Patient's question:
The lips have been purple for a long time, sometimes with mild tightness and shortness of breath in the chest, palpitations. According to my friend's recollection, it has been about fourteen years. This year, when the symptoms recurred, my friend went to a hospital in the town for a static ECG and also had a 24-hour dynamic ECG monitoring. Both said there were no problems. Should my friend undergo further detailed examinations?Doctor's answer:
It is necessary to have a thorough examination at a comprehensive hospital system of a slightly larger scale. First, it is recommended to improve the electrocardiogram (ECG), myocardial enzymes, echocardiography of the heart, echocardiography of the neck vessels, and echocardiography of the lower limbs. Based on the results and symptoms, further improvement of coronary angiography or coronary CTA may be necessary if needed. Coronary heart disease requires regular check-ups, which refers to myocardial dysfunction and/or organic inflammation caused by coronary artery stenosis and insufficient blood supply, hence also known as ischemic cardiomyopathy. Commonly used medications include Salvia miltiorrhiza or ginkgo-like substances to promote blood circulation, and isosorbide dinitrate oral to dilate coronary arteries. It is recommended not to consume tobacco, alcohol, or greasy foods, and to reduce blood lipids. Regular activities and traditional Chinese medicine that promote blood circulation and resolve blood stasis can nourish the heart and treat the condition.