- Male
- 55 Years
- 29/01/2025
I'm trying to help my uncle who has angina and usually takes nicorandil, but he's now in the US. We're a bit worried about finding the right alternative medication here. Could you suggest what might work best for him in the States?
Answered by 1 Apollo Doctors
In the USA, a suitable alternative medication for angina that works similarly to nicorandil is Isosorbide Mononitrate. The recommended dosage for Isosorbide Mononitrate for angina is usually starting at 10 mg once daily, and can be increased to 20 mg once daily if needed. It is important to consult with a healthcare provider to determine the appropriate dosage and frequency for your uncle's specific condition.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm a bit worried about my recent 2D echo results. It mentions incomplete RBBB and Grade 1 LV diastolic dysfunction. Everything else seems normal, like the cardiac chamber dimensions and valve functions, with no wall motion abnormalities and a good LVEF of 60. Should I be concerned about these findings, and what do they mean for my heart health? Is there anything specific I need to look out for or any lifestyle changes I should consider?
Based on the findings from your 2D echo, you have incomplete right bundle branch block (RBBB) and Grade 1 left ventricular (LV) diastolic dysfunction. The report indicates that your cardiac chamber dimensions are normal, with no wall motion abnormalities present at rest. Your LV systolic function is good, with a left ventricular ejection fraction (LVEF) of 60%. However, there is evidence of Grade 1 LV diastolic dysfunction. The cardiac valves, including the mitral, aortic, tricuspid, and pulmonary valves, are all normal. Additionally, there are no issues with the septae (IASIVS), clotvegetation, or pericardial effusion. The great arteries (aortapulmonary artery) are also normal. Based on these findings, no specific medication is typically prescribed for incomplete RBBB or Grade 1 LV diastolic dysfunction. However, it is important to continue monitoring your heart health regularly with follow-up appointments and lifestyle modifications as recommended by your healthcare provider.
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I'm a bit concerned because I've been feeling some palpitations, breathlessness, and dizziness, even without pushing myself too hard physically. I had an echocardiogram, and it turns out I have mitral valve prolapse with just mild mitral regurgitation. Is it usual to have these symptoms with only mild regurgitation? Also, it's been tough not being active, and I've dropped to an underweight level. To top it off, I've been experiencing erectile dysfunction. Could this be linked to the mitral valve prolapse?
Visit your Physician for evaluation and appropriate management
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I'm 30 years old and started having chest pain and tingling back in December 2016. I went through all the tests like ECG, 2D echo, and a stress test, and everything came back negative. They told me it's anxiety, so I've been on Depranex and Betacap. Lately, I've been getting this burning sensation that starts from my stomach or chest. It also feels like I'm being pricked on the left side of my chest and back. I'm really not sure what's going on with me, and it's making me worried. Could you give me some advice on what might be happening?
It sounds like you may be experiencing symptoms related to anxiety and possibly acid reflux. The burning sensation starting from the stomach or chest could be due to acid reflux, and the feeling of being pricked on the left side of the chest and back could be related to nerve pain or muscle tension. To address your symptoms, I recommend the following: - Continue taking Depranex for anxiety as prescribed. - For acid reflux and burning sensation, you can try taking Omeprazole (brand name: Prilosec) 20mg once daily before breakfast. - For nerve pain or muscle tension, you can try taking Gabapentin (brand name: Neurontin) 300mg once daily at bedtime. It's important to follow up with your healthcare provider for further evaluation and management of your symptoms.
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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.