Question 1

I'm really worried because my mom recently had a heart attack and her LVEF is at 25. We have her on Zoryl twice a day to help with her diabetes, and we're planning on getting her blood sugar tested soon to see if it's working. But I'm really concerned about her NTproBNP levels being so high. Is this something that needs another medication to manage? Should I be really worried about the high NTproBNP levels, and does it pose a serious threat to her health right now? Any advice you could give would really help.

Accepted Answer

For acidity, consider:

Lifestyle changes: Avoid spicy fatty foods, eat smaller meals, and manage stress.
Over-the-counter antacids or acid reducers like ranitidine or omeprazole.
Probiotics to maintain gut health.

A body temperature of 98.5F (36.9C) is within the normal range.

Normal body temperature ranges from 97.7F to 99.5F (36.5C to 37.5C).

Consult your doctor if you experience persistent acidity or other concerning symptoms.

Question 2

My mom recently had a TMT test, and it showed a mild positive for inducible ischemia. The thing is, she didnt feel any pain or discomfort during the test. The doctor suggested we should go for an angiogram, but she's planning to go abroad for six months. Is it okay if we wait and do the angio after she comes back? Should we be concerned about waiting that long?

Accepted Answer

It is important to follow your doctor's advice regarding the timing of the angiogram. However, in cases of mild positive inducible ischemia without symptoms, it may be possible to wait for 6 months before undergoing the angiogram. It is important to monitor your mother's symptoms and follow up with her doctor regularly during this time. If any new symptoms develop or if there are any changes in her health status, it is important to consult with her doctor earlier.

Question 3

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.

A colour doppler flow venous test is advised to the patient and cardiac opinion ..

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