Bicuspid Aortic Valve Surgery

Health Q&A
Chest pain & heaviness

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

Ecg reports

I am feeling weak and having dizziness since a week now, got few blood tests done but everything was in normal. I have chest pain since 5 days on exertion like when I am brisk walking I get breathlessness along with chest pain on left side of when I climb up stairs. Doctor advised me to do ecg and asked me to show the reports to her but due to some reasons I could not. I have attached my reports can you pls tell me what's in my ecg.

Please review my reports

Hi sir,kindly review my reports . I already don't eat so much of red meat .still pls guide me.help me to come out of this.

High Cholesterol and Triglycerides

"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."

Query regarding medication  higher pulse

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

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Doctors
Dr. James Karas - Cardiologist
Dr. James Karas Cardiologist (Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Doctor of Medicine, Residency - ID, Fellowship 2, Medical degree, DO, Fellowship in Cardiovascular Medicine) 36 years experience Cleveland Clinic
Columbus 43212, COLUMBUS
Dr. John P Kovalchin - Pediatrician
Dr. John P Kovalchin Pediatrician (Medical School, Fellowship in Pediatric Cardiology, Residency in Pediatrics, Residency - ID, Fellowship 2) 37 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS
Dr. John Jay Warner - Internal Medicine
Dr. John Jay Warner Internal Medicine (Medical School, Residency) 34 years experience The Ohio State University Wexner Medical Center General Surgery
Weinland Park, COLUMBUS
Dr. Fareed Raza Shaikh - Cardiologist
Dr. Fareed Raza Shaikh Cardiologist (Medical School, Class of 1999, Residency - ID, Fellowship 2) 29 years experience Mount Carmel Medical Group
Columbus 43213, COLUMBUS
Dr. Lee R Davis - Internal Medicine
Dr. Lee R Davis Internal Medicine (Fellowship, Medical School, Residency, Internship, Residency - ID, Fellowship 2, Class of 1973) 53 years experience Knightsbridge Int Med & Car
Columbus 43214, COLUMBUS