Question 1

Hey, a couple of years ago I had a CT coronary angio, but I had a panic attack because of the contrast media, and my heart rate shot up to 120. The staff didn't wait for it to settle and went ahead with the scan. They said my arteries were disease-free and mentioned something about a right circulation and a small caliber artery. How did they even get accurate images with my heart rate that high? Did they just fool me? Also, they originally told me I'd need another CT angio in 10 years. Do you think I need to do a repeat scan now? I'm just really confused about what I should do next.

Accepted Answer

It is possible to obtain accurate images during a CT coronary angiography even if your heart rate increases due to a panic attack triggered by the contrast media. The imaging technology is designed to capture clear images even with some movement. However, if you have concerns about the accuracy of the results or if you are due for a repeat CT angio according to your previous medical plan, it would be advisable to consult with your healthcare provider. They can review your previous scan, assess your current health status, and determine if a repeat CT angio is necessary at this time.

Question 2

I'm often noticing my blood pressure is around 13090, and I've also been feeling my heartbeat more in my head and have shaky hands. I'm trying to understand why this might be happening. Should I be worried about these symptoms? I did a treadmill test last August, and it was completely normal. What do you think could be going on?

Accepted Answer

Your blood pressure of 13090 is slightly elevated, which may be causing the symptoms you are experiencing. The sensation of feeling your heartbeat in your head and shaky hands could be due to increased blood pressure. I would recommend starting with lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress management techniques. In terms of medication, you can consider starting with a low-dose of a medication like Amlodipine 5mg once daily to help lower your blood pressure. However, it is important to consult with your healthcare provider before starting any new medication.

Question 3

I'm feeling some chest and back pain that seems to move around my upper body, and it's been going on for about 4-5 months now. I've done a bunch of tests like an endoscopy, throat scope, and both ECG and a 2D echo, and they all came back normal. I'm just curious, could this be related to something like variant angina? And do painkillers even help with angina pain?

Accepted Answer

based on your symptoms and normal test results, it is possible that you may be experiencing variant angina, also known as Prinzmetal's angina. Variant angina is a type of chest pain caused by coronary artery spasm, which can lead to temporary narrowing or constriction of the coronary arteries. For variant angina, painkillers like nitroglycerin can help relieve the chest pain by relaxing and dilating the coronary arteries, improving blood flow to the heart muscle. Nitroglycerin is commonly prescribed for angina and is available in various forms such as sublingual tablets or spray. The usual dosage is 0.3 to 0.6 mg sublingually as needed for chest pain. It is important to follow up with a cardiologist for further evaluation and management of your symptoms.

How can I lower heart disease risk if I have diabetes?

Prefer foods lower in fats, salt and calories and higher in fiber. Focus on fruits, green vegetables and whole grains. Regular physical activity.

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