Question 1

I've been feeling this sharp pain on the left side of my chest, and it's got me worried. It seems to flare up whenever I climb stairs or if I try to sleep on my left side. Does this sound like anything serious? Should I be concerned about it, or is there something specific I should be doing to manage it?

Accepted Answer

Based on your symptoms, it is possible that you may be experiencing musculoskeletal pain or even a cardiac issue. However, it is important to rule out any serious conditions such as a heart attack. I recommend you to take an immediate ECG test and consult a cardiologist. In the meantime, you can take Acetaminophen 500mg for pain relief.

Question 2

I'm working from home and I've had some episodes of heart palpitations like 4 or 5 times, along with mild giddiness, but I was able to walk around during those times. That's really all I felt back then. Just to be safe, I went through all the heart tests twiceECG, echo, TMT, chest X-ray, and blood testsand they all came back normal. But my blood pressure and LDL are a bit high, around 140. I've never experienced this before working from home, and nothing's happened for the last 67 months. However, I've been having these symptoms lately: a pinpoint mild pain in my left chest that only lasts a few seconds, sometimes a fluttering or pounding feeling in my left chest or other body parts, and occasionally I feel dizzy, lightheaded, or like I'm floating. So, I'm wondering if this is a heart-related issue or something else entirely, and whatever it is, what can I do to make these symptoms stop? I'm really worried that something bad might happen to me.

Accepted Answer

Based on your description, it is good that you have already undergone several heart tests which came back normal. The symptoms you are experiencing could be related to anxiety or stress. However, it is important to continue monitoring your blood pressure and LDL levels and make necessary lifestyle changes to improve them. To address the occasional mild chest pain and flutteringpounding sensation in your left chest, you can try taking a low dose of a beta-blocker medication like Metoprolol (25mg) once daily to help with palpitations and chest discomfort. Additionally, for the giddiness and lightheadedness, you can take a daily dose of Aspirin (75mg) to improve blood flow. It is also advisable to practice stress-reducing techniques such as deep breathing exercises, yoga, or meditation to help manage your symptoms. If the symptoms persist or worsen, it would be beneficial to consult with a cardiologist for further evaluation and management.

Question 3

My mother-in-law is 65 and she's really struggling with high blood pressure that just won't seem to get under control, even though she's on a high dose of BP meds. Her echo and ECG came back normal, and all her blood tests look good except for high cholesterol. She's taking Rosuvas for that. I'm really worriedwhat else can she do to get her blood pressure in check?

Accepted Answer

Given that your mother-in-law's high blood pressure is not well controlled despite high doses of medication, it is essential to re-evaluate her treatment plan with her healthcare provider. Sometimes, resistant hypertension requires a combination of medications from different classes. These may include ACE inhibitors (like lisinopril), angiotensin II receptor blockers (ARBs, like losartan), calcium channel blockers (like amlodipine), diuretics (like hydrochlorothiazide), and beta-blockers (like metoprolol). Additionally, lifestyle changes such as a low-sodium diet, regular physical activity, weight management, and reducing alcohol intake are important. Please consult her healthcare provider for a personalized treatment plan that may include adjusting her current medications or adding new ones.

I'm scheduled for a TAH at Muslim Maternity Hospital and was told to get a cardiologist's opinion for fitness what exactly do they check for and is this something I should be worried about? My surgery is coming up soon and I'm not sure what to expect from the cardiology evaluation

Cardiac fitness check includes ECG, 2D echo, and clinical evaluation to ensure you're safe for anesthesia and surgery.

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