Question 1

I'm a 39-year-old guy and I used to do a lot of sports about 20 years ago. Last May, I had an angiogram that showed a myocardial bridge in my mid LAD, causing 30% systolic narrowing. The doctor said it's nothing serious and pretty normal, but sometimes I still get chest pain and it even goes down my left arm. This pain usually kicks in during the evening and can last through the night. It's weird because it happens in phases, like I'll have it for about 10 days, then it'll disappear for a month or so, only to come back again. I went to see a gastroenterologist too and they think I might have GERD. I had an upper GI endoscopy and they found an H. Pylori infection, so they put me on pantoprazole. That helped a bit, but I still get the chest pain sometimes. I'm anxious a lot, and the doctors mentioned that might be making both the pain and the GERD worse. The heart doctors say the angiogram was normal and that's the gold standard, so they're not worried. I've started exercising, doing yoga, changed my diet, and managed to lose about 5kg. I even cut down on smoking to just one cigarette a day. What do you think might be going on here with this recurring pain?

Accepted Answer

You are doing great and no need to worry continue the same and have a regular follow up with your doctor

Question 2

I'm a bit concerned about my dad, who's 72. His blood pressure is 100 over 60, and while he seems healthy and manages to walk around 3 to 4 kilometers each day, I'm wondering if there's anything I should be worried about or keep an eye on. Could you let me know if this needs any special attention?

Accepted Answer

Since your father is otherwise healthy and active, there may not be an immediate cause for concern. However, it is important to monitor his blood pressure regularly. To help raise his blood pressure, increasing his salt and fluid intake can be beneficial. Encouraging him to drink more water and consume salty foods in moderation can help elevate his blood pressure. In some cases, compression stockings can also be helpful. If his low blood pressure persists or if he experiences symptoms such as dizziness, lightheadedness, or fainting, it would be advisable to consult a healthcare professional for further evaluation and management.

Question 3

I'm really worried about my dad. He's been having heart palpitations and his creatinine level is at 2.4. Do you have any advice or suggestions on how we can help him get better?

Accepted Answer

Heart palpitations can be concerning, especially with a high creatinine level. To help manage heart palpitations, your father can take Metoprolol (brand name: Lopressor) at a dosage of 25-50mg twice a day. It is important to also address the underlying cause of the high creatinine level, which may involve medications like Lisinopril (brand name: Prinivil) at a dosage of 10-20mg once a day to protect the kidneys. Additionally, it is crucial to follow a low-sodium diet and stay hydrated. Regular follow-ups with a healthcare provider are essential to monitor his condition.

I'm really concerned because my pulse rate is consistently over 100. Could this be something serious? What kind of treatments are available, and are there specific precautions I should be taking to manage this? I'm really worried and would appreciate any advice you can give.

More Cardiology Health Queries

I'm a bit concerned about my dad, who's 72. His blood pressure is 100 over 60, and while he seems healthy and manages to walk around 3 to 4 kilometers each day, I'm wondering if there's anything I should be worried about or keep an eye on. Could you let me know if this needs any special attention?

I'm really worried about my dad. He's been having heart palpitations and his creatinine level is at 2.4. Do you have any advice or suggestions on how we can help him get better?

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