Question 1

I'm really confused about my recent medical test results. I initially went to the doctor for a gastric problem, and they told me to take a troponin test. The result came back positive, with a level of 0.03, which worried me. But then, my family doctor suggested I get a second opinion, so I went to MMM Chennai on the same day, and their test showed a negative result. Now I'm not sure which result to believe or what steps I should take next. Could you help me figure out what I should do?

Accepted Answer

Troponin is a cardiac marker used to diagnose heart conditions. In your case, since there is a discrepancy between the two test results, it is important to consider further evaluation. I recommend consulting with a cardiologist for a detailed assessment. In the meantime, you can consider taking medications like Aspirin 75mg once daily and Clopidogrel 75mg once daily to prevent any potential cardiac issues while awaiting further evaluation.

Question 2

I'm a bit confused about the difference between normal chest pain and angina pain. Is angina pain similar to what happens during a heart attack, but it goes away in like 3 or 4 minutes? And should I be worried if I feel pins and needles in my chest t...

Accepted Answer

Chest pain can have various causes, including musculoskeletal issues, gastrointestinal problems, or cardiac conditions like angina. Angina pain is typically described as a pressure, squeezing, or tightness in the chest that may radiate to the arms, neck, jaw, or back. It is often triggered by physical exertion or emotional stress and usually subsides with rest or medication like Nitroglycerin. Angina pain is not usually as severe or prolonged as a heart attack, which typically lasts longer than 3 to 4 minutes and may be associated with other symptoms like shortness of breath, sweating, nausea, or lightheadedness. Pins and needles sensation lasting under 1 minute is usually not a cause for concern and can be due to temporary nerve compression or poor circulation. However, if you experience persistent or recurrent pins and needles, especially associated with other symptoms like weakness, numbness, or difficulty speaking, it is important to seek medical evaluation to rule out more serious conditions like a transient ischemic attack (TIA) or peripheral neuropathy.

Question 3

I'm really concerned about how blood pressure might affect heart health, especially since I'm diabetic. Can you explain whether high blood pressure or low blood pressure is more likely to lead to heart failure for someone in my situation?

Accepted Answer

High blood pressure (hypertension) is a common cause of heart failure in diabetic patients. Uncontrolled high blood pressure can lead to the heart working harder to pump blood, which can eventually weaken the heart muscle and result in heart failure. It is important for diabetic patients to manage their blood pressure effectively to reduce the risk of heart failure. For high blood pressure in diabetic patients, medications such as Lisinopril (brand name: Zestril) or Amlodipine (brand name: Norvasc) may be prescribed. The dosage will depend on individual factors and should be determined by a healthcare provider. On the other hand, low blood pressure (hypotension) is generally not a direct cause of heart failure in diabetic patients. However, extremely low blood pressure can lead to inadequate blood flow to the organs, including the heart, which can be harmful. It is important for diabetic patients to regularly monitor their blood pressure, follow a healthy lifestyle, and take medications as prescribed to manage both high blood pressure and diabetes effectively.

Question 4

I'm wondering about my QTc interval, which was 454ms on the EKG. Is this considered normal? I also have sinus arrhythmia and had a panic attack before but during that time, both the EKG and echocardiogram came out normal. Should I be worried about th...

Accepted Answer

Your QTc interval of 454ms is slightly prolonged, which may be related to your sinus arrhythmia. Since you have a history of panic attacks, it's important to monitor your QTc interval regularly. In this case, it would be advisable to avoid medications that can further prolong the QTc interval. I recommend discussing this with your healthcare provider to determine the best course of action.

Question 5

I'm on PENIDURE LA 12 every three weeks, but I can't find it anywhere now and the other options like logicilline and pencom aren't available either. What can I take instead?

Accepted Answer

Alternatives include procaine benzylpenicillin, peniben LA 12, PENCOM 12 Injection etc .

Question 6

Can an ECHO test actually detect Pulmonary Arterial Hypertension even if everything else in my health seems normal? I'm really curious to know if there's any way to treat or reverse it if it's just identified as mild.

Accepted Answer

Cause of PAH need to be identified and cured,its curable,no need to worry,visit Cardiologist for the same

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Related Questions

I'm a bit confused about the difference between normal chest pain and angina pain. Is angina pain similar to what happens during a heart attack, but it goes away in like 3 or 4 minutes? And should I be worried if I feel pins and needles in my chest t...

I'm really concerned about how blood pressure might affect heart health, especially since I'm diabetic. Can you explain whether high blood pressure or low blood pressure is more likely to lead to heart failure for someone in my situation?

I'm wondering about my QTc interval, which was 454ms on the EKG. Is this considered normal? I also have sinus arrhythmia and had a panic attack before but during that time, both the EKG and echocardiogram came out normal. Should I be worried about th...

I'm on PENIDURE LA 12 every three weeks, but I can't find it anywhere now and the other options like logicilline and pencom aren't available either. What can I take instead?

Can an ECHO test actually detect Pulmonary Arterial Hypertension even if everything else in my health seems normal? I'm really curious to know if there's any way to treat or reverse it if it's just identified as mild.

Cardiology

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