Question 1

I'm really concerned about this numbness in my left hand and the anxiety I'm feeling. I went to see my doctor, who suggested I visit a cardiologist. After doing a 2D echo, the cardiologist mentioned something about a dilated LV, and it's got me really stressed out. What does dilated LV mean? Should I be worried about it?

Accepted Answer

it is concerning to hear about your symptoms and the findings on your 2D echo report showing dilated left ventricle (LV). In this case, the cardiologist may prescribe medications to help with the condition. One common medication for dilated LV is Carvedilol, starting at a low dose of 3.125 mg twice daily and gradually increasing as tolerated. This medication can help improve heart function and reduce symptoms. Additionally, the cardiologist may recommend lifestyle changes such as reducing salt intake, regular exercise, and stress management techniques to support heart health. It is important to follow up with your cardiologist regularly to monitor your condition and adjust treatment as needed

Question 2

I'm really worried about something. I've been dealing with diabetes for about three years now and high blood pressure for over 15 years. For that, I've been taking losium and istamate regularly. But lately, I've been experiencing a dry cough and feeling gassy. When I went to the Baptist Hospital, they said I needed to be admitted to the CCU and they ran some tests like ECG and blood tests, which came back negative. They also did a TMT and an echo. During the TMT, I felt tired after the second stage when the speed increased, and they told me I might have a heart problem, suggesting an angiogram. I decided against it and got discharged instead. I'm confused and not sure what to do next. Can you give me some advice on this?

Accepted Answer

It sounds like you are experiencing some side effects from your current medications. The dry cough and gas could be related to the medications you are taking for diabetes and high blood pressure. Since you are experiencing symptoms related to your heart, it is important to follow up with a cardiologist for further evaluation. I recommend discussing with your doctor about switching from losium to a different medication for high blood pressure to see if that helps with the cough and gas. Additionally, you may benefit from a medication adjustment for your diabetes as well. For your heart condition, it is important to follow up with a cardiologist for further evaluation and to discuss the possibility of undergoing an angiogram to assess the blood flow to your heart. In the meantime, make sure to monitor your blood pressure and blood sugar levels regularly, follow a healthy diet, and engage in regular physical activity as advised by your healthcare provider.

Question 3

I recently got a TMT and got the results which have left me a bit confused and concerned. The report mentions that my resting ECG is normal, and my functional capacity and heart rate response during exercise are both listed as 'appropriate'. My blood pressure response seemed to be okay too, as it says 'normal resting BP' and 'appropriate response'. I didnt experience any chest pain or arrhythmia, and there were no ST changes. However, the overall impression is marked as a 'normal stress test' but concludes with 'positive for reversible ischemia'. Should I be worried about this reversible ischemia part? What does it mean, and what should my next steps be?

Accepted Answer

Based on the findings of your TMT (Treadmill Stress Test), it appears that your overall impression is normal, but the conclusion mentions a positive result for reversible ischemia. To treat reversible ischemia, you can consider taking antiplatelet medications like Aspirin 75mg once daily, along with a statin like Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of further ischemic events. Additionally, a medication like Metoprolol 25mg twice daily can be prescribed to help manage any underlying cardiovascular conditions. It is important to follow up with your healthcare provider for further evaluation and management.

I recently had an ECS done, and the report mentioned it was an "unconfirmed report." I'm just wondering, what exactly does this mean? Should I be concerned, or is everything likely okay?

Repeat ecg is advised.

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