure about whether I should go through with it. Could you give me some advice on this? I would really appreciate a quick response.

Doctor 1

Answered by 1 Apollo Doctors

Based on your symptoms and the recommendation of your cardiologist, undergoing angiography would be important to assess the condition of your heart vessels. This procedure can provide detailed information about any blockages or narrowing in the arteries supplying your heart. It will help in determining the best course of treatment for your condition. Please follow your cardiologist's advice and proceed with the angiography as recommended.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really worried about my dad. He recently had an acute heart attack, and he's 68. Thankfully, he's stable now, but he's also dealing with diabetes. We consulted a cardiologist and decided not to do the angiography because his serum creatinine level was around 1.7, which was a bit high. He's on medication at the moment. Our cardiologist mentioned vaccines called Pulmovac and Vomimp for his heart. I'm curious to know if these vaccines are helpful and if there are any potential side effects I should be aware of.

Pulmovac is a vaccine that helps in preventing pneumonia, which is important in individuals with heart conditions to reduce the risk of respiratory infections. Vomimp is a vaccine that helps in preventing influenza, which is crucial in maintaining overall health and reducing the risk of complications in individuals with heart problems. Both vaccines are generally safe and well-tolerated, with common side effects being mild and temporary such as redness or swelling at the injection site, low-grade fever, or body aches. It is recommended for your father to follow the cardiologist's advice and get vaccinated to protect his heart health. The dosage and schedule for these vaccines will be provided by the healthcare provider administering them.

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I recently had a TMT test and got a negative result, but a couple of PVCs showed up during the test. Should I be worried about this? Is there any treatment or something I should consider?

Premature Ventricular Contractions (PVCs) are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). Occasional PVCs are typically harmless, especially if you have no underlying heart disease. However, if you are experiencing frequent PVCs or have a history of heart disease, it is important to consult with a cardiologist for further evaluation. In terms of treatment, if PVCs are causing symptoms or are frequent, your doctor may prescribe antiarrhythmic medications such as **Metoprolol** at a specific dosage to help reduce the occurrence of PVCs and manage any associated symptoms. Additionally, lifestyle changes such as reducing caffeine and alcohol intake, managing stress, and getting regular exercise may also help in managing PVCs. Remember, it is important to follow up with your healthcare provider for a personalized treatment plan based on your individual health needs.

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I'm working from home and I've had some episodes of heart palpitations like 4 or 5 times, along with mild giddiness, but I was able to walk around during those times. That's really all I felt back then. Just to be safe, I went through all the heart tests twiceECG, echo, TMT, chest X-ray, and blood testsand they all came back normal. But my blood pressure and LDL are a bit high, around 140. I've never experienced this before working from home, and nothing's happened for the last 67 months. However, I've been having these symptoms lately: a pinpoint mild pain in my left chest that only lasts a few seconds, sometimes a fluttering or pounding feeling in my left chest or other body parts, and occasionally I feel dizzy, lightheaded, or like I'm floating. So, I'm wondering if this is a heart-related issue or something else entirely, and whatever it is, what can I do to make these symptoms stop? I'm really worried that something bad might happen to me.

Based on your description, it is good that you have already undergone several heart tests which came back normal. The symptoms you are experiencing could be related to anxiety or stress. However, it is important to continue monitoring your blood pressure and LDL levels and make necessary lifestyle changes to improve them. To address the occasional mild chest pain and flutteringpounding sensation in your left chest, you can try taking a low dose of a beta-blocker medication like Metoprolol (25mg) once daily to help with palpitations and chest discomfort. Additionally, for the giddiness and lightheadedness, you can take a daily dose of Aspirin (75mg) to improve blood flow. It is also advisable to practice stress-reducing techniques such as deep breathing exercises, yoga, or meditation to help manage your symptoms. If the symptoms persist or worsen, it would be beneficial to consult with a cardiologist for further evaluation and management.

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