Question 1

I'm really worried about my health. Every year I get a check-up done, and back in November 2019 at Narayana Hrudyalaya Bangalore, everything was fine  my ECG, Echo, and cholesterol were all normal. But I recently did another cholesterol test, and the results are making me anxious: Total cholesterol is 180, Triglycerides 130, HDL 15, Direct LDL 137, and Non-HDL 165. Lately, I've been feeling this discomfort in my arms and sometimes around my neck, which only lasts a few seconds, but it's got me really concerned about a possible heart attack. My blood pressure is at 12880, and I've been on BP meds for four years now. Back in 2017, both the Holter and Ambulatory tests were normal too, just like the Echo and ECG from November 2019. I'm questioning if there's something serious happening. Should I get another Echo? Is an angiogram necessary? I'm pretty scared and would appreciate any advice.

Accepted Answer

Given your normal results from previous ECG, Echo, and Holter tests, as well as your relatively controlled blood pressure and current cholesterol levels, it's reassuring to some extent. However, the discomfort in your arms and neck, although lasting only a few seconds, deserves attention, especially given your fear of a heart attack. It would be wise to discuss these new symptoms with your cardiologist. They may recommend repeating some tests, such as an ECG or an Echo, to ensure no changes have occurred since your last evaluation. Depending on their assessment, they may also consider a stress test or a coronary angiogram to rule out any significant coronary artery disease. It's important to address these concerns promptly to alleviate your fears and ensure your heart health is appropriately managed.

Question 2

My arm and chest sometimes start to hurt at random times. Sometimes it's just my chest, sometimes just my arm, and other times both, with this throbbing sensation that can last for a couple of hours. What could be causing this? It's really worrying me.

Accepted Answer

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. The pain can sometimes radiate to the arm, neck, jaw, or back. It is important to consult a doctor for proper evaluation and diagnosis. In the meantime, you can take nitroglycerin sublingual tablets for immediate relief. The usual dosage is 0.3 to 0.6 mg every 5 minutes as needed, up to 3 doses. If the pain persists, seek medical attention immediately.

Question 3

I'm feeling a bit worried about my blood pressure readings. I got a reading of 135110 at the hospital and 140102 with a digital machine at home. I'm already taking Eritel LN 40 and Concor 2.5, but my regular doctor isn't available right now. I went to a clinic nearby because I've had headaches and blurred vision, and they recommended I take Telma H 4012.5 in the morning and keep up the Concor 2.5 mg at night for the next week until I can see my usual doctor. Does this sound like the right approach, or is there anything else I should consider?

Accepted Answer

Your blood pressure readings are slightly elevated, and you are experiencing headaches and slight blurriness in vision. Based on the information provided, you are currently taking Eritel LN 40 and Concor 2.5 for your blood pressure. The clinic has advised you to take Telma H 4012.5 in the morning and continue with Concor 2.5 mg at night for 7 days. I recommend following the advice given by the clinic. Take Telma H 4012.5 in the morning and Concor 2.5 mg at night as prescribed. It is important to monitor your blood pressure regularly and consult your regular physician as advised. If you experience any concerning symptoms or if your condition worsens, seek medical attention promptly.

My 58-year-old husband was diagnosed with severe concentric LV hypertrophy. The doctor mentioned surgery, but we're wondering if medications and lifestyle changes could help improve his condition instead. Is surgery really the only option, or can his heart health get better with other treatments?

More Cardiology Health Queries

My arm and chest sometimes start to hurt at random times. Sometimes it's just my chest, sometimes just my arm, and other times both, with this throbbing sensation that can last for a couple of hours. What could be causing this? It's really worrying me.

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