Aorto Iliac & Femoral Angioplasty

Health Q&A
Hypercholesterolemia

Im having elevated ldl cholesterol above 190mg/dl from past 3 yrs , with lifestyle modification and diet changes i have reduced my weight by 7kg and ldl cholesterol to 158mg/dl. Despite of the changes im having borderline high ldl  cholesterol. I have also done lipoprotein a test which is also on the higher side . Do I require to take statins for indefinite period or I can decrease cholesterol levels further by diet and exercise alone.

Breathlessness relief

Recently she was diagnosed with blockage after she experienced chest and back pain. Initially we thought it was gas pain. Now I do not have the details of medicine prescribed by cardiologist but can I give oxygen from oxy99 can if she is breathless? Can I give her cherry and beetroot in daily diet? Doctor has said that 95% blockage after echo. Is it possible to say so? What course of action and diet do you advice?

Low bp and digestive issue

As soon as I drink water or eat something I'm getting burps immediately, getting stools daily but feels like incomplete evacuation and since 2-3 days my bp is around 95/65. My b12 is 155 Iron is 43 Hb is 11.5 Rbc 3.69 Calcium 7.81 ESR 26 Rest cbc, lft, kft, thyroid profile, lipid profile were fine. I took iron and b12 tablets for 20-25 days but there is no increment. I tested for celiac disease too but it's negative. What's causing this burp and low bp? Is it the gut issues or heart issue?

HELP NEEDED URGENT ADVISE

Doctor, I’ve been experiencing the following symptoms: 1. My heart beats rapidly and also throat carotid pulse beating rapidly.  2. I get goosebumps on my left arm.  3. I feel tingling and twitching in the veins/nerves of my left arm, neck, shoulder, back, and sometimes my cheek and eyebrow. 4. When I wake up after lying down, it feels like something is moving from the veins in my shoulder toward my chest, like a worm running through the veins.  Whar is this? Can you please tell and give some advise?,

EECP vs Other non surgical options

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?

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Doctors
Dr. Robert Russell Brightwell - Vascular Surgeon
Dr. Robert Russell Brightwell Vascular Surgeon (Residency, Medical School, Osteopathic Medical Degree, D.O., Doctor of Osteopathic Medicine) 47 years experience OhioHealth Doctors Hospital
Forest Park West, COLUMBUS
Dr. James Michael Sinard - General Surgeon
Dr. James Michael Sinard General Surgeon (Medical School, Residency, Medical Degree) 40 years experience Mount Carmel Health Providers III LLC
Columbus 43213, COLUMBUS
Dr. David A Epstein - Vascular Surgeon
Dr. David A Epstein Vascular Surgeon (Fellowship, Medical School, Medical degree, DO, Residency in Surgery (Gen), Fellowship, Vascular Surgery - Independent, Fellowship in Vascular Surgery, Residency in General Surgery, Residency - ID, Fellowship 2) 31 years experience The Vascular and Vein Center at Grant Medical Center
Franklinton, COLUMBUS
Dr. Raghu  Kolluri - Internal Medicine
Dr. Raghu Kolluri Internal Medicine (Fellowship, Residency, Medical School, Medical degree, DO, Residency in Internal Medicine, Vascular Medicine Fellowship, Fellowship 2, Residency - ID) 27 years experience Riverglen Dental
Flint, COLUMBUS
Dr. Charles Riddle Holden - General Surgeon
Dr. Charles Riddle Holden General Surgeon (Fellowship, Residency, Medical School, Internship, Medical degree, DO, Residency in Surgery (Gen), Fellowship in Vascular Surgery, Class of 1980, Residency - ID, Fellowship 2) 46 years experience Madison Health
Forest Park West, COLUMBUS