Question 1

My mother-in-law has been struggling with high cholesterol and she's had two angiograms already. She's also dealing with thyroid issues, diabetes, and high blood pressure. She's been on medication for the last seven years, which has kept everything normal. But last week, her triglyceride levels shot up to 470, and she started feeling chest pain. The doctor ran some tests and added two new tablets, KORANDIL 10 and METAGARD 35, for 15 days. But after taking them, she's been having severe headaches, so she stopped taking the pills. Is there a possibility of changing these tablets with the help of the doctor?

Accepted Answer

Before changing anything , we will need to check your angiography report , your ECG , and echocardiography reports..
With out that. Changing or stoping medications can be dangerous
Also will need the complete list of medications
korandil can cause headache but it dialates the small blood vessels in the heart and if you have a significant blockage then you need it or some similar kind of meds..so need all the above mentioned information before any advice

Question 2

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of the heart, suggests normal LVH and a normal LV cavity with normal thickness, having a zero calcium score. Also, my TMT came out negative for any chest pain-related issues. I'm kind of confused here. Which result should I rely on when it comes to the left ventricular hypertrophy? Which is considered more accurate or should I be concerned about something else here?

Accepted Answer

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

Question 3

I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with running, climbing, and cycling, even training for triathlons. But around five months ago, I started having chest pain that spreads to my back and left arm, especially when I'm lying down. Despite having had an ECG, echo, TMT, troponin, and a CT angiography, all these tests came back negative. The only thing I've been diagnosed with is high heart rate, for which I'm on medication. This has helped bring down the chest pain but not completely. Now, for the past month, I've had intense headaches and dizziness that make me feel like I might just collapse. Last night was particularly bad with the headache and chest pain. I'm really worried and not sure how to proceed. Could you advise on what might be causing this and what I should do next?

Accepted Answer

It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.

I'm dealing with constrictive pericarditis and was admitted to Sri Satya Sai Hospital. They won't operate because my white blood cell count is low. They recommended getting my WBC up before they proceed with the surgery. Could you suggest how I can increase my WBC levels within 10-15 days?

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