Question 1

I'm trying to figure out which beta blocker is better for dealing with anxiety and arrhythmia between propranolol and metoprolol succinate. Could you help me understand the differences? I'm curious if one is more effective than the other or has fewer side effects. Can you advise on what might be best for me?

Accepted Answer

Regarding anxiety and arrhythmia, both propranolol and metoprolol succinate are commonly used beta blockers. However, propranolol is typically preferred for anxiety due to its additional effects on reducing physical symptoms of anxiety such as tremors and palpitations. On the other hand, metoprolol succinate is often preferred for arrhythmias due to its specific effects on the heart's electrical activity. For anxiety, propranolol is usually prescribed at a dose of 20-40mg taken 2-3 times daily as needed. For arrhythmias, metoprolol succinate is typically prescribed at a dose of 25-100mg once daily. It's important to consult with your healthcare provider to determine the most appropriate medication and dosage for your specific condition.

Question 2

I was lying down and felt some mild chest pain, so I went to the doctor. They did an ECG and echo, and everything seemed normal, but it showed something about a mild TR Pah and Tr jet at 2.8 with RVSP at 30rap. The doctor said it was fine. A year later, I had another echo, and this time it showed no TR, just PJV at 1.23 msec. I'm not really sure what that means and just want to confirm that there's no PH. The echo report says chamber size and function are normal, so should I be worried about anything?

Accepted Answer

The results of your echocardiogram show that there is no tricuspid regurgitation (TR) this time, and the pulmonary jet velocity (PJV) is 1.23 msec. This indicates that there is no significant backflow of blood through the tricuspid valve and the blood flow through the pulmonary valve is normal. The right ventricular systolic pressure (RVSP) of 30 mmHg is also within normal limits, indicating normal pressure in the right side of the heart. Overall, the echo results show normal chamber size and function of your heart. No further treatment is needed at this time based on these results.

Question 3

I'm really concerned about my dad's health after he got a stent put in during his angioplasty this April. He's planning to stay with me for 23 days, but we live in a house with two floors. I'm worried about whether it's safe for him to be climbing stairs. Could you advise on whether that's okay for him?

Accepted Answer

Patient can climb stairs, in case patient experience breathing difficulty in climbing stairs, sit and rest for a while.

Does your body warn you before a heart attack?

Yes the warning signs are Pressure, fullness, squeezing pain in the center of the chest, spreading to the neck, shoulder or jaw along with Light-headedness, fainting, sweating, nausea, or shortness of breath with or without chest discomfort, upper abdominal pressure or discomfort.

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