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

My mom's in the hospital with what's been diagnosed as an MUI heart attack. The doc's saying there's two blockages: one in the LAD that's 80% and another in the LCX at 99%. They've recommended doing angioplasty twicefirst for the LCX, then for the LAD. Is it really necessary to go through the procedure twice? Would love some advice on this.

Accepted Answer

In cases where multiple coronary arteries have significant blockages, it is not uncommon for doctors to perform angioplasty on separate occasions to address each blockage individually. This approach allows for better management of the procedure and reduces the risk of complications. It is important to follow the advice of your healthcare provider in this situation. The doctor may recommend starting with the LCX artery due to the higher percentage of blockage before proceeding to the LAD artery. The specific medications and dosages will be determined by the healthcare team based on your mother's individual condition.

Question 3

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.

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

More Cardiology Health Queries

Health Articles for you

Guide to Ensuring Healthy Heartbeats

Overview of Congestive Heart Failure

Types of Arrhythmias Explained

How Stress Impacts Heart Health: Symptoms, Prevention and Management Tips

10 Common Causes of Stroke