Question 1

Is a mild concentric LVH and Grade I diastolic dysfunction something serious for a 68-year-old woman who's had a high sugar level of 250 and has been taking medication for diabetes for 6 years and heart issues for 4 years? What steps should we be taking? Is there a concern about ischemic heart disease with these symptoms, especially given the normal echo report?

Accepted Answer

Neck Pain and Burping Symptoms

_Possible Causes_

1. _Gastroesophageal reflux disease (GERD)_: Burping and neck discomfort may be related to GERD, where stomach acid flows back into the esophagus.
2. _Dysphagia_: Difficulty swallowing or a sensation of blockage in the neck could be causing your symptoms.
3. _Musculoskeletal issues_: Neck pain might be related to muscle strain or poor posture.

_Recommendations_

1. _Antacids or acid reducers_: Over-the-counter medications like antacids (Tums, Rolaids) or acid reducers (Zantac, Pepcid) may help alleviate GERD symptoms.
2. _Dietary changes_: Avoid trigger foods (spicy, fatty, or acidic), eat smaller meals, and avoid lying down after eating.
3. _Physical therapy_: Gentle neck stretches and exercises may help relieve musculoskeletal tension.
4. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to rule out underlying conditions.

_When to Seek Immediate Attention_

1. _Severe symptoms_: If you experience severe neck pain, difficulty swallowing, or vomiting blood, seek immediate medical attention.

Question 2

I'm trying to make sense of an angiography report, and it's got me a bit worried. It mentions a "LAD type 3 vessel proximal LAD 90 and mid LAD 90 stenosis" and "distal LAD minor plaques." Theres also talk of an "Intermediate 70 stenosis" and "LCX codominant system ostial 80 stenosis." Apparently, the LMCA is normal except for minor plaque and diagonals have non-obstructive plaque, while the marginals and PDAPLV are normal. The report concludes with "Final Diagnosis CAD Effort angina two vessel disease normal LV function. What does this all mean, and what should be the next steps? Is it something super serious?

Accepted Answer

Visit your Physician for appropriate management

Question 3

I'm feeling concerned about my blood pressure and heart rate. Last year, my family doctor found my BP was as high as 183120, but my ECG and other tests like Lipid, Thyroid, KFT, LFT came back normal. I was on Vitabend T and Alprex 0.25 for about 78 days, made some changes to my diet, and my BP stayed around 12090, so I stopped the meds. But just last week, my BP shot up to 163110 with a heart rate of 124 BPM; after taking Vitabend T, it normalized again to about 11580. Now, Im experiencing pain in my left hand and my heart rate averages 100 BPM. Should I be worried about heart trouble? Sometimes I feel pain around the collar bone too, but theres no fatigue or breathing problems. What should I do?

Accepted Answer

Based on your symptoms and history of high blood pressure, it is important to consult a Cardiologist for further evaluation. The pain in your left hand and collar bone, along with an elevated heart rate, could be indicative of underlying heart issues that need to be addressed. The Cardiologist may recommend additional tests or adjustments to your current medication regimen. In the meantime, continue monitoring your blood pressure and heart rate regularly. It is important to prioritize your heart health and seek professional medical advice in this situation.

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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