Question 1

I'm wondering if it's really necessary to get my heart rate up by walking on a treadmill for a stress echocardiogram. When I was lying down for the test, my heart rate was already high at around 130-140 because of anxiety and stuff. The doctor mentioned that since my heart rate is already up, they wouldnt make me do the treadmill, and the stress echo would still be completed. I was told that it doesnt matter if the heart is beating faster due to stress or exercise; all they need are the images. I paid 3.5k for the stress test but ended up with just an echo report, which usually costs 1.5k. I've been having typical chest pain and in the report, they noted sinus tachycardia during the study. What should I do?

Accepted Answer

In your case, since your heart rate was already elevated due to anxiety and other factors during the stress echocardiogram, it was not necessary to further increase your heart rate through walking on a treadmill. The main goal of the test is to assess the heart's function and structure under stress, whether it is due to mental stress or physical exertion. The doctor's focus is on obtaining clear images rather than solely on increasing the heart rate. Regarding your chest pain and the presence of sinus tachycardia noted in the echo report, it is important to follow up with your doctor for a comprehensive evaluation. Based on your symptoms and the findings in the report, your doctor may prescribe medications such as beta-blockers like Metoprolol to help control your heart rate and chest pain. Additionally, further investigations or treatments may be recommended based on the overall assessment of your cardiac health.

Question 2

I'm a 24-year-old woman with a weight of 37kg, and my heartbeat is constantly around 134bpm, even when I'm resting. For the last 5 years, my heart rate usually stays in the range of 120 to 130. I dont have any other health issues and havent felt any discomfort, but I'm worried this might be dangerous. Do I need surgery, or can this be treated with medicines? Does homeopathy have any solutions? I really want to avoid surgery if possible. Can you help me figure this out?

Accepted Answer

Your heart rate of 134bpm is slightly elevated, but since you have been experiencing heart rates in the range of 120 to 130 bpm at rest for the past 5 years without any other symptoms, it may not necessarily indicate a serious issue. Surgery is not typically needed for a slightly elevated heart rate. Medications can be used to help control heart rate if necessary. In your case, a beta-blocker medication such as Metoprolol can be prescribed to help lower your heart rate and manage any symptoms you may be experiencing. The usual starting dose for Metoprolol is 25mg to be taken once daily. It is important to consult with a healthcare professional to determine the most appropriate treatment plan for you.

Question 3

I'm 27 and just found out I have high cholesterol. My LDL was 190, HDL was 40, total cholesterol hit 280, and triglycerides were at 90. My B12 levels were at 80. The doctor had me on Crestor 20 mg for a few months, which got my LDL back to normal, but it messed with my SGPT and SGOT levels. Then I switched to Prelipid and my cholesterol levels stabilized, but I've been having muscle pain and anxiety with it. Also, my family's got a history of high cholesterol. I've been playing lawn tennis regularly for the past few years and I really dont love the idea of staying on medication forever. Once I stop taking them, my cholesterol spikes again. Is there any way I can manage my cholesterol without being on meds for life? Would really appreciate some advice on if these medications are a must or if there's something else I can try!

Accepted Answer

u have to continue with tab crestor 20 mg at bedtime continuosly ,and recheck the lipid panel once in 3 months, better to continue with the medications.Regular aerobic exercises, protein diet is advised.Alcholol and smoking cessation is needed.Also use of butter and ghee is not advised

I've been prescribed ciplar la 10 for my anxiety disorder, but after taking it, my pulse rate dropped to 55 from my usual 68 to 72. My ECG is normal, but I'm worried. Should I keep taking the medication?

continue ciplar la 10 mg for anxiety disorder..

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