Question 1

I'm really confused and a bit anxious about this chest tightness that happens whenever I lie down flat or stretch my left hand. It's been going on for about three months. I went to an orthopedic doctor who said it's probably due to poor posture and muscle spasm. Then I saw a cardiologist, had all the tests like ECG, echocardiogram, TMT, and even checked my cholesterol and BP. Everything was normal except for my cholesterol which was a bit high at 196, and LDL at 121.8. The cardiologist said I don't have heart issues and just need to change my lifestyle and lose some weight. But I wanted a second opinion, so I visited another cardiologist and even without any new tests, he said the same thing that everything's normal. Still, I feel this tightness at night and sometimes it makes me sweat and I get really scared thinking it might be a heart attack. When I went back to the cardiologist, he reassured me again. So, should I keep doing ECGs every time I feel this tightness or maybe see a pulmonologist? Why does this keep happening if everything's supposed to be normal?

Accepted Answer

since your age is not too much i suggest reduce your anxiety related to heart attack. try doing some exercise

Question 2

I'm really worried because I'm 26 and I've been having some heart pain, shortness of breath, and light dizziness. My lipid profile is normal, but my 2D Echo showed a Left ventricle size of 4.0 x 3.0 cm, IVSD 0.8 cm, LVPW 0.8 cm, EF 47, and FS 23. Everything else seemed normal. Is this something I should be really concerned about? Is it fixable, and can I get back to my normal life? I'm feeling scared and unsure about what steps to take.

Accepted Answer

Based on your symptoms and the findings from your 2D Echo, it is important to further evaluate your condition. The slight heart pain, shortness of breath, and dizziness could be indicative of a cardiac issue. With an EF of 47% and FS of 23%, there may be some impairment in your heart's pumping function. To address this, you may benefit from medication to improve your heart function and symptoms. I recommend starting with a beta-blocker such as Metoprolol (25-50 mg once daily) to help reduce your heart's workload and improve its efficiency. Additionally, an ACE inhibitor like Enalapril (5-10 mg once daily) can also be beneficial in improving heart function. It is important to follow up with a cardiologist for further evaluation and management. Lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also crucial in improving your heart health. With proper treatment and lifestyle changes, many individuals can lead a normal life with cardiac conditions. Remember, early detection and management are key in addressing any potential heart issues. Take care and follow up with your healthcare provider for personalized care and guidance

Question 3

I'm trying to understand what's included in an angiogram report. I received a printed report, but later found out there should also be a CD provided as evidence. When I asked the hospital about it, they gave me one, but only after charging me. I'm worried why they didn't give it to me initially. Is there something fishy going on? Shouldn't they provide the CD in case I need to get a second opinion from another doctor?

Accepted Answer

In an angiogram report, the findings typically include details about the blood vessels in the heart, any blockages or narrowing, and the overall condition of the heart. The report may also mention the presence of any plaques or clots. As for the CD with images, it usually contains visual images of the angiogram procedure for further reference or consultation with other healthcare providers. It is not uncommon for hospitals to charge for providing a CD of medical images, as there may be costs associated with creating and providing this additional documentation. While it is ideal for hospitals to provide all necessary information upfront, sometimes there may be administrative reasons for not including the CD initially. If you have concerns about the process or the completeness of the information provided, it is best to directly discuss this with the hospital or healthcare provider who conducted the angiogram. They should be able to address any questions or issues you may have regarding the report and CD.

I'm currently on medication for blood pressure and taking Zilokem 40 mg and Nexovas twice a day, but my blood pressure reading is 100150. Is this normal, or should I be concerned?

Review with your treating physician for dosage adjustment and recalibration. Try to include physical exercise of 150 minutes per week at least, in order to improve BP readings.

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