Question 1

I've recently recovered from COVID, and I've noticed my pulse rate is usually between 55-59, but sometimes it jumps to around 60. Is this something I should be worried about? I've been on Ecosprin for the past five years after having an angiogram. Just wondering if these numbers are normal or if there's anything I should be cautious about.

Accepted Answer

A pulse rate between 60-100 beats per minute is generally considered normal. A pulse rate of 55-60 may be on the lower side, but it can still be considered normal for some individuals, especially those who are physically fit. Since you have a history of taking Ecosprin after an angiogram, it's important to note that Ecosprin (aspirin) can sometimes lower the heart rate. If you are not experiencing any other symptoms such as dizziness, fainting, chest pain, or shortness of breath, a pulse rate of 55-60 may not be concerning. However, it's always a good idea to consult with your healthcare provider for personalized advice and monitoring.

Question 2

I'm dealing with high cholesterol, and my LDL is 220. I dont really have any physical issues, but I do snore quite a bit. I avoid smoking and drinking, so that's not a factor. Do you think I should see a cardiologist or just a general physician for this cholesterol issue? Also, is medication necessary for my LDL level, or can I simply make some changes to my diet?

Accepted Answer

For managing high cholesterol, including an LDL level of 220 mgdL, it's advisable to consult a cardiologist, given the significant elevation and the associated cardiovascular risks. A cardiologist can provide a comprehensive evaluation and personalized treatment plan. Whether you require medication or can manage your cholesterol through lifestyle changes depends on your overall risk profile, including age, family history, and any other health conditions. Typically, an LDL level of 220 mgdL would warrant the use of statin medications in addition to adopting heart-healthy dietary changes, such as reducing saturated and trans fats, increasing fiber intake, and incorporating more fruits, vegetables, and whole grains into your diet.

Question 3

I've been dealing with pain in my left hand and left chest even though my 2D echo, TMT, and chest X-ray all came back normal. It's been a couple of months, and I've also got these gaustic issues. I'm taking razol for it, but I'm wondering if you think I should get any more tests done. Could there be something we're missing?

Accepted Answer

Given your normal 2D echo, TMT, and chest X-ray, yet persistent left hand and chest pains, it is possible that your symptoms are related to gastrointestinal issues, especially since you have been experiencing gastric problems for the past two months and are currently taking Razo-L (rabeprazole). Gastric issues, including acid reflux, can sometimes cause chest pain that mimics heart-related pain. While your current tests are reassuring, if your symptoms persist, it may be helpful to undergo further evaluation such as an upper gastrointestinal (GI) endoscopy to assess for conditions like gastroesophageal reflux disease (GERD) or peptic ulcers. Additionally, consider consulting a gastroenterologist to further explore and manage your gastric symptoms.

Is heart disease more common in people with diabetes?

Yes with time, raised blood sugar levels can damage the blood vessels and nerves that control the heart. Additionally, people with diabetes are also more likely to have other conditions that raise the risk for heart disease such as high blood pressure and deranged cholesterol or triglyceride levels.

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