My Ecg is normal sinus rhythm,echo was normal done 4 months ago(ef=65%), .but tmt was positve but my invasive coronary angiogram report is normal arteries with slow dye clearance, microvascular angina just one year ago(2024 december,dated 21/12/24).calcium score was 0 in 2023 ct cag test report ( november, 2023)too, hs crp value is 0.48, apoa1 is 141, apoB is 50.3
HDL 54, ldl 64, tg 55, cpk mb 19( ref was <25), hb1c 5.2 done all tests in october'25
I feel discomfort and tightness, discomfort & heaviness like feeling & pain and heaviness with tightness
the left chest and & at sometime even at rest.moreover feel palpitation & pain & discomfort type of sensations sometime in stress .high bass sound makes me feel very uncomfortable feeling in chest.
Taking clopidogrel 75 od & rosuvastatin 10 od.
Non smoker, non alcoholic, non diabetic.
Is it a heart related problem?
Do i need to go for another angiogram?
How to get rid of this? Plz suggest doctor.
Reports are attached.
Thank you
"Hello Doctor,
I am a 30-year-old male seeking advice on my recent blood reports.
Key Issues:
Vitamin Deficiency: Significant deficiency in Vitamin B12 and D3. I feel frequent fatigue and low energy.
Lipid Profile: My LDL (Bad Cholesterol) and Triglycerides are high and outside the healthy range.
Context: I am a teacher and lead a moderately active life, but I am currently dealing with stress and overthinking.
Guidance Needed:
Please suggest the best supplements/medication for Vitamin B12 and D3.
Suggest if I need medicine for Cholesterol or if diet/exercise is enough.
What specific foods should I avoid to lower my Triglycerides?
I have attached my reports for your review. Thank you."
Doctor given ciplar 1a 20mg 10s tablet. I have break it to take half of the tablet.it hard to break the tablet.can I take ciplar la 10mg tablet.pharmacist said to break the tablet half .per day only half of the tablet i should take..
I have a query regarding medication for pulse.Iam 44 year old male taking bp medicines since almost 10 months.It started with telmisartan 40 mg then transitioned to 25 mg till it got changed again a week ago.Iam taking Rivelol 40/50 for bp and one medicine Betaloc 25 has been prescribed sos in case there are palpitations and higher pulse.Now my query is Iam checking my bp almost every other day the bp reading is normal but the pulse hovers around 90/91/92.Is this concerning.Also is it required to take Betaloc 25 in case the pulse is around 90/91/92 or should it only be taken if it crosses 100? Pls advise
My daughter have CHD by birth as small hole in heart by birth now she is 3 years old but still not facing any issue we are doing echo every year to check but doctors suggest to close the hole by ASD.
My question is now she is completely fine and heart hole can be cured by own or we need ASD.
please suggest
