Congenital great arteries

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.

Angina?? Neck n jaw burn

Since the past two days have been having some weird pressure and deep burning ache in my neck and jaw- I was also having occasional chest pressure, but I knew it was due to GERD but this neck n jaw issue is new I consulted my regular cardiologist, who did ECG, echo and some blood test, which were completely normal - I also have a history of a normal invasivea angiogram done a year ago He gave me medicines for GRD and dysphasia mentioning that GERD issues can present in several atypical ways But my mind remains fixed on cardiac side - since all the investigations have been done, I don't know if I should go for any other test

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?

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?

Tingling in hands upper skin and in body

Dear Sir, Suffering from mid spine bearable pain, but tingling in hands and legs and face jaw, some time feel like I'll faint but not yet fainted, imbalance feeling but I can walk and drive bike normal, my body weight 108kg height 5ft 7 inch, no sugar, blood report and ecg normal, 2decho normal, ...iam just worried of tingling in hands upper skin, and imbalance feeling it's irritating. Please help with your suggestions why this happens and root cause.

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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