Question 1

What is the reason of hypertension?

Accepted Answer

A diet high in salt, fat, and/or cholesterol. Chronic conditions such as kidney and hormone problems, diabetes, high cholesterol, family history and sedantary lifestyle

Question 2

I've been having some discomfort in my left arm, mostly around the shoulder joint and it also reaches down to my wrist. It's not super intense, but the pain is noticeable. Occasionally, I also experience a chest pain on the left side that comes and goes, but it usually feels better after I burp a few times. Does anyone know if this could be a heart issue, just gastric pain, or maybe something else? I did get a general health check-up last year, including heart tests like ECG, chest X-ray, and treadmill test, and everything was normal back then. Any thoughts on what this might be?

Accepted Answer

Immediate Actions*

1. *Schedule a doctor's appointment*: Book an appointment with your primary care physician or a hematologist (blood specialist) to discuss your symptoms.
2. *Keep a bruising journal*: Document the location, size, and duration of each bruise to help your doctor identify patterns.

*Potential Causes*

1. *Bleeding disorders*: Conditions like thrombocytopenia (low platelet count) or von Willebrand disease may cause easy bruising.
2. *Vitamin deficiencies*: Lack of vitamins like C, K, or B12 can affect blood clotting and lead to bruising.
3. *Autoimmune disorders*: Conditions like lupus or rheumatoid arthritis can cause bruising and joint pain.
4. *Medication side effects*: Certain medications, such as blood thinners or steroids, can increase bruising.

*Tests and Examinations*

1. *Complete Blood Count (CBC)*: To check for bleeding disorders or vitamin deficiencies.
2. *Blood clotting tests*: To assess your blood's ability to clot.
3. *Physical examination*: To check for signs of autoimmune disorders or other underlying conditions.

*What to Expect*

1. *Discussion of symptoms*: Share your bruising journal and discuss your symptoms with your doctor.
2. *Diagnostic tests*: Undergo tests to determine the underlying cause of your bruising.
3. *Treatment plan*: Based on the diagnosis, your doctor will create a treatment plan to address the underlying condition.

Question 3

My final diagnosis shows mitral annular calcification with concentric LVH and RWMA in the LCX territory. There's mild LV dysfunction with an LVEF of 49%, trivial MR, and grade 1 diastolic dysfunction. No TR or PE was noted. Do I need surgery for this, or what treatment options should I consider? I'm 65 and a bit worried about the next steps.

Accepted Answer

Given your diagnosis of mitral annular calcification, concentric LVH, RWMA in the LCX territory, mild LV dysfunction (LVEF 49%), trivial MR, and grade 1 diastolic dysfunction, you don't necessarily need surgery for the mitral annular calcification itself. The focus should be on managing the LV dysfunction, coronary artery disease (CAD), and potential issues related to the RWMA.

I've just gotten over COVID, and I've noticed some changes in my heart rate. When I'm at rest, it's okay around 70-95, but when I climb stairs, it spikes to between 160-165. Even when I'm just walking at a pace of 5 kmh, it's around 130-140. Is this normal post-COVID, or should I be concerned?

ecg and trop t are advised to the patient..

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