Question 1

I've been smoking for the past four years and drink daily. Seven months ago, I had a stress echo, and it came back normal, even though my lipid levels, Lp(a), and triglycerides were high. Recently, I've been experiencing dizziness that comes and goes, heart palpitations, ringing in my ears, feeling my heartbeat in my ears, the sensation of my heart skipping a beat, and burping. Could these symptoms be related to a heart issue? I'm worried because of my lifestyle habits and these recurring symptoms.

Accepted Answer

"Based on your symptoms and risk factors such as smoking and daily drinking, it is important to further evaluate your heart health. The dizziness, heart palpitations, ringing in ears, feeling of skipping a beat, and burping could be related to your heart. I recommend you to consult a doctor for further evaluation and consider starting on a medication like Atorvastatin (10mg) for high lipid levels and Fenofibrate (145mg) for high TG levels to manage your cardiovascular risk factors."

Question 2

I've recently had an ECG done, and it mentioned something called sinus arrhythmia. Just wondering, is this a big deal? Should I be making an appointment with a cardiologist to get it checked out further?

Accepted Answer

ECG report showing sinus arrhythmia is usually not a cause for concern, especially if you are not experiencing any symptoms. Sinus arrhythmia is a normal variation in heart rate that occurs with breathing. However, if you have any underlying heart conditions or if you are experiencing symptoms such as dizziness, chest pain, or shortness of breath, it is advisable to consult a Cardiologist for further evaluation and management. No specific medication is required for sinus arrhythmia.

Question 3

I've had angioplasty done and have a stent implanted. My doctor recommended some drugs from companies like Sun Pharma, MacLeod, and Lupin, but they're a bit pricey for me. Are there other reputable brands that make equivalent quality medications for Rozavel 2mg, Prax A 75mg, and Voglimac GM 2mg at a lower cost? Also, can I ask the pharmacy for generic versions of cholesterol-lowering drugs if I have a prescription for the more expensive branded ones? Are generics reliable when it comes to quality assurance and control?

Accepted Answer

Substitute for rozavel 2mg: You can consider Atorva 20mg (Atorvastatin) from Cipla or Rosuvast 10mg (Rosuvastatin) from Torrent Pharmaceuticals. Substitute for Prax A 75mg: You can try Clopid 75mg (Clopidogrel) from Intas Pharmaceuticals or Plavix 75mg (Clopidogrel) from Sanofi. Substitute for voglimac gm 2mg: You may opt for Glycomet GP 2 (Metformin + Glimepiride) from USV or Glyciphage G1 (Metformin + Glimepiride) from Franco-Indian Pharmaceuticals. Regarding generic cholesterol-reducing drugs, yes, you can purchase generic versions of cholesterol-lowering medications with a prescription from your doctor. Generic medications are generally considered to be equivalent in quality to their brand-name counterparts as they undergo the same rigorous testing for quality assurance (QA) and quality control (QC) by regulatory authorities.

What happens when BP is high?

Headache,Shortness of Breath,Nose Bleeds,Flushing,Dizziness,Chest Pain,Visual changes,Blood in Urine

More Cardiology Health Queries

I've recently had an ECG done, and it mentioned something called sinus arrhythmia. Just wondering, is this a big deal? Should I be making an appointment with a cardiologist to get it checked out further?

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