Question 1

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?

Accepted Answer

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Question 2

I've been having these chest pains that come and gosometimes they're just a few seconds, other times they last for a few hours. It's mostly around the left side of my chest, but I don't have any trouble breathing, even after running, and there's no pain spreading to my neck or shoulder. I've been trying Pantoprazole for a while, but it hasn't really helped. What could be going on? Any advice would be appreciated.

Accepted Answer

"Chest pain on the left side that lasts for a few seconds to a few hours and no breathing issues after running could be due to musculoskeletal pain, anxiety, or even heart-related issues. Since Pantoprazole has not been effective, I recommend trying over-the-counter pain relievers like Acetaminophen at a dose of 500mg to 1000mg every 4-6 hours as needed for pain. Additionally, you can try a muscle relaxant like Cyclobenzaprine at a dose of 5mg to 10mg three times a day. If the pain persists or worsens, it is important to seek further evaluation from a healthcare professional for proper diagnosis and management."

Question 3

I'm a bit concerned about my husband. We checked his blood pressure yesterday, and it was 13392 with a heart rate of 82. Hes not really having any major problems, but lately, he sometimes feels a burning sensation in his chest and a very minor, frequent pain. He does exercise regularly. He's 33 years old now, and about two years ago, his BP was 12080, then last year it was 13080. Do you think we should be worried or get some tests done?

Accepted Answer

The blood pressure reading of 13392 is slightly elevated, especially the diastolic pressure of 92. Given the history of occasional burning in the chest and minor frequent pain, it would be advisable for your husband to undergo a thorough evaluation. I recommend he consult with a healthcare provider for further assessment. It would be beneficial to perform tests such as an ECG (Electrocardiogram) to assess heart function, as well as blood tests to check for any underlying conditions such as cholesterol levels or thyroid function. Additionally, a stress test may be considered to evaluate his heart's response to physical activity. In the meantime, it is important to continue with regular exercise and maintain a healthy lifestyle.

continue same medications, lipid panel is advised and physician opinion..

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