Question 1

I've been noticing that every time I lie down, whether it's during the day or night, my chest feels really tight and it makes me super uncomfortable. I always end up having to sit up just to feel a bit better. What could be causing this and should I be worried?

Accepted Answer

Thats orthopnea,there might be underlying Cardiac disease ,visit Cardiologist for evaluation and appropriate management

Question 2

I'm having this weird pinching chest pain right after I fall asleep. I got two ECGs, one in January and another in February, to check it out, and both were normal. I also did a TMT in February, and that came back negative too. I've tried taking anti-acids to relieve the pain, but they don't seem to be helping. I'm starting to get a bit worried. What could be going on, and what should I do next?

Accepted Answer

It sounds like you may be experiencing acid reflux or gastroesophageal reflux disease (GERD) causing your chest pain. In this case, you can try taking a proton pump inhibitor (PPI) like omeprazole 20mg once daily before breakfast for at least 2 weeks. Additionally, you can take an antacid like Gaviscon after meals and at bedtime for immediate relief. Make sure to avoid spicy and fatty foods, eat smaller meals, and avoid lying down right after eating. If symptoms persist, you may need further evaluation by a gastroenterologist.

Question 3

My dad's treadmill test results came back with a positive result, and the doctor mentioned he might need an angiography. The TMT report shows an ST depression of 1.5 to 2 mm. I'm really concerned about what this all means. Is this depression considered mild, or does it indicate a high possibility of blockage?

Accepted Answer

The ST depression of 1.5 to 2 mm on the TMT report indicates a moderate level of ischemia, suggesting a significant possibility of blockage in the coronary arteries. It is important to follow up with the angiography as recommended by the doctor to further evaluate the extent of blockage and determine the appropriate treatment. In the meantime, medications like Aspirin 75mg and Clopidogrel 75mg can be prescribed to reduce the risk of clot formation.

I'm a bit concerned about what my recent echo showed. It mentioned something called Grade I diastolic dysfunction. Is this something normal that I shouldn't worry about or do I need to consider any treatment? Would really appreciate some guidance.

See a specialist for accurate diagnosis and targeted treatment.

More Cardiology Health Queries

I've been noticing that every time I lie down, whether it's during the day or night, my chest feels really tight and it makes me super uncomfortable. I always end up having to sit up just to feel a bit better. What could be causing this and should I be worried?

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