Question 1

I've had an angioplasty with a drug-eluting stent placed back in March, and I'm currently on medication. I'm really wondering if it's okay for me to have alcohol socially. I used to enjoy whiskey about twice a week before all of this. Can you give me some advice on whether that's still safe?

Accepted Answer

After angioplasty with a drug-eluting stent, moderate social alcohol consumption is generally allowed, but consult your cardiologist first; if permitted, limit whiskey consumption to 1-2 units (30-60ml) per occasion, 1-2 times a week, and prioritize medications, healthy diet, regular exercise, and stress management for optimal heart health.

Question 2

I'm really concerned about my grandfather lately. He's been dealing with high blood pressure and hypertension, but now his feet are swelling and he's having chest pains too. He's currently taking gtn sorbitrate 2.6 cr twice a day and amlokind 10 mg, plus he uses a quikhale 250 sf inhaler. Could you help me understand why his feet might be swelling and suggest a medication that might help?

Accepted Answer

Swelling in the feet can be a common symptom in patients with high blood pressure and hypertension, especially in elderly individuals. It can be due to fluid retention caused by the heart's inability to pump blood effectively. In this case, considering your grandfather's age and existing conditions, it is important to address the underlying cause of the swelling. To help reduce the swelling in his feet, I recommend prescribing a diuretic medication such as Furosemide (Lasix) 20mg once daily. This medication will help to remove excess fluid from his body and alleviate the swelling in his feet. Additionally, given his chest pains, it is crucial to ensure that his heart health is well managed. I suggest adding Aspirin 81mg once daily to help reduce the risk of blood clots and relieve chest pain. Please consult with your grandfather's healthcare provider before starting any new medication to ensure it is safe and appropriate for his specific medical condition.

Question 3

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?

Accepted Answer

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.

-Chest discomfort can sometimes be linked to things like indigestion or stress, but if it's been ongoing and sudden, it might be a good idea to consult a doctor to rule out anything serious, especially with your fear of vomiting. Your health and peace of

More Cardiology Health Queries

I've had an angioplasty with a drug-eluting stent placed back in March, and I'm currently on medication. I'm really wondering if it's okay for me to have alcohol socially. I used to enjoy whiskey about twice a week before all of this. Can you give me some advice on whether that's still safe?

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