- Male
- 28 Years
- 29/01/2025
I'm really worried because I've been experiencing chest pain, and sometimes it's hard to breathe deeply. At night, my heartbeat seems to race, and in the morning, I'm dealing with a lot of cough. Could this be because of smoking, or is there something else going on that I should be concerned about?
Answered by 1 Apollo Doctors
do chest xray
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
More Cardiology Health Queries
View allI'm really worried after getting my recent heart test results. It mentioned ischemic heart disease and moderate LV systolic dysfunction with an LVEF of 44. There was also something about RWMA being present and hypokinesia in the LCX territory. What does all that really mean for my heart health? How serious is this, and what should I be doing next?
Ischemic heart disease with moderate LV systolic dysfunction, LVEF 44%, and RWMA present along with hypokinesia seen in the LCX territory can be managed with medications such as: - Aspirin 75-150mg daily - Clopidogrel 75mg daily - Beta-blockers like Metoprolol 25-50mg twice daily - ACE Inhibitors like Lisinopril 2.5-5mg daily - Statins like Atorvastatin 20-40mg daily These medications can help improve heart function and reduce the risk of further complications.
Answered by 1 Apollo Doctors
I'm a little concerned about my cholesterol levels. My total cholesterol is at 234, triglycerides are 169, HDL cholesterol is 46.2, and non-HDL cholesterol is 193. I'm really wondering how risky these numbers are. Should I be thinking about taking medication, or could some lifestyle changes make a big difference?
Total cholesterol of 234 mgdL is slightly above the desirable level of less than 200 mgdL. Triglycerides of 169 mgdL are also slightly elevated, while HDL cholesterol of 46.2 mgdL is below the optimal level of 60 mgdL. Non-HDL cholesterol of 193 mgdL is also slightly elevated. These values indicate a moderate risk for cardiovascular disease. In this case, lifestyle changes are recommended as the first step to improve your cholesterol levels. This includes following a healthy diet low in saturated fats and cholesterol, engaging in regular physical activity, maintaining a healthy weight, and avoiding smoking. If lifestyle changes alone are not sufficient to bring your cholesterol levels to the desired range, medication may be considered. Statin medications such as Atorvastatin (brand name Lipitor) or Rosuvastatin (brand name Crestor) may be prescribed to help lower cholesterol levels. The dosage and specific medication will depend on your individual health profile and risk factors. Regular monitoring of your cholesterol levels and working closely with your healthcare provider will help determine the most appropriate course of action for managing your cholesterol levels.
Answered by 1 Apollo Doctors
I've noticed my blood pressure is usually around 10462 during the day, but when I'm resting or sleeping, it drops into the 9050s range. I've been keeping an eye on it for about a month and the pattern seems pretty consistent. I had an echocardiogram earlier this year, and it showed I have a diastolic relaxation abnormality. I'm wondering if this could be causing my low blood pressure? Could it lead to more heart-related complications, or is it normal for blood pressure to drop like this at night? I've been feeling really fatigued and low on energy no matter how much I sleep, and it's a bit worrying. What do you think?
Low blood pressure during rest or sleep can be influenced by various factors, including underlying conditions such as diastolic dysfunction. In your case, the diastolic relaxation abnormality noted in your echocardiography may contribute to the lower blood pressure readings, especially during periods of rest. This can potentially lead to symptoms of fatigue and lack of energy. To address this issue, it is important to manage the underlying diastolic dysfunction. In addition, ensuring an adequate intake of fluids and electrolytes can help stabilize blood pressure. If symptoms persist, medications such as Midodrine or Fludrocortisone may be prescribed to raise blood pressure levels, especially during periods of rest or sleep. However, it is crucial to consult with your healthcare provider for a proper evaluation and personalized treatment plan.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.