- male
- 50 Years
- 22/01/2025
I've been feeling this pain on the left side of my chest, and it kind of started with a weird pain in the veins of my fingers on the same side. Now the pain is also in my left side chest, hand, head, and shoulder. What could be causing this, and should I be worried?
Answered by 1 Apollo Doctors
AN ecg and cardiac markers is advised.. Physician opinion with the reports is advised..
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Ivabradine 5 mg is a medication commonly used to lower heart rate in certain heart conditions. Since you were prescribed this medication for a specific reason and advised to stop after a month, it is important to follow your healthcare provider's instructions. If you have remaining tablets and are concerned about your heart health, you can continue taking ivabradine as prescribed until you finish the course. However, it is recommended to consult with your doctor before starting or stopping any medication regimen.
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I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?
The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.
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I've been keeping an eye on my blood pressure lately, and it's been around 140100. I've noticed I'm getting headaches more frequently. Should I be worried about these numbers or the headaches? Is this something I need to get checked out or change in my routine? Any advice would be really helpful.
A blood pressure of 140100 is considered high and can contribute to headaches. I recommend you start taking Amlodipine (brand name Norvasc) 5mg once daily to help lower your blood pressure. Additionally, you can take Acetaminophen (brand name Tylenol) 500mg for your headaches as needed, up to 3 times a day. Remember to monitor your blood pressure regularly and make lifestyle changes such as reducing salt intake and increasing physical activity.
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.