What are the risk factors for coronary artery disease?

Question

Hi doctor,

I am 37 years old. Last year, while I was working, I experienced a restless feeling in my chest. I left work that day and went back home, but the pain worsened, so I immediately went to the hospital. After an hour, I was admitted to the CCU, where I stayed for five days. I was diagnosed with a blockage in one of my heart valves. I underwent angiography and PCI. I am currently taking Clopidogrel 75 mg, Aspirin 150 mg, Bisoprolol 5 mg, and Candesartan 8 mg. I am feeling better and following a healthy diet. However, I still experience restlessness in my chest, and when I move, my legs and arms feel weak.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

You had coronary heart disease at a young age, and PCI (percutaneous coronary intervention) was performed immediately. Now, you must be very cautious, as those with coronary artery disease face an increased risk of further complications. First and foremost, reduce your risk factors. Avoid smoking or any other addictions if you have them. Limit your salt intake, and avoid fast food and junk food. Stay active and engage in moderate-intensity exercise. Have your fasting lipid profile and renal function tests, including electrolytes, checked soon. Never miss your medications. Undergo an echocardiogram and follow up with your doctor. After all of this, consult a good cardiologist for further guidance to reduce your future risk.

Regarding your complaint of chest discomfort, I recommend an ECG (electrocardiogram). If it is normal, then an ETT (exercise tolerance test) should be performed, where you walk on a graded ramp while your ECG and blood pressure are monitored. If your symptoms are related to heart issues, changes in your ECG will be observed.

Thanks and regards.