Question 1

I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he was on Brilinta, but they told him to stop because his platelet count dropped to 58,000. He's having chest pain now, and I'm wondering what we should be doing here? Is his health in serious risk? What steps should we take to manage this situation?

Accepted Answer

Given the patient's history of angioplasty, a 70% arterial blockage, elevated creatinine level of 3.2, and low platelet count of 58,000, the current chest pain is concerning and requires immediate medical attention. The discontinuation of Brilinta due to low platelet counts increases the risk of clot formation. The patient should be evaluated urgently by a cardiologist and a nephrologist to manage both the cardiac and renal issues. Alternative anti-platelet strategies may be needed, and continuous cardiac monitoring, possibly including a coronary angiogram, should be performed. A multidisciplinary approach involving cardiologists, nephrologists, and hematologists is essential to address the complexities of his condition

Question 2

I'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be l...

Accepted Answer

Sinus bradycardia is a condition where the heart beats at a slower rate than normal, typically less than 60 beats per minute. It is caused by the sinus node in the heart sending electrical signals at a slower pace. Incomplete right bundle branch block (RBBB) is a condition where there is a delay in the electrical signal conduction in the right bundle branch of the heart. Symptoms of sinus bradycardia may include dizziness, fatigue, lightheadedness, confusion, shortness of breath, and chest pain. Incomplete RBBB may not cause any symptoms on its own, but it can be associated with underlying heart conditions. Further tests that may be required for sinus bradycardia and incomplete RBBB include an electrocardiogram (ECG) to confirm the diagnosis, a Holter monitor to monitor the heart's electrical activity over a period of time, an echocardiogram to assess the heart's structure and function, and possibly a stress test to evaluate the heart's response to physical activity. For sinus bradycardia, if symptoms are severe or if the heart rate drops too low, a medication like Atropine or Isoproterenol may be prescribed. In cases where bradycardia is persistent and symptomatic, a pacemaker implantation may be necessary. For incomplete RBBB, treatment is usually focused on managing any underlying heart conditions that may be causing the conduction delay. Medications like beta-blockers or calcium channel blockers may be prescribed to help regulate the heart's electrical activity. Remember, it is important to follow up with a healthcare provider for proper evaluation and management of these conditions.

Question 3

Is it okay if I take Vymada 50mg instead of Azmarda 50mg? Vymada is the only one available near me and I'm a bit concerned about switching. Would appreciate your advice on this!

Accepted Answer

yes u can take the medication because the composition is same.

Question 4

I've been taking Vicks Action 500 and Saridon for my headaches, and recently I had a heart attack. Ive recovered, but now I'm really worried if these meds might have caused the heart issue. Also, my doctor gave me Dynapar injections for headaches qui...

Accepted Answer

Headache medications like Vicks Action 500, Saridon, and Dynaper may not directly cause a heart attack, but they can have side effects that may put additional strain on the heart, especially if used frequently or in high doses.
Frequent use of caffeine (in both Vicks Action 500 and Saridon) and decongestants (like phenylephrine) may raise blood pressure and heart rate, which could potentially exacerbate pre-existing heart conditions.
Dynaper doesnt directly cause heart attacks, but its effects on heart rate should be monitored, particularly with frequent use.
It would be best to consult your cardiologist about the specific medications youre taking, especially after a heart attack. They might recommend alternative treatments that are safer for your heart. If you're still experiencing frequent headaches, your doctor may suggest an evaluation for underlying causes and alternative therapies.

Question 5

I'm really worried about my mom. She had chest pain a week ago and her ECG showed T wave inversion in V4, V5, and V6. The echo also showed rwma. We started her on clopidogrel and nicorandil. Today, both the ECG and echo came back normal. What should ...

Accepted Answer

Since the recent ECG and echo results are normal, it is a positive sign. However, considering the previous findings, it is important to continue monitoring her closely. I would recommend continuing with Clopidogrel to prevent blood clots and Nicorandil to help with chest pain. Additionally, lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management should be followed. Regular follow-up visits with her cardiologist are also important to ensure her heart health is maintained.

Question 6

I'm a bit concerned about the variation in my heart rates. My sleeping heart rate is around 55 bpm, while my resting heart rate falls between 80-100 bpm. When I wake up, it usually ranges from 100-120 bpm, and during brisk walking, it goes up to betw...

Accepted Answer

Having variations in heart rate throughout the day is normal, especially in response to different activities and stress levels. However, if you are concerned about the wide range of heart rates you are experiencing, you may consider taking a beta-blocker like Metoprolol (25-50mg) to help regulate your heart rate and reduce fluctuations. It is important to consult with your doctor before starting any medication.

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Related Questions

I'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be l...

Is it okay if I take Vymada 50mg instead of Azmarda 50mg? Vymada is the only one available near me and I'm a bit concerned about switching. Would appreciate your advice on this!

I've been taking Vicks Action 500 and Saridon for my headaches, and recently I had a heart attack. Ive recovered, but now I'm really worried if these meds might have caused the heart issue. Also, my doctor gave me Dynapar injections for headaches qui...

I'm really worried about my mom. She had chest pain a week ago and her ECG showed T wave inversion in V4, V5, and V6. The echo also showed rwma. We started her on clopidogrel and nicorandil. Today, both the ECG and echo came back normal. What should ...

I'm a bit concerned about the variation in my heart rates. My sleeping heart rate is around 55 bpm, while my resting heart rate falls between 80-100 bpm. When I wake up, it usually ranges from 100-120 bpm, and during brisk walking, it goes up to betw...

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