Question 1

I'm really worried after reading something about the COVID vaccine increasing the risk of blood clots and heart attacks, especially for people with high hscrp levels. My husband, who's 32, recently had an hsCRP test, and it came out to 1.7mgL. His cholesterol is also 227 with an LDL of 148. Should he think about starting ecosprin 75mg a week before he gets vaccinated and keep taking it for a few weeks after? I'm just trying to make sure we're doing everything we can to avoid any risks related to the vaccine. What do you suggest?

Accepted Answer

Elevated hs-CRP levels can indeed be a risk factor for blood clots and heart attacks. However, the decision to start taking ecosprin (aspirin) as a preventive measure should be made after consulting with a healthcare professional. In your husband's case, with an hs-CRP level of 1.7mgL, it is not considered very high. The current guidelines do not recommend routine aspirin therapy for primary prevention in individuals with low to moderate cardiovascular risk. It is important to consider the overall cardiovascular risk profile of your husband, including factors such as age, blood pressure, smoking status, and family history of heart disease. I recommend discussing these results with a healthcare provider to determine the most appropriate course of action regarding aspirin therapy before and after covid vaccination.

Question 2

I'm 30 years old and started having chest pain and tingling back in December 2016. I went through all the tests like ECG, 2D echo, and a stress test, and everything came back negative. They told me it's anxiety, so I've been on Depranex and Betacap. Lately, I've been getting this burning sensation that starts from my stomach or chest. It also feels like I'm being pricked on the left side of my chest and back. I'm really not sure what's going on with me, and it's making me worried. Could you give me some advice on what might be happening?

Accepted Answer

It sounds like you may be experiencing symptoms related to anxiety and possibly acid reflux. The burning sensation starting from the stomach or chest could be due to acid reflux, and the feeling of being pricked on the left side of the chest and back could be related to nerve pain or muscle tension. To address your symptoms, I recommend the following: - Continue taking Depranex for anxiety as prescribed. - For acid reflux and burning sensation, you can try taking Omeprazole (brand name: Prilosec) 20mg once daily before breakfast. - For nerve pain or muscle tension, you can try taking Gabapentin (brand name: Neurontin) 300mg once daily at bedtime. It's important to follow up with your healthcare provider for further evaluation and management of your symptoms.

Question 3

My dad recently had a heart attack and got a 40mm stent placed in his LAD. Is there still a chance he might need bypass surgery for that area later on?

Accepted Answer

Yes, it's possible your dad might need bypass surgery in the future, even after having a stent placed in his LAD. While stents are effective for opening blocked arteries, they don't address the underlying cause of the blockage, and there's a chance of restenosis (re-narrowing of the artery) or new blockages forming later

yes an ECG along with cardiac markers are advised to the patient. a psychiatric opinion is also advised to the patient

More Cardiology Health Queries

My dad recently had a heart attack and got a 40mm stent placed in his LAD. Is there still a chance he might need bypass surgery for that area later on?

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