Question 1

Why does my chest feel heavy?

Accepted Answer

It could be because of various reasons like anxiety, GERD, Muscle strain or Heart diseases

Question 2

I've been dealing with left atrium hypertrophy and costochondritis lately, and it's been quite a concern. What I'm confused about is whether it's safe for me to get back into playing football or engage in any strenuous physical activities. Could you provide some guidance on if I can safely start playing again?

Accepted Answer

It is important to consult with your healthcare provider for personalized advice, but in general, individuals with left atrium hypertrophy and costochondritis can usually continue playing football or engaging in strenuous physical activity. However, it is essential to monitor your symptoms closely and avoid activities that worsen your condition. For left atrium hypertrophy, medications like Losartan or Amlodipine may be prescribed to manage blood pressure and reduce strain on the heart. For costochondritis, over-the-counter pain relievers like Ibuprofen or Naproxen can help alleviate discomfort. Remember to follow your healthcare provider's recommendations and listen to your body during physical activity.

Question 3

I've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.

Accepted Answer

Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.

It is important to seek immediate medical attention as these symptoms could be indicative of a heart-related issue. In the meantime, you can take Aspirin 325mg to help reduce the risk of a heart attack. Please chew the tablet for faster absorption.

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