Question 1

I'm feeling a bit worried because I've been having a lot of symptoms since I recovered from COVID back in July. I still don't feel completely better. Lately, I've been having chest pain on the left side and near my shoulder blade, and my left hand feels heavy, with some pain in my armpit. There's this weird pressure in the center of my upper chest, but it doesn't hurt. Bending or moving around makes my chest hurt too, but it's sort of bearable. Plus, I often get this numb feeling in my head, like pins and needles, though it doesn't really hurt. Sometimes I get headaches as well. I did an ECG and a 2D echo three months ago and everything was normal, but I'm attaching the latest ECG I just had done today. Can you help me figure out what's going on?

Accepted Answer

Based on your symptoms and history of Covid-19, it is important to consider the possibility of post-Covid complications such as myocarditis or pericarditis. The chest pain, left shoulder blade pain, heaviness in the left hand, and pressure in the upper chest could be indicative of cardiac issues. Since your recent ECG is available, it would be important to review it for any acute changes. I recommend starting a course of aspirin to help with any potential inflammation and to prevent blood clots. Additionally, you can take a proton pump inhibitor like omeprazole to protect your stomach while on aspirin. It is important to follow up with a cardiologist for further evaluation and possible additional tests such as a cardiac MRI. Medication: - Aspirin 75mg once daily - Omeprazole 20mg once daily

Question 2

I'm a bit confused about my recent test results. My echo test came back normal, but my ECG report is considered borderline. Could you help me understand what this means? Should I be concerned or take any specific actions?

Accepted Answer

A borderline ECG report means that there may be some minor abnormalities or variations in the electrical activity of your heart, but they are not significant enough to definitively diagnose a specific condition. In this case, it is important to follow up with your healthcare provider for further evaluation and monitoring. Depending on your specific symptoms and medical history, your doctor may recommend further tests or medications. In the meantime, it is important to maintain a healthy lifestyle, including regular exercise and a balanced diet.

Question 3

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guessing it's because my blood pressure drops. Should I stop taking Imdur, or is there something else I can do? I'm not sure what's best and would really appreciate some advice.

Accepted Answer

Don't stop Imdur abruptly. Consult your cardiologist  to adjust dosage or switch to alternative medications. Possible solutions:

Medical Adjustments

1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily.
2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers.
3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones).

Lifestyle Changes

1. Increase fluid intake.
2. Elevate head while standing.
3. Slow rising from bed.
4. Avoid sudden movements.

Monitoring

1. Regular blood pressure checks.
2. Electrocardiogram (ECG) monitoring.
3. Follow-up appointments.

Do Troponin test, need detail history , can guide

More Cardiology Health Queries

I'm a bit confused about my recent test results. My echo test came back normal, but my ECG report is considered borderline. Could you help me understand what this means? Should I be concerned or take any specific actions?

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