apollo
  • Male
  • 62 Years
  • 22/01/2025

My dad was in the hospital, had an angiography, and they put a stent in his heart. Ever since, his heart rate's been all over the place, and he's been vomiting blood after eating or drinking. What's going on? Is this normal after a procedure like this, or should we be really concerned?

Doctor 1

Answered by 1 Apollo Doctors

cardiologist opinion.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a 27-year-old male with a family background of heart issues, and I've been struggling with some concerns about my health. I smoke and drink daily and recently got my tests done where my lipid profile showed high LDL, TG, Hscrp, and Lpa levels. I saw a cardiologist four months ago, and after undergoing an ECG and Stress Echo, everything was normal. However, I often have bronchitis, and a few days ago, I caught a cold and have had allergies. Lately, I've been feeling this pressure in the middle of my chest and having trouble breathing, along with dizziness while walking, which has been going on for around 34 days. There's also this dragging sensation on my left front shoulder. I went for another ECG, and it was normal, but there's still pressure in my throat and chest, with palpitations and anxiety. Could this be heart-related, or is something else going on?

It sounds like you may be experiencing symptoms related to your heart health, especially considering your family history of heart problems and your high lipid profile. Given your symptoms of pressure in the middle of the chest, breathing difficulties, dizziness, and dragging sensation on the left front shoulder, it is important to take these symptoms seriously. Considering your risk factors and symptoms, it would be advisable to start taking a medication to manage your high LDL, TG, Hscrp, and Lp(a) levels. I recommend starting with a statin medication like Atorvastatin 20mg once daily to help lower your cholesterol levels and reduce the risk of heart-related issues. Additionally, to help with your symptoms of chest pressure, palpitations, and anxiety, you can take a medication like Metoprolol 25mg twice daily to help manage these symptoms and reduce the workload on your heart. It is important to follow up with your cardiologist for further evaluation and management, as they may consider additional tests or adjustments to your treatment plan based on your current symptoms and risk factors.

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I've noticed my blood pressure has been fluctuating between 130 to 170 recently, but from yesterday, it's been around 140 to 156. What's really been worrying me is that my diastolic pressure stays pretty high, always between 90 and 110. I had an ECG done yesterday and it came back normal, and my TMT from last month was also fine. I do have a history of anxiety and I'm on medication for it, but my blood pressure usually stays normal even when I'm anxious. It's just been high for the past 4-5 days and I'm not sure what's causing it. What do you think I should do? Oh, and why is my diastolic pressure always high? I've had some mild chest pain sometimes too. Can you help me figure this out?

Your fluctuating blood pressure readings and consistently high diastolic pressure could be due to a combination of factors, including anxiety and other underlying health conditions. Since your ECG and TMT reports are normal, it's a good sign that there may not be any significant heart-related issues causing your symptoms. Given your history of anxiety and the recent increase in blood pressure, it's important to manage your stress levels and continue taking your anxiety medication as prescribed. Additionally, lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress-reducing activities may help in controlling your blood pressure. To address your high diastolic pressure, your doctor may consider prescribing medications such as Amlodipine (5-10mg) or Lisinopril (10-40mg) to help lower your blood pressure and reduce the strain on your heart. It's essential to follow your doctor's recommendations closely and monitor your blood pressure regularly. If you experience chest pain or any concerning symptoms, seek immediate medical attention. It's crucial to stay in touch with your healthcare provider for further evaluation and personalized management of your blood pressure and anxiety.

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I'm feeling like there's a weight on my chest, and every so often, it really hurts. I've had COVID twice but I'm on the mend now. I was thinking of getting a chest x-ray, but I noticed there are different kinds, like AP view and lateral view. I'm not sure which one I should go for. Can you help?

Patient is advised complete blood count,esr,C-reactive protein and chest x-ray pa view.

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