Question 1

Is bypass surgery the only option or are there alternatives like balloon angioplasty that could work instead? I'm worried about going straight to bypass and want to know what other treatments might be possible

Accepted Answer

CTVS opinion advise.

Question 2

I'm really puzzled and a bit worried about what's been going on with me lately. Every time I try to catch some sleep, I get woken up by this chest pain and a rapid heartbeat. It's been happening for over a month now. Climbing stairs also brings on this uncomfortable chest feeling. I'm around 100 kg and on met XL and telmisartan for blood pressure. I had a Stress Echocardiogram and CT angiogram recently, and both came back normal. I also attached my last two ECGs for a reference. I've been reassured that this isn't cardiac pain, but it genuinely feels like angina to me. So I'm kind of confused and not sure whats going on. Could this still be related to my heart in some way, or maybe it's something else entirely?

Accepted Answer

It's good that your recent tests have come back normal, ruling out any cardiac issues. The symptoms you are experiencing could be due to acid reflux or GERD. I recommend trying over-the-counter medication like Omeprazole 20mg once daily before breakfast for 2 weeks. Additionally, you can try raising the head of your bed and avoiding heavy meals close to bedtime. If the symptoms persist, you may need to follow up with a gastroenterologist for further evaluation.

Question 3

I've been dealing with high blood pressure for the past two months and have been taking metoprolol 50 mg since the first month. Initially, everything was going well, and my blood pressure was 11070, but lately, over the past week, my diastolic pressure is sticking around 85 to 90. It seems like the meds aren't working as well now. I've increased to 50 mg twice a day. What should I do?

Accepted Answer

Its important to effectively manage your blood pressure, especially if it has started to rise again despite medication. It might be necessary to adjust your treatment plan. Continue monitoring your blood pressure regularly, and consider keeping a log of your readings to discuss with your doctor.

In addition to adjusting your dose of Metoprolol, your healthcare provider might consider adding another antihypertensive medication to your regimen. There are several classes of medications that can be used in combination with beta-blockers, such as ACE inhibitors, calcium channel blockers, or diuretics.

I recommend scheduling an appointment with your healthcare provider to review your current treatment plan and discuss potential adjustments. They can also evaluate for any underlying factors that might be contributing to the increased blood pressure.

Is a PR of 102 on my ECG considered normal I've attached the report for reference Also wondering if it's safe to proceed with cataract surgery given these readings

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