Question 1

I've been told by my doctor that I need a CT angiography, but because of my sinus tachycardia, he mentioned it might be hard to do. I'm already taking beta-blockers and sedatives, but my heart rate is still not under control at the doctor's office. I'm worried about how I can manage my heart rate so I can get the CT angio done. What should I do?

Accepted Answer

To manage your heart rate for CT angiography despite sinus tachycardia, you can consider using a calcium channel blocker such as Diltiazem. The recommended dosage for Diltiazem in this case would be 120-360 mg per day. This medication can help in controlling your heart rate and making it feasible to undergo the CT angiography procedure. Additionally, you may also benefit from the use of a medication like Atenolol, a beta blocker, at a dosage of 25-100 mg per day to further help in controlling your heart rate during the procedure. It is important to follow your doctor's guidance and dosage instructions carefully.

Question 2

My husband has been struggling with high cholesterol levels around 285 mgdL, even though he's been on a super healthy diet with lots of fruits, olive oil, vegetables, and pulses. The numbers haven't dropped much, staying between 250 to 285 over the last couple of months. He recently had kidney stones treated with endoscopy and medication, and now the cholesterol levels seemed to have increased. I'm getting worried; should we consider starting him on medication, or will sticking to the diet eventually help bring the cholesterol down? How long do we need to wait and see if the diet alone is effective? Also, could my father-in-law's heart surgery from 2 years ago be related or give us some clues on managing this better?

Accepted Answer

Based on your husband's cholesterol levels not reducing despite following a healthy diet and considering his family history of heart surgery, it may be necessary to start medication to help lower his cholesterol levels and reduce the risk of heart disease. One commonly prescribed medication for high cholesterol is Atorvastatin (brand name Lipitor). In addition to medication, continuing with a healthy diet and lifestyle is important for managing cholesterol levels. It is recommended to follow up with regular check-ups with a healthcare provider to monitor the cholesterol levels and adjust the treatment plan as needed. The time it takes to see a significant reduction in cholesterol levels can vary from person to person, but with medication and lifestyle changes, improvements can often be seen within a few weeks to months.

Question 3

Im curious about something strange I've been experiencing. Whenever I lie down and try to relax, it feels like my body shakes with what seems like a pulse or heartbeat. Its weird because both my blood pressure and heartbeat are normal, and Ive had an echo and an ECG done, and those were fine too. Is it usual to feel this sort of pulsing or shaking in the body while resting?

Accepted Answer

ortho opinion

I've been having a heavy feeling and some pain on the left side of my chest, close to my heart, since this morning. I'm really concerned that it could be something related to my heart, even though I'm only 28. Should I be worried about this, or could it be something else?

yes an ECG along with cardiac markers are advised to the patient

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