- male
- 50 Years
- 31/03/2021
What should we do when BP is high?
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View allI'm really worried about my 37-year-old brother. He's been having this mild chest pain for a few months now, right in the heart area, and it sometimes radiates to his arms and back. We had an ECG, a TMT which showed a borderline positive at 10 Mets, and an echo doneall normal, and the coronary angiogram was normal too. The local doctor said it's non-cardiac and just gave him painkillers, but I'm not so sure. Could this be microvascular angina since the TMT was mildly positive and the angiogram came back normal? The pain just comes and goes for him, and it's really concerning. Do you have any advice on what this might be?
Based on the symptoms described and the test results provided, it is possible that your brother is experiencing microvascular angina. In such cases, medications like Ranolazine can be prescribed to help with the chest pain. The usual dosage for Ranolazine is 500mg to 1000mg twice daily. However, it is important to consult with a healthcare professional for a proper diagnosis and treatment plan.
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I'm wondering if I should consider getting an angiography. This morning I had a TMT, and back in 2012, I had a stent surgery because of a blockage. I have all the screenshots of my TMT report. What do you think?
Based on your history of stent surgery in 2012 and the recent TMT conducted in the morning, it is important to assess the current status of your coronary arteries to determine if there is any blockage or narrowing that may require intervention. Angiography is a common procedure used to visualize the coronary arteries and identify any blockages. Considering your history and the recent TMT results, it would be advisable to proceed with angiography to get a clearer picture of the condition of your coronary arteries. This will help in determining the appropriate course of action, whether it involves medical management, further interventions, or monitoring. Please consult with your healthcare provider to discuss the next steps and to schedule the angiography procedure. It is important to follow up on any recommendations based on the results of the angiography to ensure optimal management of your cardiac health.
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I'm really worried about what to do if someone suddenly has a heart attack. Could you tell me what essential medicines should be given right away or what things we should always have at home just in case?
In case of a sudden heart attack, it is crucial to act quickly. The most important medication to have on hand is aspirin. It is recommended to chew and swallow one full-strength aspirin (325mg) as soon as a heart attack is suspected, as it can help prevent further blood clotting. Additionally, nitroglycerin can be helpful in relieving chest pain during a heart attack. If the individual experiencing the heart attack has been prescribed nitroglycerin in the past, they can take it as directed by their healthcare provider. It is also important to have emergency contact numbers readily available, such as 911 or local emergency services, in case immediate medical attention is needed. Regularly checking and maintaining an automated external defibrillator (AED) at home can also be life-saving in such emergencies. Remember, quick action is crucial during a heart attack, so it is important to seek medical help immediately.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.






