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
I took cholesterol test my report is like cholesterol levels Iis 152 triglycerides 46 hdl cholesterol is 48 ldl cholesterol is 94.8 vldl cholesterol is 9.2 cholesterol hdl ratio is 3.2 non hdl cholesterol is 104
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?
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?
Greetings sir my name is srihari last few days cheat pain and pressure Shortness of breath today pain is increase ECG DONE please cheak sir anything problem 🙏🏻