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
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.
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 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?