Question 1

I'm looking for some advice. My husband, who's 29 and weighs around 92 kg, has been feeling a pinching sensation in his chest and some pain in his left arm for about 45 days now. He's a non-smoker, drinks occasionally, and his parents both had heart attacks before. Our cardio doctor suggested a CT coronary angio test, which is non-invasive. About six months ago, he had episodes of increased heartbeats, anxiety, and sweating, and we did a bunch of tests like the 2D Echo Doppler, TMT, and trop T, which all came back normal in September 2018. I'm wondering if this is a good step to take to get more clarity on what's happening with him. Are there any side effects from this test we should be aware of, and is there anything specific we should do to prepare before he takes the test?

Accepted Answer

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

Question 2

I'm worried about my heart. I've done a bunch of tests like ECG, echo, TMT, and stress echo, and everything's come back normal. But every time I have something like gastric pain or even just diarrhea, I can't shake this fear that I'm having a heart attack. Could this be cardiac anxiety, or is there something else I should worry about? Also, my blood tests were normal except my vitamin D was 13.56 Ngml and B12 was 173.8 ofml. Should I be concerned about those levels?

Accepted Answer

It sounds like you are experiencing significant anxiety about your heart health, despite having normal cardiac test results. This type of anxiety, often referred to as cardiac anxiety or health anxiety, can cause you to worry excessively about having heart problems even when tests repeatedly show that everything is normal. Your low levels of 25-hydroxyvitamin D (13.56 ngmL) and vitamin B12 (173.8 pmolL) should be addressed, as deficiencies in these vitamins can contribute to overall feelings of fatigue and possibly anxiety.

To manage your cardiac anxiety, consider the following steps:
1. Consult a mental health professional: Cognitive-behavioral therapy (CBT) can be very effective in managing health anxiety.
2. Lifestyle changes: Regular exercise, a balanced diet, and mindfulness or relaxation techniques can help reduce anxiety.
3. Vitamin supplementation: Your healthcare provider can recommend appropriate vitamin D and B12 supplements to address your deficiencies.

Please discuss your anxiety and vitamin deficiencies with your healthcare provider to develop a comprehensive plan for managing your health and anxiety.

Question 3

I have dental caries in 89 teeth and need extractions but I'm on Clopilet A 75 for my CAD with a stent. My dentist says to stop antiplatelet meds for a week before surgery but I'm not sure if it's safe. I take Metrogyl and Augmentin occasionally for infections and mostly eat soft foods. Can I really pause my antiplatelet meds for that long without risking my heart?

Accepted Answer

It's understandable to be concerned about stopping your antiplatelet medication. While some dentists recommend pausing antiplatelet drugs before dental extractions, it's generally not considered necessary, especially for procedures like extractions that have a low risk of bleeding. Dental extractions can be performed safely without stopping these medications as long as appropriate local hemostatic measures are taken.

continue both the medications..

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