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Dear doctor, if one's good cholesterol like HDL reduces because of anxiety and confusion, what will happen to his health?
Had started smoke about 2 years and now I am feeling incomplete without cigarette daily but want to leave it. And worried about my lungs. Will I get disease related to lungs and heart. If left then what time it will take to recover my body.
I am 38years old male suffering from high cholesterol and uric acid stone diagnosed last yr. Can I go for body building and take muscle supplement now.
Last year i was diagnosed with hypertension 150/90 and my age is 25 now.. Dr gvs me Amcard AT . After few months i relize some sideeffect. Like heart palplation , dizziness and anxity.. i want to quit these drug .. help me
Hello, I am 51 years old. My cholesterol levels are 258. Is it OK or will there be any problems related to heart? I am very much tensed about it. What should I do now? Please suggest me some home remedies for it as soon as possible. Thankyou.
Hii , from 1 month severely I am dreaming very badly as I am getting sticked between two stones or a bottle, or in a pipe. And I am unable to get out it. As I got up from sleep my heart beats fast and I could not sleep feel like dying, not only stones that wat ever dream comes I am getting sucked into a hole or something were I feel like dying, I feel that I may get Heart attack with this pain any time, my age is 33, please help me in this problem.
HI, I'm 45 yrs. Old & my total cholesterol is 227 mg/dl ,HDL 38 & LDL 166, triglycerides 140 mg/dl ,VLDL is 28. 1 mg/dl with TC/HDL 5.9,LDL/HDL 4.3 NON HDL CHOLESTEROL 188.13. I'm absolutely fit, no sugar or BP .Also we have family history of cardiac arrest, my father had first attack at the age of 44 & he died of heart attack at the age of 54. As of today I have no health issue but as you can see my cholesterol level is not normal. I'm 100% vegetarian, do not consume even an egg. Try to consume as less oil as possible but still cholesterol level is high. What do you suggest? Is the cholesterol level high enough to start statins? How can I lower TLC level?
A person usually gets a heart attack when there is a blockage in one of the arteries of the heart. This is an emergency situation that can result in a fatality or death if it is not treated immediately. Not all heart attacks will have a crushing pain in the chest right in the beginning, there are a number of symptoms that can show the slow progression of this attack over a few hours. So how do you know if you are having a heart attack, and what kind of treatment will be required? This article seeks to answer all your questions.
Discomfort in the Chest: The patient will usually feel like there is some pressure and squeezing in the chest or pain or even fullness right in the centre. This pain can come and go every few minutes and it should not be ignored.
Pain and Discomfort in other Parts of the Body: There may be some amount of pain and discomfort in other parts of the body including the arms, the jawline, back, neck, stomach and even the teeth. This pain can also travel down to the abdomen above umbilicus. In case there is persistent pain along with the chest discomfort, then a doctor must be contacted immediately.
Other Symptoms: When you feel breathless without any reason or medical cause, and also when you experience symptoms like anxiety, indigestion, vomiting, nausea, light headedness, dizzy spells and fatigue, you may be suffering from a heart attack.
Immediate Treatment: Once you begin to experience these symptoms along with chest discomfort and chest pain, it is imperative to call the emergency unit of the nearest hospital or get in touch with a doctor. Until then, you will need to lie down and chew aspirin if you are not allergic to the same. This is usually more efficient that swallowing.
Diagnosis of heart attack: Heart attack is diagnosed if patient has 2 criteria out of following 3-
- Pain or discomfort thought to be due to heart disease
- ECG suggestive of heart attack
- Elevated levels of cardiac enzymes (CK-MB and Troponin) in blood test (these levels start rising after 6 to 12 hours of heart attack)
Once you reach doctor an ECG should be done immediately along with blood pressure and pulse. If ECG shows heart attack then immediate action needs to be taken. Remember a normal first ECG does not rule out a heart attack. So a series of ECGs may be ordered by the doctor and at proper time blood test of cardiac enzymes may be done. Ruling out a heart attack may need an observation and testing up to 6 – 12 hours as cardiac enzyme test shows results only after that period. If you wish to discuss about any specific problem, you can consult a Cardiologist.
I experiences a pain at the side if my heart sometimes and at those time if I tried to take a deep breath it will also give me a hard pain. What should I do to get rid of this pain?
In addition to pumping blood to various organs, the heart also has its own blood supply, through which it receives its oxygen and nutrient supply. In patients with coronary artery disease and atherosclerosis, there is a narrowing of the blood vessels which reduces the amount of blood flow to the target organs, including the heart.
When this happens in the heart, there is chest pain due to overexertion of the heart muscles. There could be two patterns to this chest pain. With regular exertion like exercise, there would be chest pain, and most patients are familiar with this pattern.
This is known as angina pectoris or stable angina. In some people or in some instances, chest pain occurs which is sudden and not of a predictable pattern. It could be related to extreme exertion or stress. This is known as unstable angina and can lead to heart attack and be life-threatening.
Stable angina or angina pectoris has a stable, predictable pattern which most patients get familiar with over a period of time and learn to manage. Read on to know more about the signs and symptoms and management techniques.
Signs and symptoms: Stable angina usually occurs after a round of physical exertion. The patient feels a feeling of tightness in the chest which feels like the chest being squeezed. The pain can gradually spread to the shoulder, arms and even the neck. The pain can also be induced by eating, exposure to cold, emotional stress. It lasts for about 15 minutes and is relieved by rest and sublingual nitroglycerin. The pain intensity does not change with position or coughing. In addition, the patient may also experience shortness of breath, fatigue, profuse sweating, nausea, and dizziness.
The patient may be able to detect signs on further testing including ECG, echocardiography and stress testing. Features like cardiomegaly, altered ejection fraction would be detected based on the severity of the disease.
Treatment: Immediate treatment to relieve the pain includes resting and sublingual nitroglycerin. On an ongoing basis, the treatment would include 3 approaches – lifestyle changes, medications, and surgery.
- Lifestyle changes: Regular exercise, smoking cessation, reduced fat intake, reduced alcohol consumption, weight loss, and stress management are some lifestyle changes to be made to improve symptoms.
- Medications: A number of medications would be used depending on patient’s symptoms. Aspirin to prevent clotting, medications to control blood pressure and cholesterol and diabetes.
- Surgery: In patients with advanced coronary artery disease, revascularization methods may be required, which includes angioplasty and coronary bypass.
In a person with known risk factors, it is advisable to have regular checkups so that the disease progression can be controlled and symptoms managed with minimal intervention. If you wish to discuss about any specific problem, you can consult a Cardiologist.