Question 1

I'm noticing that my heart rate is going above 100-115 from time to time. My blood pressure is normal, but my hemoglobin level is 10.8. About a month ago, I had an ECG done, and it showed sinus tachycardia and IRBBB. But I'm still experiencing a heart rate over 100-115. Should I be worried about this? What might be causing it?

Accepted Answer

Based on your symptoms and previous ECG findings, you may benefit from taking a beta-blocker medication to help control your heart rate. I recommend you take Metoprolol (brand name: Lopressor) at a starting dose of 25mg twice daily. This medication can help regulate your heart rate and improve your symptoms. However, it is important to consult with your healthcare provider for proper evaluation and monitoring.

Question 2

I've been trying to understand my recent lipid profile test results and I'm a bit confused. My triglycerides are at 192, which seems high to me. I'm vegetarian and steer clear of fast and fried foods, so I'm not sure why my triglycerides would be elevated. I exercise every day and my weight is around 70 kg with a height of 5'6". I've been taking whey protein for the past two monthscould that be causing the increase in my triglycerides? I've stopped using whey last week and am currently on Ecosprin Av 7520 for the past two days. How can I best lower my triglycerides and boost my HDL levels? Would adding omega-3 to my diet be a good idea? I'd appreciate any suggestions.

Accepted Answer

Triglyceride level of 192 mgdL is slightly above the normal range (normal range is less than 150 mgdL), but it is controllable. It's good that you are already taking steps to address this issue. Whey protein can sometimes lead to increased triglyceride levels in some individuals, so stopping its intake was a good decision. To lower triglycerides and increase HDL, you can consider adding Omega-3 fatty acids to your diet. Omega-3 fatty acids, found in fish oil supplements or fatty fish like salmon, have been shown to help lower triglyceride levels and improve HDL cholesterol. You can try brands like Lovaza or Vascepa, with a dosage of around 1-4 grams per day, as recommended by your healthcare provider. In addition to Omega-3 supplements, maintaining a healthy diet rich in fruits, vegetables, whole grains, and lean proteins, along with regular exercise, can also help improve your lipid profile. It's important to continue monitoring your levels and follow up with your healthcare provider for further guidance and adjustments to your treatment plan.

Question 3

I'm a bit confused about the difference between normal chest pain and angina pain. Is angina pain similar to what happens during a heart attack, but it goes away in like 3 or 4 minutes? And should I be worried if I feel pins and needles in my chest that only last for less than a minute?

Accepted Answer

Chest pain can have various causes, including musculoskeletal issues, gastrointestinal problems, or cardiac conditions like angina. Angina pain is typically described as a pressure, squeezing, or tightness in the chest that may radiate to the arms, neck, jaw, or back. It is often triggered by physical exertion or emotional stress and usually subsides with rest or medication like Nitroglycerin. Angina pain is not usually as severe or prolonged as a heart attack, which typically lasts longer than 3 to 4 minutes and may be associated with other symptoms like shortness of breath, sweating, nausea, or lightheadedness. Pins and needles sensation lasting under 1 minute is usually not a cause for concern and can be due to temporary nerve compression or poor circulation. However, if you experience persistent or recurrent pins and needles, especially associated with other symptoms like weakness, numbness, or difficulty speaking, it is important to seek medical evaluation to rule out more serious conditions like a transient ischemic attack (TIA) or peripheral neuropathy.

ecg and echo advised to the pt..

More Cardiology Health Queries

I'm a bit confused about the difference between normal chest pain and angina pain. Is angina pain similar to what happens during a heart attack, but it goes away in like 3 or 4 minutes? And should I be worried if I feel pins and needles in my chest that only last for less than a minute?

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