Question 1

I'm really worried and need some guidance. I know someone who's a 20-year-old female, not married, and she has 50 percent artery blockage. She's also experiencing breathlessness and chest pain when she's physically active. She doesn't have diabetes or hypertension, so we're confused about whether she needs stenting or not. What would you suggest?

Accepted Answer

A person with 50 percent artery blockage who is experiencing breathlessness and chest pain during physical activity may benefit from stenting. For this individual, I recommend considering the use of aspirin 75mg once daily to prevent blood clot formation and atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of further blockages. However, the final decision on stenting should be made after consulting with a cardiologist. It's important to also make lifestyle modifications such as regular exercise, a healthy diet, and avoiding smoking to improve heart health."

Question 2

I'm really worried about my heart rate. I was prescribed Propranolol 20 MG for anxiety and palpitations by my cardiologist, but when I started feeling uncomfortable with light chest pain, I went to another cardiologist who told me to stop taking it. So I did, and I felt normal for a day, but then my heart rate jumped from 85 sitting to 145 standing the next day. I'm scared to go to the hospital because my heart rate might increase even more. If it's already at 140 just standing, I can't imagine how high it would go while working. Is this something very serious? Also, my blood pressure at night was 130 after eating and 127 before eating while I was on the medication, but it hardly ever went over 120 before all this. If just two days of using Propranolol caused these withdrawal effects, how am I supposed to handle this medication for the long term? I'm living in constant fear of dying. Can you help?

Accepted Answer

It sounds like you are experiencing significant anxiety and palpitations along with withdrawal effects from Propranolol. The sudden increase in heart rate upon standing is concerning and may indicate a condition called orthostatic intolerance. This needs to be evaluated further by a healthcare professional. To address your symptoms, you can try the following: - Discontinue Propranolol under medical supervision to avoid withdrawal effects - Practice relaxation techniques such as deep breathing or meditation to help with anxiety - Stay well-hydrated and maintain a healthy diet - Avoid sudden changes in posture to prevent orthostatic intolerance In the meantime, it is important to consult with a cardiologist or a healthcare provider for a proper evaluation and management plan. They may consider alternative medications or therapies to help with your symptoms. Remember, sudden changes in heart rate and chest discomfort should not be ignored. Take care.

Question 3

I've been having palpitations for a year, so I went for a full body check, and they told me I have mitral valve prolapse which was supposedly causing the palpitations. I was advised to do cardio exercises, and I've been good with that. Recently though, the palpitations have become worse, especially when I lie flat, and it's been keeping me up at night. I'm also feeling anxious at bedtime, but I'm fine otherwise. It's really affecting my sleep and overall quality of life. Do you think I should see a doctor about this?

Accepted Answer

Yes, it is important to seek medical attention for your worsening symptoms. In your case, since you have a history of mitral valve prolapse and severe palpitations affecting your quality of life, it is recommended to consult a cardiologist for further evaluation and management. The doctor may prescribe medications such as Metoprolol (25-50mg) to help control your palpitations and anxiety symptoms. Additionally, they may suggest lifestyle modifications and relaxation techniques to help improve your sleep quality and overall well-being.

I'm currently taking mdr tablets and was wondering if it's okay to have makhana or fox nuts as an evening snack. Should I continue eating them, or is it better to avoid them?

you can eat

More Cardiology Health Queries

Health Articles for you

Guide to 5 Subtle Signs You Might Have A Heart Problem

Lowering NT-proBNP Naturally: Tips And Methods

Pre-Heart Attack Signs in Women

What Leads To Signs Of Heart Attack

All About Rheumatic Heart Disease Treatment