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 noticing my heart beats a lot when I'm climbing stairs, and I'm feeling a sensation in my ears because of it. Is this something dangerous? I've heard a bit about mild MRV in 2D imagingshould I be concerned about that in this context? What do you ...

echo test and cardiac opinion.

Last updated on 22 Jan 2025

Share

Accepted Answer

echo test and cardiac opinion.

Question 3

I've been dealing with high blood pressure, like around 15080, for a bit now, and my doctors assistant put me on Stamlo 10mg twice a day. Over time, they gradually reduced it to 10mg once a day, then to 5mg, then 2.5mg, and finally half of 2.5mg beca...

nothing will happen you follow regular check ups

Last updated on 07 Feb 2025

Share

Accepted Answer

nothing will happen you follow regular check ups

Question 4

I'm really stressed about my recent health issues. My blood pressure was 190100 two weeks ago, and I've been on medication since then. I've checked a couple of times after starting the meds, and my bp was 15090 and another time 17090. It's worrying m...

Accepted Answer

It is common for blood pressure levels to take some time to stabilize after starting medication. In your case, since your initial blood pressure reading was high at 190100, it may take a few weeks for the medication to fully lower your blood pressure to a normal range. The random pains in your left neck and shoulder could be related to muscle tension or other factors, but it's good that you have already consulted a cardiologist who found your ECG and echo to be normal. Regarding your vitamin deficiencies and high blood sugar, it's important to continue taking your supplements and medication as prescribed. For high blood pressure, it's essential to follow your doctor's advice and medication regimen consistently. One commonly prescribed medication for high blood pressure is Losartan, typically starting at a dosage of 50mg once daily. It's crucial to monitor your blood pressure regularly and report any persistent symptoms or concerns to your healthcare provider for further evaluation and management.

Question 5

I've just turned 17, and I'm trying to understand my lvef count, which is at 75. Is this something normal for someone my age? Any insights you could share would be really helpful because I'm a bit concerned.

Accepted Answer

An ejection fraction (EF) of 75% is considered normal and indicates good heart function. There is no need to worry about this result. Just continue to maintain a healthy lifestyle with regular exercise and a balanced diet.

Question 6

I'm a 22-year-old female and I've just discovered my total cholesterol is 265 with non-HDL at 205 and LDL at 188. I don't have any family history of cholesterol issues and I eat pretty well. Two months ago, I was in an accident, hurt my head, and had...

Accepted Answer

Total cholesterol of 265, non-HDL of 205, and LDL of 188 in a 22-year-old female with no family history of cholesterol issues and a decent diet is indeed concerning. The fact that you have been on levipil for the past 2 months and have a vitamin D deficiency could be contributing factors to your high cholesterol levels. Levipil is known to potentially affect lipid metabolism and increase cholesterol levels in some individuals. To help control your cholesterol levels, it is important to address the underlying factors. Firstly, I would recommend discussing with your healthcare provider about the possibility of switching to an alternative medication that may have less impact on your lipid profile. In terms of managing your vitamin D deficiency, supplementation with vitamin D can be beneficial. In addition to these measures, lifestyle modifications can also play a crucial role in managing cholesterol levels. This includes following a heart-healthy diet low in saturated fats and cholesterol, engaging in regular physical activity, maintaining a healthy weight, and avoiding smoking. If despite these interventions your cholesterol levels remain high, your healthcare provider may consider prescribing cholesterol-lowering medications such as atorvastatin or rosuvastatin at appropriate dosages to help bring your levels under control. Regular monitoring of your cholesterol levels will also be important to track your progress. Remember, it's important to address all potential contributing factors and work closely with your healthcare provider to develop a comprehensive plan to manage your cholesterol levels effectively.

Consult Top Cardiologists

Dr. Tripti Deb

Dr. Sumanta Chatterjee

Dr.t . Naveen

Dr. Kapil Rangan

Related Questions

I'm noticing my heart beats a lot when I'm climbing stairs, and I'm feeling a sensation in my ears because of it. Is this something dangerous? I've heard a bit about mild MRV in 2D imagingshould I be concerned about that in this context? What do you ...

I've been dealing with high blood pressure, like around 15080, for a bit now, and my doctors assistant put me on Stamlo 10mg twice a day. Over time, they gradually reduced it to 10mg once a day, then to 5mg, then 2.5mg, and finally half of 2.5mg beca...

I'm really stressed about my recent health issues. My blood pressure was 190100 two weeks ago, and I've been on medication since then. I've checked a couple of times after starting the meds, and my bp was 15090 and another time 17090. It's worrying m...

I've just turned 17, and I'm trying to understand my lvef count, which is at 75. Is this something normal for someone my age? Any insights you could share would be really helpful because I'm a bit concerned.

I'm a 22-year-old female and I've just discovered my total cholesterol is 265 with non-HDL at 205 and LDL at 188. I don't have any family history of cholesterol issues and I eat pretty well. Two months ago, I was in an accident, hurt my head, and had...

Cardiology

Get medicines delivered in 2 hrs