Question 1

My mom had cardiac aortic valve replacement surgery in 2013 when she was 47. Her PT has been stable around 1.6, usually staying between 1.2 and 2.0. But recently, a different cardiologist said her PT isn't good and should be in the 2-3 range. I'm confused because her levels have been consistent for years is this something we should be worried about? What should we do next?

Accepted Answer

Your cardiologist is right. It depends on which type of valve ur mom has. U can continuously monitor the PT INR through remote monitoring.

Question 2

I've been really anxious about something that's been going on with me. I got my first dose of the Covishield vaccine on the 13th of last month. The first couple of days, I had a fever and body pains, which went away pretty quickly. But then on the third day, I started having this sharp chest pain on my lower left side, so I went to a cardiologist. They did an ECG and a 2D echo and said everything looked normal, probably just muscle pain or acid reflux, and gave me some meds like prantoprazole and paracetamolchlorzoxazone, which seemed to help at first.

But now, almost two weeks later, the chest pain came back for an hour and went away after I took prantoprazole. Then my left arm started hurting, and that hasnt stopped. I don't have the chest pain anymore, but the arm ache is persistent. I'm worried if this is related to the vaccine or just acid reflux like they said, or if it could be something more serious like myocarditis or pericarditis. I've been Googling a lot and getting more concerned. Can you help? What's really going on with me?

Accepted Answer

It sounds like you are experiencing some concerning symptoms after receiving your Covishield vaccination. The chest pain, especially if it is sharp and on the lower left side, can be alarming. However, since your cardiologist has already ruled out any cardiac issues based on the ECG and 2D echo, it is reassuring. The recurrence of chest pain and the new symptom of left arm aching could be related to muscle pain or acid reflux, as suggested by your doctor. It is less likely to be myocarditis or pericarditis, especially if the cardiac tests were normal. To help with your symptoms, you can continue taking the medications prescribed by your doctor. In addition, you can try using a muscle relaxant and pain reliever like **Myoril (Thiocolchicoside)** along with **Paracetamol** for the left arm ache. Make sure to follow the recommended dosage for each medication. If the symptoms persist or worsen, it would be advisable to follow up with your doctor for further evaluation. Keep monitoring your symptoms and seek medical attention if you have any new or concerning symptoms.

Question 3

I'm really worried because I've been having chest pain for a few weeks now. Sometimes it spreads to my left arm and upper back, which is really scary. I've noticed that my heart's been beating really fast a couple of times this month, and when that happens, I start sweating and feel hot all over. I actually thought I might be having a heart attack. I went ahead and had an ECG done, and it says sinus tachycardia and nonspecific t abnormalities in the inferior leads. Should I be concerned about this? Also, I've taken medication for depression beforecould that be connected somehow?

Accepted Answer

sinus tachycardia in ecg , u need to take treatment for that which includes betablockers ,calcium channel blockers,cardiac opinion is advised

I've just got my routine test results and it says I have high cholesterol and triglycerides. My cholesterol is at 258 and triglycerides at 378. I'm really worried about what this means and which medicine I should consider taking. Could you give me some advice on how to handle this?

dyslipidemia is the diagnosis,, treatment includes tab fenofibrate 160 mg ,orally ,bed time for 3 months, lipid panel after 3 months is advised. also avoid fat foods,ghee,butter ,meat etc and regular aerobis exercises is advised to the patient..

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