Question 1

I had an angiography a couple of months ago, and it showed there's about a 60-70% blockage in a main artery. I've been on oral medication for it, but I'm curiousare there other ways to check how much blockage is still there or if there's been any improvement since I started the meds? Would love to get some advice.

Accepted Answer

Angiography is a common procedure used to diagnose blockages in arteries. To check the current level of blockage and monitor improvements during treatment, a follow-up angiography can be performed. This will allow the doctors to visually assess the blockage and determine if there have been any improvements with the oral medications. One commonly used oral medication for treating blockages in arteries is Atorvastatin (brand name Lipitor) at a dosage of 10-80 mg per day, depending on the severity of the condition. Regular follow-up with your healthcare provider is important to monitor your progress and adjust treatment as needed.

Question 2

I've been dealing with low blood pressure, and whenever I'm lying down, it drops to around 90 over 55. It's pretty unsettling because I feel lightheaded when that happens. I've tried drinking saltwater and coffee, but it doesn't seem to help much. I've read that having a low diastolic blood pressure could lead to heart failure since the coronary heart artery gets its supply during diastole. Is this true? And what steps can I take to prevent my blood pressure from falling below safe levels? Also, is having such low blood pressure dangerous?

Accepted Answer

Low blood pressure can indeed lead to symptoms like lightheadedness, especially when changing positions. To help manage your low blood pressure, you can try increasing your salt intake and staying hydrated. Additionally, wearing compression stockings can help improve blood flow. In terms of medication, you can consider taking Midodrine to help raise your blood pressure. It is important to monitor your blood pressure regularly and consult with your healthcare provider for proper management.

Question 3

I'm a bit worried because last night I had some breathing troubles and felt pain on the left side near my armpit. I went to see a doctor, and although my vitals like blood pressure and pulse were normal, he suggested an ECG, which also turned out normal. I have spondylitis, so I was wondering what tests or checkups I should consider next? Any advice would be really helpful.

Accepted Answer

Having a pain, heaviness or discomfort in your chest can be scary. It does not always mean that you are having a heart attack. There can be many other causes, including
Other heart problems, such as angina
Panic attacks
Digestive problems, such as heartburn or esophagus disorders
Sore muscles
Lung diseases, such as pneumonia, pleurisy, or pulmonary embolism
Costochondritis - an inflammation of joints in your chest
Some of these problems can be serious. Get immediate medical care if you have chest pain that does not go away, crushing pain or pressure in the chest, or chest pain along with nausea, sweating, dizziness or shortness of breath. Treatment depends on the cause of the pain.
To rule out cardiac issues. Get a ECG and 2D echocardiography done. If they are normal then get a TMT  stress echo done.. 
Meanwhile take
Tab. Flexon Mr twice a day for 5 days

Ecg and x-ray chest pa view and cardiac markers is advised to the patient.

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