Question 1

It's been 4 years since my dad had an angioplasty, and he hasn't had any follow-ups. He just can't seem to quit chewing smokeless tobacco. I'm really worried if this habit could affect his heart again. He's also having some tooth pain lately but insists that there's no connection between tobacco chewing and heart issues or even toothaches. Is there a medical way to help curb his cravings for tobacco?

Accepted Answer

Your dad's continued smokeless tobacco chewing significantly increases his risk of another heart attack, as it raises blood pressure, heart rate, and cardiovascular stress, while also potentially leading to tooth pain, gum recession, and oral cancer; to help him manage cravings, consider consulting a doctor about prescription medications like nicotine replacement therapy (NRT), bupropion (Zyban), or varenicline (Chantix), or non-pharmacological approaches like counseling or support groups; regarding his tooth pain, insist he visits a dentist to rule out tobacco-related oral health issues.

Question 2

I recently had an echo test and it showed Grade 1 diastolic dysfunction and mild mitral regurgitation. My ECG also has prominent R waves and my blood pressure is pretty high at 130100. I'm only 29 years old and I'm really concerned about what all this means for my health. Is there something serious going on here? What steps should I take next?

Accepted Answer

it could be due to electrolyte imbalane ,hypertension and valvular heart diseases.Paient is advised for low salt intake , high potassium intake , regular aerobic exercises , also alcohol and smoking cessation

Question 3

I've been having these heart palpitations for about 4 years now, where my heart just suddenly starts pounding, fluttering, or even racing out of nowhere, even when I'm not doing anything physical. The first time it happened was during a cricket practice right after I started jogging, and since then, it's been an on-and-off thing.

It freaks me out whenever it happens, and I'm really worried about what it means for my future. Most of the time, I try not to think about it, and my heartbeat stays normal, but then, bam, it starts racing again when I'm just chilling. This issue made me quit sports, so I turned to yoga, which kind of helps since I'm focusing more on my breathing.

The weird thing is, the first time I got an ECG, it showed my heart rate was at 122 beats per minute. The doctor back then just told me to avoid stress, but then my mom passed away, which was super stressful, and it made the palpitations worse. But it's strange because I don't have chest pain or dizziness. What do you make of this? Should I be really worried?

Accepted Answer

It sounds like you have been dealing with heart palpitations for a while now, which can be quite distressing. Based on your description, it seems like you may be experiencing episodes of supraventricular tachycardia (SVT), which can cause the fluttering, pounding, and racing sensations in your heart. One medication that is commonly used to help control heart palpitations like SVT is Verapamil. The usual dosage for Verapamil in cases of SVT is around 120-240 mg per day, divided into 3-4 doses. Additionally, if you are still experiencing palpitations despite lifestyle changes like yoga, your doctor may consider prescribing you a beta-blocker such as Metoprolol. The typical starting dose for Metoprolol in cases of palpitations is 25-50 mg twice a day. It is important to follow up with your doctor regularly to monitor your condition and adjust your treatment plan as needed. Remember to also continue practicing stress-reducing techniques like yoga to help manage your symptoms.

Can hypertension be cured?

Hypertension cannot be cured but can be kept under control.

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