Question 1

I'm feeling really puzzled and a bit worried about these weird symptoms I've been having. My chest feels heavy on and off, and even though I've had loads of tests like ECG, echo, holter, TMT, and even a C-reactive protein test, everything came back normal. But then there's this pain in my arms and legs, with the left side feeling worse. In the last couple of days, I've also had some breathlessness. Eating and sleeping seem fine. There are these very brief chest pains that feel like an electric shock, just for a second. I've been trying to keep active by walking 5 km daily, but sometimes I find it hard because I get out of breath. What could be going on with me?

Accepted Answer

echo and angiography is advised,, cardiac opinion

Question 2

I'm kind of worried about stopping Aspirin because I've been dealing with some stomach issues, and the doctor told me it might be gastritis. They said I should stop taking Aspirin and just stick with clopidogrel. I'm also a bit concerned because my platelet count came back at 110,000. Should I be thinking about a lower dose of Aspirin, like 50 or 25 mg, instead of stopping it altogether? Does that sound safer for someone with my heart condition?

Accepted Answer

Given your medical history and current condition, it is important to follow your doctor's advice to discontinue Aspirin and continue with Clopidogrel only. Aspirin is known to increase the risk of gastrointestinal issues, such as gastritis, which you experienced recently. Clopidogrel is a suitable alternative antiplatelet medication that can be used in place of Aspirin to prevent blood clots after procedures like PTCA. It is effective in reducing the risk of heart attack and stroke. Therefore, it is safe to discontinue Aspirin and rely on Clopidogrel for your cardiac health. It is not recommended to switch to a lower dose of Aspirin in your case.

Question 3

I'm dealing with a pretty fast heartbeat most of the time, usually between 100 to 115 beats per minute, and I often feel weak. My oxygen levels are fine, staying between 98 to 100, but I've had anemia since birth due to hereditary spherocytosis. Could you give me some advice on managing this high pulse rate?

Accepted Answer

High pulse rate can be concerning, especially if you have a history of anemia and hereditary spherocytosis. In your case, it is important to address the underlying cause of your high pulse rate. Since your SpO2 levels are normal, the high pulse rate may be due to other factors such as anemia or hereditary spherocytosis. To help lower your pulse rate, you can try taking a beta-blocker medication such as Metoprolol. The usual dosage for Metoprolol is 25-100mg once or twice daily, as prescribed by your doctor. This medication can help slow down your heart rate and reduce the symptoms of weakness that you are experiencing. It is important to consult with your doctor before starting any new medication, as they can provide personalized advice based on your medical history and current condition.

Can I still have a heart rate of 125 and it be normal? I just recovered from being ill for two months and I'm feeling really weak. Should I be concerned about this or is it just part of my recovery?

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