She is a 57-year-old diabetic patient with high triglycerides. Her endocrinologist gave her preventive pills today but did not clear her heart. She has a brand-new ECG showing T-wave flattening from V1 to V4, and because of her diabetes
Since the past two days have been having some weird pressure and deep burning ache in my neck and jaw- I was also having occasional chest pressure, but I knew it was due to GERD but this neck n jaw issue is new
I consulted my regular cardiologist, who did ECG, echo and some blood test, which were completely normal - I also have a history of a normal invasivea angiogram done a year ago
He gave me medicines for GRD and dysphasia mentioning that GERD issues can present in several atypical ways
But my mind remains fixed on cardiac side - since all the investigations have been done, I don't know if I should go for any other test
My blood pressure is normal.
Currently having stamlo 2.5 mg.
How to Stop this medication .If life style modification is done.
EECP vs Better Non-Surgical Options: 61F Post-Pulmonary Edema (TVD, 42% EF)
61F. Frail/thin. Hospitalized last week for 1st time with acute pulmonary edema (now resolved). Currently stable: lungs clear, SpO2 98%, Pulse 82-85, FBS 155, PPBS 198. Has intense thirst and fragmented sleep.
Angiogram: Severe TVD. LMCA 30-40% stenosis; LAD total occlusion (filling via active collaterals); Distal LCX 90-95% stenosis; RCA total occlusion (retrograde filling). Surgeons advised against CABG/PCI due to frailty; recommended medical management as collaterals are compensating.
2D Echo: EF 42%, mild PAH, multiple hypokinetic LV segments. Chambers/IVC normal.
Meds: Axcer 90mg BID, Aspirin AV 75/40, Bisoprolol 1.25mg, Angispan 2.6mg, Oxra 10mg, Tab Leni 40mg (1.5 tabs/day). NovoRapid (10-10-8) + Lantus (10u at 10 PM). Strict 1L fluid limit, zero-salt diet.
Questions:
Can EECP safely mature her collaterals, or does increased venous return risk re-inducing pulmonary edema so soon?
I am suffering from sinus tachycardia and bloating and anxiety since Covid . Pls suggest me permanent solution to get rid of this