Question 1

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.

Question 2

I'm really curious about something regarding a heart failure patient who has COPD, severe LV dysfunction, hypothyroidism, hypertension, and hyponatremia. Why would Montair LC be prescribed in this case? I've heard it being used for respiratory conditions, but I'm not sure how it fits into the treatment for someone with such a complex medical history. Could you help me understand?

Accepted Answer

Montair LC is given to heart failure patients with COPD, severe LV dysfunction, hypothyroidism, HTN, and hyponatremia to help manage their asthma symptoms. Montair LC is a combination medication containing Montelukast and Levocetirizine. Montelukast helps in reducing inflammation in the airways, which can be beneficial for patients with COPD and asthma. Levocetirizine is an antihistamine that can help relieve symptoms such as sneezing, runny nose, and itching caused by allergies. The dosage of Montair LC can vary depending on the patient's condition, so it is important to follow the prescribed dosage by your healthcare provider.

Question 3

Every time I smoke weed, I start feeling this pain in my left shoulder and arm. It began in early February, and I've been smoking marijuana since January 2016. I know I have generalized anxiety disorder, and I'm anxious about heart attacks because I heard weed can speed up heart rate. I've been to doctors many times and had several EKGs, Cardiac Enzyme Tests, and even a resting Electrocardiogram. They all said my heart's fine, and so did my cardiologist, though I never mentioned my weed use to them. The pain sometimes happens when I'm not high, but it definitely seems worse when I am. I get really in my head about this stuff when I'm high. Im aware that sudden heart attacks from weed are super rare and that lots of people over 50 use it, but I'd still like some advice on how to feel more at ease. I'm a 17-year-old male, not very active, weighing 240 lbs, and my resting heart rate is between 65 and 80 BPM.

Accepted Answer

It sounds like you may be experiencing musculoskeletal pain exacerbated by your anxiety when using marijuana. Given your history of generalized anxiety disorder and the fact that your shoulder and arm pain worsens when you smoke weed, it's important to address both the physical and psychological aspects of your symptoms. To help alleviate your symptoms and manage your anxiety, I recommend trying over-the-counter pain relievers such as acetaminophen or ibuprofen for your shoulder and arm pain. Additionally, considering your anxiety, you may benefit from therapy or counseling to address your worries and fears related to using marijuana. In terms of your anxiety about heart issues, it's reassuring that your cardiac tests have come back normal. However, it's essential to consider the impact of marijuana on your symptoms. To address your concerns about heart health while using marijuana, you may want to consider reducing or avoiding its use. It's also crucial to focus on maintaining a healthy lifestyle, including regular physical activity and a balanced diet, to support your overall well-being. If your symptoms persist or worsen, it's important to follow up with your healthcare provider for further evaluation and management. Remember, taking care of your physical and mental health is essential. If you have any concerns or questions, don't hesitate to reach out for support.

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