Heart Problems & Remedies

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Elevated heart rate of 110bpm

I'm having a elevated heart rate of 100 to 110 bpm since morning no other symptom. I was diagnosed with diabetes last year but it is under control with metformin. Please advise.
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BP spikes during Panic Attack

I am currently on a Somatic Symptom Disorder Treatment and recently started medication Escitalopram 5mg and Etizolam 0.25mg in the night. It's my 13th day pf the treatment and have experienced 2 episodes of panic attack within this treatment. During the panic attack my BP spikes to 160+/100 and 90-100 Heart Rate, it causes headache and pressure during the attack in head. Whereas normally it range between 130-140/80-90 and 65-60 Heart Rate everyday. My heart rate being on the lower side of the normal range , I don't know whether to take any Beta Blocker like propanol daily or SOS during panic attacks OR any other good medicine which can fit best in this scenario.
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ECG AND ECHO

I went for normal check up today. I had done my ECG and ECHO . ECG shows poor R wave progression. ECHO is normal. Am attaching two. Kindly advise. Poor R wave progression is normal ? I have anxiety issues and taking CIPLAR LA20 And Mirtaz 7.5 kindly advise.thank you.
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Angiography opinion

This is the angiography report of my mom which says proximal to mid tubular 80% with ectasia. What are the suggested next steps?
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Lipid is bad triglyceride 475

Hi doctors,  I got my Annual blood  test done along with  Cardiac markers. Majority factors came fine  like LFT, KFT, CBC, sugar hb1ac, etc. But cardiac related  tests were in bad shape .  TRIGLYCERIDES = 475 , very hig. LDL = 133 high. HDL =35 below borderline of 40  Cardiac markers : CRP = 7.6, shud  below 10.  HS CRP =7.30, high shud be less than 3 ( also hv throat infection these days so can be high due to that )  Homocystain = 19 shud be less than 14  and LP a = less than 3 , This was ok shud be less than 30. few of these look quite alarming to me. Please suggest what best measures can be take to control them fully.  I have health anxiety issues too and i fear of having a heart attack.  unfortunately my desk job won't allow me much walking on daily basis. Please suggest what additional test can be done if required and how to control HS CRP 7.30 and triglyceride 475 to normal levels naturally or avoiding food or if any medicine are required.
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Medicine advise

I was taking metpur 25, and was taking sildenafil 100 but now due to low HR docter switched to telma 20. Can I take sildenafil 100 with telma 20 also
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Surgery confusion

My wife is having an umbilical hernia. The general surgeon suggested an open surgery to remove this hernia. As a procedure she underwent ECG and ECHO test before the surgery for hernia. But ECHO results show my wife is having a LARGE OSTIUM SECUNDUM ASD (28mm) in her heart. So the cardiologist suggested doing the heart surgery first but the general surgeon suggested doing the hernia surgery first. Now we are confused. Kindly advise. Thanks.
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LVDD Grade1

I have had my echo test done My report came with LVDD grade 1 And LVEF 55% I have blood pressure from year 2020 but doctor told me LVDD is Common problem, I am very Anxious about my report
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Regarding ecg

Is this ECG normal as I think this ECG machine is old so only graph has been printed no measurements
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CT coronary Angiogram

I am having chest tightness and mild burning and pain sensation on left chest. Went through ecg 2d ècho both are normal. I had ACL reconstruction surgery 6 mnths back and since then very limited movement. Hence my LDL is now 126. Went to cardiologist, since i cant go for TMT suggested me to go through CT angio. I got it done. Report came as Calcium score is zero and no CAD. But it is also mentioned that "Proximal LAD: Soft plaque causing minimal stenosis (5%-10%)." Do we need medications for it? I am 33 yrs male. Pls advice.
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