- male
- 27 Years
- 14/08/2025
I have a small perimembranous VSD and got checked by a doctor a year ago who said everything was normal. Should I keep getting follow-ups every 2 years or do I need surgery or device closure? Also, can you suggest affordable hospitals for the procedure since I'm from a middle-class family?
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View allI'm a 39-year-old guy and I used to do a lot of sports about 20 years ago. Last May, I had an angiogram that showed a myocardial bridge in my mid LAD, causing 30% systolic narrowing. The doctor said it's nothing serious and pretty normal, but sometimes I still get chest pain and it even goes down my left arm. This pain usually kicks in during the evening and can last through the night. It's weird because it happens in phases, like I'll have it for about 10 days, then it'll disappear for a month or so, only to come back again. I went to see a gastroenterologist too and they think I might have GERD. I had an upper GI endoscopy and they found an H. Pylori infection, so they put me on pantoprazole. That helped a bit, but I still get the chest pain sometimes. I'm anxious a lot, and the doctors mentioned that might be making both the pain and the GERD worse. The heart doctors say the angiogram was normal and that's the gold standard, so they're not worried. I've started exercising, doing yoga, changed my diet, and managed to lose about 5kg. I even cut down on smoking to just one cigarette a day. What do you think might be going on here with this recurring pain?
You are doing great and no need to worry continue the same and have a regular follow up with your doctor
Answered by 1 Apollo Doctors
I've had angioplasty done and have a stent implanted. My doctor recommended some drugs from companies like Sun Pharma, MacLeod, and Lupin, but they're a bit pricey for me. Are there other reputable brands that make equivalent quality medications for Rozavel 2mg, Prax A 75mg, and Voglimac GM 2mg at a lower cost? Also, can I ask the pharmacy for generic versions of cholesterol-lowering drugs if I have a prescription for the more expensive branded ones? Are generics reliable when it comes to quality assurance and control?
Substitute for rozavel 2mg: You can consider Atorva 20mg (Atorvastatin) from Cipla or Rosuvast 10mg (Rosuvastatin) from Torrent Pharmaceuticals. Substitute for Prax A 75mg: You can try Clopid 75mg (Clopidogrel) from Intas Pharmaceuticals or Plavix 75mg (Clopidogrel) from Sanofi. Substitute for voglimac gm 2mg: You may opt for Glycomet GP 2 (Metformin + Glimepiride) from USV or Glyciphage G1 (Metformin + Glimepiride) from Franco-Indian Pharmaceuticals. Regarding generic cholesterol-reducing drugs, yes, you can purchase generic versions of cholesterol-lowering medications with a prescription from your doctor. Generic medications are generally considered to be equivalent in quality to their brand-name counterparts as they undergo the same rigorous testing for quality assurance (QA) and quality control (QC) by regulatory authorities.
Answered by 1 Apollo Doctors
I'm a bit worried because I checked my pulse rate this afternoon and it was 92. Is that normal for women? Could there be something I should be concerned about?
normal
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.