Question 1

I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?

Accepted Answer

Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

Question 2

I'm really worried about a situation I'm facing right now. Lately, I've noticed that he can't even make it to 1015 steps without getting super out of breath. But oddly enough, he's able to sleep comfortably. Should I be concerned about this imbalance, and is there something specific I should be looking into or doing for him?

Accepted Answer

increase his exercice and increase foods with nutrition

Question 3

I just got a new Dr. Morepen pulse oximeter and while checking my heart rate and oxygen levels, it showed a message about a suspected occasional short pulse interval. Should I be concerned about this? I had a mild Covid infection last year and experienced some palpitations afterward, which have since improved over time. After recovering, I did a holter monitor test that was normal except for Sinus Arrhythmia, which my doctor said was normal. My Echo test in October also came back normal. I often check my pulse rate and oxygen because of occasional palpitations since the Covid infection. Do you think I need more tests because of this short pulse interval message?

Accepted Answer

An echo is advised to the patient.

Is bypass surgery the only option or are there alternatives like balloon angioplasty that could work instead? I'm worried about going straight to bypass and want to know what other treatments might be possible

CTVS opinion advise.

More Cardiology Health Queries

Health Articles for you

Angiogram: Purpose And Procedure Of Angiogram

Aspirin Uses for Heart Health

Mapping the Connection Between Smoking and Heart Disease

Understanding ECMO Treatment and Its Uses

Understanding Familial Hypercholesterolemia and Its Treatment