- Female
- 72 Years
- 22/01/2025
So, my mom was diagnosed with 80% stenosis in the mid RCA and there's also a 50% instent restenosis in the distal RCA, where she had a stent put in back in 2010. We're a bit confused because one doctor is suggesting she should go through angioplasty again for both areas, while another doctor thinks it's not necessary. This is pretty stressful, and I really want to make the right decision. Could you explain what the typical approach is for handling instent restenosis and how serious this situation looks?
Answered by 1 Apollo Doctors
RCA STENOSIS 80% IN MID SEGMENT WILL INFLUENCE EFFECT OF DISTAL STENOSIS. ONCE U OPEN MID RCA LESION WITH BALOON AND DO ANGIOPLASTY THEN CHECK THE INSTENT RESTENOSIS LESION WITH FFR. IF FFR IS MORE THAN O.8 THEN NOTHING FOR DISTAL AND IF FFR IS LESS THAN 0.8 ANGIOPLASTY TO INSTENT RESTENOSIS.
Dr. Mubarak Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
More Cardiology Health Queries
View allI'm really worried about my brother who's just 18. He's been having mild chest pain and his blood pressure is pretty high, like 14090. The general medicine doctor suggested some tests, which we've done and uploaded the reports. Can you help me understand what's going on with him? Why would he have high blood pressure at such a young age? He's already on medication for it, and I'm just trying to figure out what might be causing this.
The excessive intake of painkillers has likely led to kidney damage, causing the kidneys to shrink. This condition is known as analgesic nephropathy . To address this issue, it's essential to stop the use of painkillers that are harming the kidneys. *Treatment Options:* - _Acetaminophen_: This pain reliever is considered safer for patients with kidney disease. However, it's crucial to follow the recommended dosage and consult with a doctor . - _Non-opioid analgesics_: Medications like pregabalin, gabapentin, and duloxetine can be used to manage pain, but require careful dosing and monitoring due to potential side effects . - _Alternative pain management techniques_: Encourage your father-in-law to explore non-pharmacological approaches, such as physical therapy, exercise, yoga, or acupuncture, to manage pain . *Lifestyle Changes:* - _Hydration_: Encourage your father-in-law to drink plenty of water to help flush out toxins and reduce the risk of further kidney damage. - _Dietary changes_: A balanced diet low in salt, sugar, and unhealthy fats can help manage kidney health. *Medical Consultation:* It's crucial to consult with a nephrologist
Answered by 1 Apollo Doctors
I'm a bit worried about my resting pulse rate, which is around 55 to 60, but when I work out it goes up to 75 to 80. My ECG and lipid profile are normal, and I take Telpres CT for my blood pressure, which is also normal. I'm curious if this medication could be what's making my pulse lower. Should I be concerned about my resting pulse rate, or is this within a normal range?
Your resting pulse rate of 55 to 60 beats per minute is within the normal range for adults, especially if you are physically active. When you workout, it is normal for your pulse rate to increase to 75 to 80 beats per minute. Telpres CT is a combination medication that contains Telmisartan and Chlorthalidone, which is commonly used to treat high blood pressure. Telpres CT, specifically the Chlorthalidone component, can sometimes cause a slight decrease in heart rate as a side effect. However, in your case, with a resting pulse rate of 55 to 60, it is more likely that your lower pulse rate is due to your good physical fitness rather than the medication. As your ECG and lipid profile reports are normal, and you are maintaining a normal blood pressure with Telpres CT, there is no need to be concerned about your pulse rate. It is important to continue monitoring your blood pressure regularly and follow up with your healthcare provider for any concerns.
Answered by 1 Apollo Doctors
I'm really concerned about this chest pain I've been experiencing since September 2016. It's deep on the right side of my chest, and it's not sharp, but more like a burning sensation. It feels like there's this big hollow hole and sometimes it feels like something's writhing or like a contracting muscle in there. It's at its worst when I'm sitting up. The only time I feel a bit relieved is when I'm leaned back at least 45 degrees or lying down. Ive noticed it gets worse on days I dont get enough sleep, but it doesnt seem to be affected by food or anything else. I don't have trouble breathing, exercising, or sleeping, but this feeling is constantly there throughout the day. Sometimes it's so intense I have to pause everything and lie down. What could this be, and what should I do about it?
anxiety or stress issue
Answered by 1 Apollo Doctors
Health Articles for you
View all
Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.