- Male
- 0 Years
- 20/02/2025
I'm a bit concerned about my recent stress test result which showed mildly positive for provcable myocardial ischaemia. I'm not fully sure what this means and I'm worried about what it might mean for my heart health. Could you help me understand this a bit better and maybe suggest what preventive or corrective steps I should be looking into? I just want to make sure I'm taking care of myself in the best way possible.
Answered by 1 Apollo Doctors
Stress test showing "Mildly Positive for Provicable Myocardial Ischaemia" indicates a potential issue with blood flow to the heart during physical activity. To address this, I recommend starting with lifestyle modifications such as regular exercise, healthy diet, and stress management. Additionally, medication therapy may be necessary. You can consider starting with a low-dose aspirin regimen for blood thinning and a statin medication like Atorvastatin to manage cholesterol levels. It is important to follow up with a cardiologist for further evaluation and management.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
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I've been having chest pains and I got a CT angio which showed myocardial bridging of my proximal LAD at 1.8 cm. My cardiologist said everythings fine and not to worry, but I still get regular chest pains, especially when walking or climbing stairs. What do you think I should do about this?
Based on your symptoms and the presence of myocardial bridging in your proximal LAD, it is important to address the ongoing chest pain you are experiencing. Since your cardiologist has already reviewed your case and deemed it not concerning, you may benefit from medication to help alleviate your symptoms. I recommend starting a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, and gradually increasing as needed under the guidance of your doctor. Additionally, you can also consider taking a nitrate medication like Isosorbide Mononitrate (Imdur) to help with chest pain relief during physical activity. It is important to follow up with your cardiologist for further evaluation and management.
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I've been dealing with some concerns about my blood pressure. I'm a 17-year-old guy, in pretty good shape with a BMI of 24.7, and I've noticed my blood pressure readings are often around 14060 or 13060. When I'm calm, the systolic number goes down to about 125, but the diastolic stays below 70, which I find unsettling. I do experience a bounding pulse in different areas of my body which adds to the stress. I've had health anxiety since the lockdown began, and I've been using homeopathy which has helped, and I'm also trying to keep my diet in check and exercise regularly. What's bugging me is why my diastolic number doesn't return to a typical range even when I'm managing everything else pretty well? When people talk about high blood pressure, I usually hear both systolic and diastolic numbers rise together, but mine seems to have one high and the other low. Could this be more than just anxiety, or is there something unique about my situation?
1. Your diastolic blood pressure not returning to normal despite your efforts could be due to a combination of factors, including anxiety and possibly other underlying health conditions. It's great that you are managing your anxiety with homeopathy, but it's essential to monitor your blood pressure regularly and consult with a healthcare professional for further evaluation and management. In terms of medication, you can consider starting with a low dose of a calcium channel blocker like Amlodipine 2.5mg to help lower your diastolic blood pressure. 2. The fluctuation in your blood pressure readings, with systolic going up and diastolic going down, can be attributed to various factors such as stress, anxiety, and even the time of day when you measure your blood pressure. It's not uncommon for individuals to experience variations in their blood pressure readings, especially in response to different stimuli. However, persistent high diastolic blood pressure warrants attention and monitoring. 3. While anxiety may be a significant contributing factor to your elevated blood pressure readings, it's essential to rule out any other underlying medical conditions that could be impacting your diastolic blood pressure. Considering your age and overall fitness level, it's crucial to continue with your healthy lifestyle habits, including regular exercise and a balanced diet. Additionally, incorporating stress-reducing activities such as mindfulness or yoga may further help in managing your anxiety and potentially improving your blood pressure levels. Regular follow-ups with a healthcare provider will be beneficial in monitoring your blood pressure and adjusting your treatment plan as needed.
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