Question 1

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 we do next?

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 2

I'm really worried because my cholesterol numbers have recently changed quite a bit. In July 2019, my LDL was 175 and HDL was 45, so my doctor put me on Atormac 10 mg. After taking it for three months, by October 2019, my LDL went down to 100, but my...

Accepted Answer

Regarding your decreased HDL levels in just three months, it is important to focus on lifestyle changes to improve your HDL levels. You can start by incorporating regular physical activity, such as aerobic exercise, into your routine. Additionally, you can include healthy fats in your diet, such as those found in avocados, nuts, and olive oil. Omega-3 fatty acids, found in fatty fish like salmon, can also help raise HDL levels. In terms of medication, you can continue taking Atormac 10 mg as prescribed by your doctor to help lower your LDL levels. However, if you are concerned about your HDL levels, you may want to discuss with your doctor the possibility of switching to a different medication that can help improve HDL levels, such as fenofibrate. Remember to follow a healthy lifestyle, including a balanced diet and regular exercise, to help improve your HDL levels along with medication

Question 3

I'm really worried about the results from my ECG which said something about provocable myocardial ischemia, but I haven't had any cardiac symptoms of IHD. I'm only 48 years old and I'm not sure what this means for my heart health. Should I be concern...

Accepted Answer

It sounds like you have a positive exercise tolerance test (ITT) for provocable myocardial ischemia without any cardiac symptoms for ischemic heart disease (IHD) at the age of 48. In this case, you may benefit from starting a medication like Atenolol (50-100mg daily) to help reduce the workload on your heart and prevent further episodes of ischemia. Additionally, adding a medication like Aspirin (75-150mg daily) can help reduce the risk of blood clot formation in your coronary arteries. It is important to follow up with your healthcare provider for further evaluation and management.

Question 4

I'm really worried about my health. I've been dealing with chest discomfort, gastric issues, and health anxiety for the last two years. Last year, I went through several tests like ECG, echo, TMT, blood tests, and even checked troponin levels twice, ...

Accepted Answer

It's good to know that your previous cardiac tests and blood work have come back normal. Based on the symptoms you have described and the slight ST Depression in V5 on your recent ECG, it is important to consider both physical and psychological factors. The chest discomfort and gastric indigestion could be related to your anxiety, but it is also important to rule out any potential cardiac issues. I would recommend starting with a medication like omeprazole 20mg once daily for your gastric issues. Additionally, for anxiety, you can try taking a medication like escitalopram 10mg once daily. However, it is crucial to follow up with a cardiologist for a thorough evaluation and to discuss the ECG findings. They may recommend further tests or adjustments to your treatment plan. It's also important to continue managing your anxiety through relaxation techniques, regular exercise, and counseling support. Please continue to monitor your symptoms and seek medical attention if they worsen or if you experience any new concerning symptoms

Question 5

I've been dealing with high blood pressure for about 20 years now, and despite taking medications like atorvastatin, aspirin, hydralazine, and amlodipine, it doesn't seem to be improving. I'm really worried and wondering if there's anything else I sh...

Accepted Answer

Homeopathy Potency: 3X vs. 30C

_3X and 30C are not the same:_

1. _3X_: Represents a 3-times dilution of the original substance, with a relatively lower potency.
2. _30C_: Represents a 30-times centesimal dilution (1:100^30), with a significantly higher potency.

_Substitution not recommended:_

1. _Consult your homeopath_: Before making any changes, consult with your prescribing homeopath to ensure the correct potency and treatment plan.
2. _Potential differences in efficacy_: Using a different potency may affect the treatment's efficacy or cause unforeseen interactions.

_To ensure safety and efficacy:_

1. _Follow the prescription_: Adhere to the original prescription and recommended potency.
2. _Consult before making changes_: Discuss any concerns or questions with your homeopath before modifying your treatment plan.

Question 6

I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD fam...

Accepted Answer

Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.

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 we do next?

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 we do next?

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I'm really worried about the results from my ECG which said something about provocable myocardial ischemia, but I haven't had any cardiac symptoms of IHD. I'm only 48 years old and I'm not sure what this means for my heart health. Should I be concern...

I'm really worried about my health. I've been dealing with chest discomfort, gastric issues, and health anxiety for the last two years. Last year, I went through several tests like ECG, echo, TMT, blood tests, and even checked troponin levels twice, ...

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