Question 1

I'm concerned after seeing something on my dad's ECG report that mentioned diastolic dysfunction. He had a heart attack back in 2006 but hasn't had any problems for 11 years. Should we be worried about this diastolic dysfunction showing up now? What does it really mean for his heart health moving forward, especially given his heart history?

Accepted Answer

The ECG report indicating diastolic dysfunction in a patient with a history of a heart attack in 2006 is concerning, despite the absence of recent issues. Diastolic dysfunction refers to abnormalities in the heart's relaxation phase, which can lead to impaired filling of the heart chambers. To address this, it is important to manage the underlying heart condition effectively. In this case, prescribing medications such as ACE inhibitors like Lisinopril or ARBs like Losartan can help improve diastolic function and reduce the risk of further complications. Additionally, beta-blockers such as Metoprolol can be beneficial in managing heart conditions and improving overall heart function. Regular follow-ups with a cardiologist are essential to monitor the heart's health and adjust the treatment plan as needed.

Question 2

My brother has been feeling some discomfort on the left side of his chest, and the doctor said his ECG is normal, just showing sinus tachycardia. He's really anxious and tends to worry about his health a lot, especially after recovering from COVID. We're wondering about getting an echo done, but the doctor suggested waiting a month. Is it okay to wait that long, or should we consider doing it sooner given his anxiety and constant thinking about his health?

Accepted Answer

Can delay the echo testing for up to one month after the ECG. It is important to monitor his symptoms during this time. Given his history of anxiety and hypochondria, it may be beneficial for him to consult with a mental health professional to address his concerns and manage his anxiety. It is also important for him to continue following up with his healthcare provider for further evaluation and guidance."

Question 3

I'm a bit concerned because I was on medication for blood pressure until November, but stopped after my doctor said my BP levels were normal. It's been fine for the past five months, but now I notice my home readings are at 13898. I've had 500 ml of beer each day for the last two days before this reading. Should I be worried about this change, or is there something I can try before considering going back on medication?

Accepted Answer

It's important to monitor your blood pressure regularly, especially after noticing an increase like 13898. Since you have a history of high blood pressure and recent alcohol consumption, it's advisable to take action to lower your blood pressure. You can start by making lifestyle changes such as reducing alcohol intake, maintaining a healthy diet low in sodium and high in fruits and vegetables, exercising regularly, and managing stress. Additionally, you can consider taking medication again as prescribed by your doctor to help control your blood pressure. If these measures do not lower your blood pressure, it's essential to consult with your doctor for further evaluation and management.

How can Viagra cause a heart attack?

Although there has been no conclusive evidence of link, there have been few reports of heart attack, stroke and arrhythmia in men taking Viagra.

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