Question 1

My dad just got a health check-up, and his TMT test came out positive. The doctor suggested we go for an angiogram, and I'm curious if we're on the right path here. Is there a possibility that the angiogram might show no blockages at all? Also, are there any risks we should be aware of when getting an angiogram?

Accepted Answer

Yes, you're on the right track. A positive TMT (Treadmill Test) suggests that there may be reduced blood flow to the heart, and an angiogram is a standard follow-up to check for any blockages. It is possible that an angiogram might show no significant blockages; sometimes TMT results are positive due to other factors. Angiograms are generally safe, but they do carry minimal risks, such as bleeding, infection, or, rarely, an allergic reaction to the dye used.

Question 2

I've been dealing with a higher heart rate for about 45 days now, and it's really starting to make me feel nervous and cause chest pain. This actually happened to me about two years ago as well, and back then I did all the tests like ECG and 2D ECHO but they didn't find anything wrong. Now that it's happening again, I'm really concerned. Can you suggest what might be causing this or how I should treat it?

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety or panic attacks. To help manage your symptoms, you can try taking a beta-blocker medication such as Propranolol. The usual dosage for Propranolol in such cases is 10-40mg, taken 2-3 times a day as needed to control heart rate and chest pain. However, it is important to consult with your healthcare provider before starting any new medication.

Question 3

I've been noticing that when I exercise at the gym, my heart starts beating really fast, almost like it's racing. It seems to take a bit longer than I'd like for everything to calm down afterward. I had some blood work done, and everything came back normal, including my cholesterol levels. My cardiologist has mentioned that everything seems okay, but I'm still experiencing these palpitations. What should I do about this?

Accepted Answer

Palpitations during exercise can be concerning, even if your cardiologist has given you the all-clear. One possible cause could be anxiety or stress. I recommend trying a beta-blocker medication such as Metoprolol (25-50mg) before exercising to help control your heart rate and reduce palpitations. Additionally, make sure to stay hydrated and avoid caffeine before working out. If the palpitations persist, it would be best to follow up with your cardiologist for further evaluation.

Why is hypertension a risk factor for diabetes?

Hypertension might not cause Diabetes directly but increases the risk. People with high blood pressure usually have insulin resistance leading to Diabetes compared to those with typical blood pressure.

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