Question 1

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guessing it's because my blood pressure drops. Should I stop taking Imdur, or is there something else I can do? I'm not sure what's best and would really appreciate some advice.

Accepted Answer

Don't stop Imdur abruptly. Consult your cardiologist  to adjust dosage or switch to alternative medications. Possible solutions:

Medical Adjustments

1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily.
2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers.
3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones).

Lifestyle Changes

1. Increase fluid intake.
2. Elevate head while standing.
3. Slow rising from bed.
4. Avoid sudden movements.

Monitoring

1. Regular blood pressure checks.
2. Electrocardiogram (ECG) monitoring.
3. Follow-up appointments.

Question 2

I'm 36 and recently I've been feeling some pain in my left chest. I had an ECG done and they mentioned something about a left axis deviation. What exactly does that mean? Could it indicate a heart issue?

Accepted Answer

yes ,causes of left axis deviation includes myocardial infarction, left ventricular hypertrophy, ventricular ectopics, hyperkalemia, emphysema  etc ...Echo and cardiac markers  are advised and a cardiac opinion is advised.

Question 3

I'm a bit worried because I've been taking Rosukem A1075 after getting diagnosed with T2DM in September 2018. The cardiac doctor I visited then suggested this medication for a normal ECG and echo. But I've just got my annual health checkup reports, and both the ECG and TMT turned out fine. Now I'm unsure if I should keep taking this tablet. My diabetologist says I should continue with Rosuvas 5. Could you help me figure out what to do?

Accepted Answer

Since you were advised Rosukem A1075 by the cardiologist, it is important to follow their recommendation for your heart health. Rosukem A1075 contains Rosuvastatin 10mg and Aspirin 75mg, which helps in managing cholesterol levels and reducing the risk of cardiovascular events. As for your diabetologist's advice to continue Rosuvas 5, it contains Rosuvastatin 5mg which also helps in lowering cholesterol. It is important to follow both specialists' advice for optimal management of your conditions. So, you can continue taking Rosukem A1075 as advised by the cardiologist and Rosuvas 5 as advised by the diabetologist for your overall health."

Why does my chest feel tight and heavy?

Chest tightness can be a sign of heart disease or GERD or anxiety

More Cardiology Health Queries

I'm 36 and recently I've been feeling some pain in my left chest. I had an ECG done and they mentioned something about a left axis deviation. What exactly does that mean? Could it indicate a heart issue?

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