- male
- 50 Years
- 31/03/2021
What is the main cause of high blood pressure?
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Answered by 1 Apollo Doctors
I'm a 27-year-old male with a family background of heart issues, and I've been struggling with some concerns about my health. I smoke and drink daily and recently got my tests done where my lipid profile showed high LDL, TG, Hscrp, and Lpa levels. I saw a cardiologist four months ago, and after undergoing an ECG and Stress Echo, everything was normal. However, I often have bronchitis, and a few days ago, I caught a cold and have had allergies. Lately, I've been feeling this pressure in the middle of my chest and having trouble breathing, along with dizziness while walking, which has been going on for around 34 days. There's also this dragging sensation on my left front shoulder. I went for another ECG, and it was normal, but there's still pressure in my throat and chest, with palpitations and anxiety. Could this be heart-related, or is something else going on?
It sounds like you may be experiencing symptoms related to your heart health, especially considering your family history of heart problems and your high lipid profile. Given your symptoms of pressure in the middle of the chest, breathing difficulties, dizziness, and dragging sensation on the left front shoulder, it is important to take these symptoms seriously. Considering your risk factors and symptoms, it would be advisable to start taking a medication to manage your high LDL, TG, Hscrp, and Lp(a) levels. I recommend starting with a statin medication like Atorvastatin 20mg once daily to help lower your cholesterol levels and reduce the risk of heart-related issues. Additionally, to help with your symptoms of chest pressure, palpitations, and anxiety, you can take a medication like Metoprolol 25mg twice daily to help manage these symptoms and reduce the workload on your heart. It is important to follow up with your cardiologist for further evaluation and management, as they may consider additional tests or adjustments to your treatment plan based on your current symptoms and risk factors.
Answered by 1 Apollo Doctors
I'm reviewing my angiogram results, and it's making me pretty anxious. It mentions a "20% stenosis" in the distal left main, and a "90% stenosis" in the proximal left anterior descending artery, plus a "60% stenosis" in the mid LAD. The distal LAD is stated as normal, but there's a "40% stenosis" in the diagonal. Also, it says my right coronary artery has a "90% eccentric stenosis" in the distal part, though the rest is fine, as well as the PDA and minimal disease in PLV. Could you help me understand what all this means, and what should be done? I'm feeling really lost here.
"Based on the findings of your coronary angiogram, it appears that you have significant blockages in your left anterior descending artery (LAD) and right coronary artery (RCA). To address the blockages and improve blood flow to your heart, a treatment plan may include the following: - For the 90% stenosis in the proximal LAD, a coronary artery bypass grafting (CABG) surgery may be recommended. - For the 90% eccentric stenosis in the distal RCA, a percutaneous coronary intervention (PCI) with stent placement could be considered. - Medications such as aspirin, clopidogrel, beta-blockers, ACE inhibitors, and statins may also be prescribed to manage your condition and reduce the risk of further complications. Please consult with your cardiologist to discuss these treatment options and determine the best course of action for your specific case."
Answered by 1 Apollo Doctors
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.





