Question 1

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?

Accepted Answer

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Question 2

I'm a 28-year-old guy and I've been smoking weed daily since I was nine. I don't drink at all, and I consider myself to be quite fit. But for the last 34 days, I've noticed the left side of my chest is a bit swollen and sore, although it's not painfu...

Accepted Answer

It's concerning that you are experiencing swelling and soreness in the left side of your chest. This could be due to various reasons, including inflammation, muscle strain, or even a potential underlying health issue. However, given your history of smoking weed since a young age, it's important to consider the impact of smoking on your respiratory and cardiovascular health. I recommend that you stop smoking immediately and seek medical attention for a proper evaluation. In the meantime, you can take over-the-counter anti-inflammatory medication like ibuprofen (e.g., Advil) to help with the pain and swelling. However, it's crucial to consult with a healthcare professional for a thorough assessment and appropriate treatment.

Question 3

I'm really worried about my heart, and it's been like this for almost a year now. I've had palpitations around 45 times, and I've done a couple of ECGs, echoes, chest X-rays, and a TMT about 8 months ago, but everything came back normal. I don't have...

Accepted Answer

It sounds like you are experiencing anxiety and panic attacks rather than a heart problem, especially since your heart tests have come back normal. Your symptoms of feeling like sinking and floating, wobbling, fatigue, and worry are common in anxiety disorders. It's good that you are focusing on controlling your blood pressure and LDL levels. To address your anxiety symptoms, you can try relaxation techniques, such as deep breathing exercises, meditation, or yoga. Regular physical activity can also help reduce anxiety. In some cases, therapy or counseling may be beneficial. For your elevated blood pressure and LDL levels, your doctors may prescribe medications to help manage them. For high blood pressure, medications like Amlodipine or Losartan can be prescribed. For high LDL levels, medications like Atorvastatin can be used to lower cholesterol levels. It's important to continue following up with your doctors for regular check-ups and to discuss any new or worsening symptoms. If you continue to experience anxiety symptoms, you may benefit from a consultation with a mental health professional for further evaluation and management.

Question 4

I'm a bit concerned about my dad's blood pressure readings. He's 61 and has high blood pressure, so he's been on medication. Recently, during a check-up, his readings were 90 and 126. But here's the thing thats puzzling me  his blood pressure was hig...

Accepted Answer

This difference in blood pressure between arms is known as inter-arm blood pressure difference. It can be caused by various factors such as differences in blood vessel stiffness, blockages, or narrowing in the arteries of one arm compared to the other. It can also be due to conditions like atherosclerosis or peripheral artery disease. To address this issue, it is important to consult with your father's healthcare provider for further evaluation and management. In terms of medication, he can continue taking his high blood pressure medication such as Losartan 50mg once daily to help control his blood pressure levels.

Question 5

I've been having these mild chest pains on my left side, and it's been going on for a while now. I've seen doctors a couple of times and even did an ECG, but everything came back normal. The pain isn't super intense or frequent, but it pops up every ...

Accepted Answer

consult cardiologist

Question 6

I'm 23 weeks pregnant and recently had my level 2 scan which showed an echogenic focus in the left ventricle. They found another echogenic focus measuring 3.5mm during a fetal echo. I've been trying to conceive for 5 years and finally succeeded with ...

Accepted Answer

An echogenic focus in the fetal heart is a common finding during pregnancy ultrasounds. In most cases, it is considered a normal variant and not a cause for concern, especially if all other parameters are normal. However, given your history of IVF conception and the size of the echogenic focus at 3.5mm, it is important to monitor it closely. I recommend discussing this finding with your obstetrician. They may suggest further follow-up ultrasounds to track the size and appearance of the echogenic focus. In most cases, no treatment is needed, and it often resolves on its own. Just continue with your regular prenatal care and follow your doctor's recommendations for a healthy pregnancy.

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Related Questions

I'm a 28-year-old guy and I've been smoking weed daily since I was nine. I don't drink at all, and I consider myself to be quite fit. But for the last 34 days, I've noticed the left side of my chest is a bit swollen and sore, although it's not painfu...

I'm really worried about my heart, and it's been like this for almost a year now. I've had palpitations around 45 times, and I've done a couple of ECGs, echoes, chest X-rays, and a TMT about 8 months ago, but everything came back normal. I don't have...

I'm a bit concerned about my dad's blood pressure readings. He's 61 and has high blood pressure, so he's been on medication. Recently, during a check-up, his readings were 90 and 126. But here's the thing thats puzzling me his blood pressure was hig...

I've been having these mild chest pains on my left side, and it's been going on for a while now. I've seen doctors a couple of times and even did an ECG, but everything came back normal. The pain isn't super intense or frequent, but it pops up every ...

I'm 23 weeks pregnant and recently had my level 2 scan which showed an echogenic focus in the left ventricle. They found another echogenic focus measuring 3.5mm during a fetal echo. I've been trying to conceive for 5 years and finally succeeded with ...

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