Question 1

Hey there, so my wife had some trouble breathing last Sunday night. We managed to see a doctor by Tuesday, and after doing an ECG, we found out theres this change called ischemia. The doctor said it's not serious and not to worry, and we even did an echo which turned out normal. But they still prescribed ecosprin tabs, and now I'm a bit confused. Is this something I should be really worried about, or can I take it easy since the doc said it's normal? Could this become a serious issue down the line? Is it one of those things that just come and go, or might it stick around for life? She's only 35, and we have no family history of heart problems, so what's up with this? What should we do to make sure her heart stays healthy?

Accepted Answer

1. The doctor's assessment that the ischemia shown on the ECG is not serious and normal is reassuring. Ecosprin (Aspirin) is commonly prescribed to prevent blood clots and reduce the risk of heart attack and stroke. It is important to follow the doctor's advice and continue taking the medication as prescribed. 2. As per the current evaluation and prescription of ecosprin, the likelihood of serious issues later should be reduced. However, it is essential to follow up with regular check-ups and adhere to any further recommendations from the doctor. 3. Ischemia can be a temporary or chronic condition depending on the underlying cause. In this case, since the echo was normal and the doctor reassured that everything is okay, it may not necessarily be a lifetime disease. However, ongoing monitoring and lifestyle modifications may be necessary. 4. The presence of ischemia at the age of 35 without a family history of cardiac issues raises the importance of evaluating other risk factors such as smoking, high blood pressure, diabetes, high cholesterol, obesity, and physical inactivity. These factors can contribute to the development of heart conditions at a younger age. 5. Since there is no known cardiac history in the family, it is crucial to focus on lifestyle modifications such as maintaining a healthy diet, regular exercise, avoiding smoking, managing stress, and attending follow-up appointments with the doctor for monitoring. 6. Precautions that can be taken include following a heart-healthy diet low in saturated fats and cholesterol, engaging in regular physical activity, maintaining a healthy weight, managing stress levels, avoiding smoking and excessive alcohol consumption,

Question 2

I've just gotten my blood test results back, and I'm a bit worried because my HDL cholesterol level is pretty low at 29 mgdl. Plus, my TCHDL cholesterol ratio is 5.2. Could you tell me what this means and how I might improve these numbers?

Accepted Answer

Low HDL cholesterol levels can increase the risk of heart disease. To improve your HDL cholesterol levels and lower your TCHDL cholesterol ratio, you can consider taking Atorvastatin (brand name Lipitor) at a dosage of 10-20 mg daily. Additionally, incorporating lifestyle changes such as regular exercise, a healthy diet rich in fruits, vegetables, and whole grains, and avoiding smoking can also help improve your cholesterol levels.

Question 3

I've had some tests done like ECG, 2D Echo, and a thyroid test, and they all came back normal. But still, my pulse rate sometimes jumps to like 120 or 140 and then goes back to normal after a bit. I tried beta blockers for about 4 months, but it didnt really help, so my doctor told me not to worry and said it's normal for me. I've stopped taking the meds now. Should I really not be concerned about these spikes in my pulse rate?

Accepted Answer

It sounds like you have been experiencing episodes of high pulse rate despite normal results on your ECG, 2D echo, and thyroid tests. Since beta blockers did not effectively control your pulse rate, you may benefit from a calcium channel blocker such as Amlodipine. The usual starting dose for Amlodipine is 5 mg once daily, which can be adjusted based on your response. It is important to monitor your pulse rate regularly and report any persistent high readings to your doctor.

I've been noticing that when I'm lying down, I can actually feel my heartbeat. Is this what's known as palpitation? It doesn't feel like that scary, pounding sensation, just a slight awareness of my heartbeat. Should I be concerned?

Yes, feeling your heart beat when lying down can be considered palpitations. It is important to monitor your symptoms and consult with a healthcare professional for further evaluation. In the meantime, you can try taking propranolol 10mg once daily to help with palpitations.

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I've just gotten my blood test results back, and I'm a bit worried because my HDL cholesterol level is pretty low at 29 mgdl. Plus, my TCHDL cholesterol ratio is 5.2. Could you tell me what this means and how I might improve these numbers?

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