Question 1

So my 76-year-old mom, who's diabetic, has been diagnosed with a triple vessel block and just had an acute anterolateral wall MI. I'm really worried and trying to figure out whether a stent or a bypass would be the better option for her. Could you help me understand the pros and cons of each? I'm kind of at a loss here and would really appreciate your guidance.

Accepted Answer

For a 76-year-old diabetic patient with triple vessel blockage and acute anterolateral wall MI, treatment options include:

Stent Placement

1. Percutaneous Coronary Intervention (PCI): Stenting can improve blood flow, but may require multiple procedures.
2. Advantages: Minimally invasive, quicker recovery.
3. Disadvantages: Higher restenosis risk, potential for stent thrombosis.

Bypass Surgery (Coronary Artery Bypass Grafting - CABG)

1. Surgical option: Bypass grafts reroute blood flow around blocked arteries.
2. Advantages: Higher success rate, lower restenosis risk, suitable for complex cases.
3. Disadvantages: Invasive, longer recovery, potential for graft failure.

Question 2

I'm taking 40 mg of Inderal daily since August 2019, but I switched to 20 mg last month. My pulse seems okay now. I also have thyroid issues, but they're under control at the moment. Could you guide me on how to safely stop taking Inderal?

Accepted Answer

take tab inderal 10 mg for another 6 months and then stop gradually..

Question 3

I've been dealing with chest pain for the past three months that comes and goes, and it often spreads to my left shoulder, arm, and even my jaw. Sometimes I get dizzy too. I had COVID before, and now I'm also experiencing some breathing issues since last week. I saw a cardiologist, and the ECG, trop test, and chest X-ray all showed nothing unusual. I had an echo and a TMT done today. Can you help me understand what's going on? What could be causing my symptoms if all these tests are normal?

Accepted Answer

Based on your symptoms and the tests you have undergone, it seems like you may be experiencing symptoms of angina or coronary artery disease. Since your ECG, troponin test, chest X-ray, echo, and TMT are normal, it is important to continue monitoring your symptoms and follow up with your cardiologist for further evaluation. In the meantime, you can take medications like Aspirin 75mg once daily to help reduce the risk of heart attack, and medications like Atorvastatin 20mg once daily to manage cholesterol levels. Additionally, Nitroglycerin sublingual tablets can be taken as needed for chest pain relief. It is also important to make lifestyle changes such as maintaining a healthy diet, regular exercise, quitting smoking (if applicable), and managing stress to improve your overall heart health. If your symptoms persist or worsen, please consult your cardiologist for further evaluation and management.

Ive got rheumatoid arthritis, hypertension, and Hashimotos. I just had an ECG at a walk-in clinic for a pre-op check-up and it showed non-specific T wave abnormality and possible left atrial enlargement. Can you explain what that means? Should I be worried and see a cardiologist about it?

More Cardiology Health Queries

I'm taking 40 mg of Inderal daily since August 2019, but I switched to 20 mg last month. My pulse seems okay now. I also have thyroid issues, but they're under control at the moment. Could you guide me on how to safely stop taking Inderal?

Health Articles for you

Understanding the Golden Hour for Stroke

Guide to Holter Monitoring

Pre-Heart Attack Warning Signs to Know

Different Types of Heart Disease

Sleep Issues Post-Heart Attack: Understanding and Improving Sleep Quality