Question 1

I'm really worried about my cousin. Every time they're talking, they get this warm feeling in their left upper arm and chest. It feels kind of hot, and then there's pain in the upper arm, but it goes away after a while. Should we be concerned, or is this something that might be normal?

Accepted Answer

It seems unusual,visit Physician for evaluation and appropriate help

Question 2

I'm really concerned about something and wanted to get your advice. I'm 61 and just had some tests done. They said my LV function is normal with an EF of 60 and no RWMA, but I have trivial MR and Grade 1 LV diastolic dysfunction with concentric LVH. The valves check out fine and there are no clots, vegetation, or pericardial effusion. My chamber dimensions are normal too. But when I did a stress TMT, it showed some significant ST changes in leads II, III, AVf, V4, V6, although I had no arrhythmia or chest pain, and my heart rate and blood pressure responded normally. Should I be worried about these ST changes? What does this all mean for my heart health?

Accepted Answer

Based on the information provided, it seems like the patient may be experiencing some significant ST changes in specific ECG leads without chest pain. In this case, the patient may benefit from medication to help manage their condition. The patient can be prescribed **Aspirin** 75mg daily to help reduce the risk of cardiovascular events. Additionally, **Atorvastatin** 20mg can be prescribed to help lower cholesterol levels and reduce the risk of further cardiac issues. In addition to these medications, **Metoprolol** 25mg can be prescribed to help manage the patient's blood pressure and heart rate, especially in the presence of significant ST changes on ECG. It is important for the patient to follow up with their healthcare provider regularly to monitor their condition and adjust their treatment plan as needed.

Question 3

I've been dealing with moderate hypertension since I got diagnosed with a BP of 168122 on December 18th, and I've been put on Telma 40. But for the past three days, I've been having this awful headache and pain in my cheek, only on the left side of my face. My blood pressure is still at 150115 even though I've been taking the medicine for these three days. Should I be concerned about this, and what should I do next?

Accepted Answer

Given your recent diagnosis of moderate hypertension and the current blood pressure readings of 150115 despite taking Telma 40 (telmisartan), it is essential to address this promptly. Your persistent headache and left-sided cheek pain might indicate uncontrolled hypertension, which can lead to severe complications if not managed appropriately.
Firstly, I recommend you seek immediate medical attention to evaluate your symptoms. Your healthcare provider might need to adjust your blood pressure medication or add additional antihypertensive agents to better control your blood pressure. They may also want to investigate the cause of your headache and cheek pain to rule out other potential issues, such as sinusitis or trigeminal neuralgia.
In the meantime, continue taking your medication as prescribed and avoid any activities that could elevate your blood pressure further. Please contact your healthcare provider as soon as possible to discuss these symptoms.

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

More Cardiology Health Queries

I'm really worried about my cousin. Every time they're talking, they get this warm feeling in their left upper arm and chest. It feels kind of hot, and then there's pain in the upper arm, but it goes away after a while. Should we be concerned, or is this something that might be normal?

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