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
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?
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.
Heart disease is one of the leading health concerns in India, especially in urban cities like Pune. With changing lifestyles, increasing stress, and poor dietary habits, many people are at risk of heart-related problems. In such cases, early detection is the key to effective treatment and ...
Have you heard about young people maybe someone in their 20s or 30s suddenly having a heart attack? It’s scary, right? And the most confusing part is that many of them had just done their health checkups, and everything looked normal! So what’s really going on? Let’s understand this ...
Wakad and Baner have rapidly transformed into major IT and corporate hubs of Pune. With modern offices, high salaries, and global exposure, the lifestyle of IT professionals appears comfortable on the surface. However, behind this success story lies a worrying health trend: a sharp rise in heart ...
Chest pain is one of the most alarming symptoms a person can experience. For many patients, the first test advised is an ECG. When the ECG report comes back normal, there is often a sense of relief followed by confusion if the chest pain continues. This raises a common and important question: ...
Chest pain is one of the most common and most worrying symptoms people experience. Some ignore it, thinking it is just gas or muscle pain. Others panic and fear a heart attack immediately. In our clinical practice in Pune, many patients ask, “Doctor, how do I know if my chest pain is ...
