Trifascicular block

Health Q&A
Idk what is this

So, I went to a doctor and he told me that it is gastritis, which is some due to eating too much spices. And I agree with that. But I still have two questions : If it is due to spicy still there is a moment when I felt like heaviness in my cheat, unable to breathe, feeling smthn and getting nervous and thinking what it is even when i didn't eat anything spicy. Second it even happend when I was watchin a show and some scene made me nervous and I started feeling it again, but I wanna ask, since I study in a college where I don't need to go regularly, so I sleep around 6 am in the morning and wake up around 4 pm (also coz I have been depressed 2 years ago), and then when I wake up I have my lunch and have dinner around 12 am or smthn. I just wanna know since my family hates this schedule of mine, but I am like this only and I feel comfortable too (GEN Z LIFESTYLE yk) do you think this schedule is not okay? and it could be a reason of what I feel? or what.

Flat t wave abnormality

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

Anxiety issue or something else

Whenever I feel stress , even day to day life stress causes chest tightness and heavy breathing. I feel numbness in my legs and hands. Sometimes my legs start shaking and my hand also shivers and automatically my fist closes or tries to hold something and close fist tightly. I sleep a alot . Even then after some hours I feel sleepy. After my breakfast either my head feels heavy or light and my eyes starts closing and I feel so sleepy that I can't resist it for too long and then I sleep again .

HELP NEEDED URGENT ADVISE

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 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?

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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