Question 1

Can high blood pressure cause shortness of breath?

Accepted Answer

High blood pressure forces your heart to work harder to pump blood to the rest of your body. This causes part of your heart (left ventricle) to thicken and may lead to heart failure which presents as shortness of breath, chest pain, persistent cough, swelling in legs and weakness.

Question 2

I'm having this persistent pain on the left side of my chest, and I've already seen a cardiologist about it. They had me do a bunch of tests like an ECG, 2D echo, TMT, CT coronary angiography, and even conventional angiography. Everything came back normal, which was a relief. But just a few days ago, the chest pain came back and the ECG now shows a T wave abnormality, possibly anterior ischemia. I'm really worried about what this could mean. Is this something I should be seriously concerned about, and what do you think my next steps should be?

Accepted Answer

Hello, based on your history and the recent ECG findings showing T wave abnormality suggesting anterior ischemia, it is important to further evaluate the cause of your chest pain. Since your cardiac tests have all come back normal, the T wave abnormality may be due to other factors such as coronary artery spasm, inflammation, or even non-cardiac causes. I recommend discussing with your doctor about starting medication like Nitroglycerin sublingual tablets for immediate relief during chest pain episodes. Additionally, you may benefit from medications like Beta-blockers (e.g. Metoprolol) and Calcium channel blockers (e.g. Amlodipine) to help prevent chest pain episodes. It would also be helpful to consider a referral to a gastroenterologist to rule out any gastrointestinal causes of chest pain, as well as a follow-up with a cardiologist for further evaluation and management. Remember to follow up with your healthcare provider for a personalized treatment plan.

Question 3

I'm having this weird experience where I feel a pulse in my butt when I'm sitting or lying on the bed. It comes out of nowhere, and once I pay attention to it, the pulse is perfectly in sync with my heart rate. It's like it won't stop as long as I focus on it. I also have high cholesterol and sometimes feel this pulsing in my ankle and the sole of my foot. I'm honestly really confused because some doctors say it's nothing, while others online mention it might be peripheral artery disease. I'm just 21, and the thought of this possibly being something serious is making me super anxious. What should I do?

Accepted Answer

At your age (21) and with a normal heart rate and no other major symptoms, this sensation is very unlikely to be a sign of something dangerous. Its likely related to the circulation in the area. However, its always good to get checked by a healthcare professional for peace of mind. Keep monitoring your cholesterol, and dont hesitate to ask your doctor for more tests if you continue to feel uncertain.

no problem you continue your medicine

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