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
Whenever I feel stress , even day to day life stress causes chest tightness and heavy breathing. I feel numbness in my legs and hands. Sometimes my legs start shaking and my hand also shivers and automatically my fist closes or tries to hold something and close fist tightly. I sleep a alot . Even then after some hours I feel sleepy. After my breakfast either my head feels heavy or light and my eyes starts closing and I feel so sleepy that I can't resist it for too long and then I sleep again .
In Feb'26 I got stressed out and became very anxious. I was put on Concor 2.5mg. All test 2D Echo and ECG were done and normal. Then at the same time I developed a UTI infection and after I got better I was put on Concor 5T as in the doctor office my BP went 150/100 whereas at home it has been 115-145/72-86 in that range, Now my BP is always between 110-118/62-76. I have been taking Concor 5T since a month now. Can I reduce and completely stop the medication as I never had BP before in my life, only during the time of my anxiousness it went up and only whenever my BP is checked at a doctor's place it goes up with the fear.
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?
He has been taking 5ng rosuvasatin for last 6 months every alternate day for ldl of 130 and tg of 370. He has been playing tennjs for 2 years without any problem..but for some months..jhe has looked tired...now 1 month back he played for 2 hours...and after that he has been very fatigued...he rested for 3 weeks and again played for 1 hour...now its been 4 days...he still looks fatigued alot....is this caused by overexertion plus rosuvastatin?
Heart emergencies can strike anytime, anywhere. Quick action can save a life. Knowing what to do in such situations is very important, especially if someone around you is showing signs of a heart attack or any heart-related problem. Dr. Kartik Bhosale, one of the best cardiologists in Pune, ...
Balloon valvuloplasty is a minimally invasive procedure using a catheter with a balloon to widen narrowed heart valves (stenosis), improving blood flow and relieving symptoms like shortness of breath and chest pain, often for mitral or aortic valves, offering a quicker recovery than open-heart ...
Chest pain is one of the most alarming symptoms a person can experience. For many patients, the first test advised is an ECG. When the ECG report comes back normal, there is often a sense of relief followed by confusion if the chest pain continues. This raises a common and important question: ...
Chest pain is one of the most common and most worrying symptoms people experience. Some ignore it, thinking it is just gas or muscle pain. Others panic and fear a heart attack immediately. In our clinical practice in Pune, many patients ask, “Doctor, how do I know if my chest pain is ...
Heart disease is often associated with strong warning signs like severe chest pain or sudden collapse. But in reality, many heart problems begin quietly and develop slowly without noticeable symptoms. Because of this, people may continue their normal routine while a heart condition silently ...
