Question 1

I've been smoking for the last 5 years, and lately, Im noticing this weird pain in the center of my chest. It doesn't bother me when I'm just sitting or standing still, but if I stretch my arms or put any pressure on my chest, I get this sharp pinching feeling inside. Even just warming up before a workout or sleeping in one position can trigger it. There's no fatigue, coughing up blood, or anxiety. Do you think it's something serious, or should I just not worry about it too much?

Accepted Answer

Ecg and chest x-ray pa view is advised to the patient.

Question 2

I'm really worried about my dad who's 55 and has diabetes and high blood pressure. He went for a cardiac check-up about 10 days ago. The ECG came back abnormal but the 2D echo was normal, and the TMT report was positive. They started him on clopitab 75mg along with his regular meds for BP and diabetes, and now they've advised an angiogram. But here's the thing, he has no chest pain or symptoms, and he walks daily. I'm wondering if a CT angio might be a better option since it uses barium dye, and if the calcium score is negative, wed know theres less risk for a cardiac arrest. Could you give me some advice on this?

Accepted Answer

Follow advice of your cardiologist

Question 3

I had an AVR with a mechanical valve about 9 years ago and I'm wondering about my life expectancy now. I make sure to go for my yearly checkups, and my last echo showed an EF of 60, LVDD of 50mm, LA 36mm, with PW and IVS at 1.1cm. My INR level is 2.87. Could you give me some insights on these numbers and what they mean for my future?

Accepted Answer

With a mechanical valve replacement, it is important to maintain a stable INR to prevent complications such as thrombosis or bleeding. Your current INR of 2.87 is slightly higher than the recommended range for mechanical valves, which is usually between 2.0 to 3.0. It is good that you are going for yearly checkups to monitor your condition. To help manage your INR within the target range, you can consider using Warfarin (Coumadin) at a dosage prescribed by your healthcare provider. Regular monitoring and adjustments to your medication may be necessary to keep your INR within the desired range and reduce the risk of complications. As for life expectancy after AVR with a mechanical valve, it can vary depending on various factors including overall health, adherence to medication, lifestyle factors, and regular follow-up care. It is essential to continue with your yearly checkups and follow your healthcare provider's recommendations for optimal management of your condition.

I'm a bit worried because my pulse rate is 128 beats per minute under normal circumstances. Do you think I should see a doctor for this? Any advice would be really appreciated!

consult cardiology diologist and take ecg

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