Question 1

I'm really confused and anxious about my heart health. Even though my CT angiography and troponin tests came back negative with no blockages, I can't shake this worry. I've been taking Concor 5 in the morning, and Cardace 5 and Ceruvin A at night. I also lost weight and quit smoking over the last year and a half. But I still keep stressing over the possibility of a heart attack. My blood pressure usually stays under control, between 12080 to 13085, but it tends to spike when I'm feeling really anxious about my heart. What should I do about these feelings and my health?

Accepted Answer

No need to worry,you are doing good maintain the same healthy life style,and you are using protective medicines already soo the risk of heartatack is already taken care,take adequate rest and have a regular follow up with your doctor

Question 2

I'm a bit concerned because I've been having chest pain for the past week. I got an echo done and it came out normal, but my TMT results showed mild positive for inducible ischemia. My cholesterol numbers are also worrying me - HDL is 34, triglycerides are at 195, and total cholesterol is 209. I don't smoke and I'm trying to follow the diet and lifestyle changes my cardiologist suggested but I'm still feeling worried. I'm 31 years old and my blood pressure is at 14080. Do you think I might need an angiogram?

Accepted Answer

Based on your symptoms and test results, it's important to continue following the advice of your cardiologist regarding diet changes and lifestyle activities. In addition, considering your age and the mild positive TMT result, an angiogram may be recommended to further evaluate any potential blockages in your coronary arteries. To help manage your cholesterol levels, you can consider taking Atorvastatin 20mg once daily to lower your total cholesterol and triglycerides. It's important to continue monitoring your blood pressure and cholesterol levels regularly.

Question 3

I've been having chest pain when I walk or go up stairs, so I got a CT angiography done. The report shows I have myocardial bridging of the proximal LAD, about 1.8 cm long. The doctor said not to worry and that no treatment is needed, but the pain on my left side isn't going away. Can you help me understand what this all means and what I should do next?

Accepted Answer

Since you are experiencing persistent chest pain despite the reassurance from your doctor, it may be helpful to consider medication to help manage your symptoms. You can try taking a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, under the guidance of your doctor. The usual starting dose for Diltiazem is 120 mg to 180 mg per day, taken in divided doses. This medication can help relax the smooth muscle in the walls of your coronary arteries and improve blood flow to the heart muscle, potentially reducing chest pain associated with your condition. However, please consult with your doctor before starting any new medication.

for conformation do 2d echo

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