Question 1

I'm 50 years old and was diagnosed with mitral valve prolapse at 18, but there's no blood regurgitation according to my echocardiogram. I checked with a doctor about 8 years ago, and they said it's not something to worry about. Should I mention this condition when getting my COVID-19 vaccine?

Accepted Answer

An ECG report indicating sinus rhythm, normal axis, and T and ST wave abnormalities suggests potential cardiac issues. While not necessarily serious, it requires further evaluation. Consider:

Next Steps

1. Consult a cardiologist for interpretation and guidance.
2. Additional tests: Holter monitor, echocardiogram, or stress test.
3. Review medical history and medications.

Question 2

So, I've been having this chest pain for a few months now, and I went through all the basic heart checks. My ECG was normal, but it showed Sinus tachycardia, and the TMT came back negative. The first time I did a 2D Echo, they mentioned Mild Concentric LVH, but when I repeated it a few days later, they didnt find any LVH. I even went for another 2D Echo at a different place, and again, they said there was no LVH. Is it common for results to differ like this? Could my chest pain still be related to my heart, and have I done enough tests to rule out any cardiac issues? Also, just to add, I dont smoke or drink.

Accepted Answer

It is possible for there to be discrepancies in medical imaging findings, especially when it comes to conditions like mild concentric LVH. However, since your ECG and TMT results are normal and there is no longer evidence of mild concentric LVH on your recent 2D Echo, it is less likely that your chest pain is cardiac in nature. It is important to consider other potential causes for your chest pain, such as musculoskeletal issues, gastrointestinal problems, or even anxiety. To further evaluate your chest pain and rule out any other cardiac issues, you may consider discussing with your healthcare provider about other tests such as a stress echocardiogram, coronary CT angiography, or cardiac MRI. Additionally, lifestyle modifications, stress management techniques, and regular follow-ups with your doctor are important for your overall health and well-being.

Question 3

I'm really worried about my dad. He had angioplasty done on March 1st, but he's still gasping and not feeling well. We're consulting with Dr. Shirish MS Hiremath, but it doesn't seem like there's any improvement. I'm not sure what to do next. Any advice on how to help him feel better?

Accepted Answer

t's important to address his symptoms of gasping and feeling unwell. In this case, considering his recent angioplasty, it's important to ensure he is not experiencing any complications related to the procedure. One possible cause of his symptoms could be related to heart function or fluid buildup in the lungs. It's important to follow up with his current consultant, Dr. Shirish MS Hiremath, for further evaluation and management. In the meantime, medications like Furosemide (Lasix) can help with fluid retention and shortness of breath. The usual starting dose for Furosemide is 20-80 mg per day, but the actual dose will depend on his specific condition and should be determined by his healthcare provider. Additionally, medications like Ramipril (Altace) can help improve heart function post-angioplasty. The usual starting dose for Ramipril is 2.5-5 mg once a day, but again, the dose may vary based on his individual needs. It's important for your dad to continue following up with his healthcare provider for proper evaluation and management of his symptoms.

While your symptoms are concerning, its reassuring that you've had normal cardiac markers and blood work, which likely rules out serious heart conditions. However, continued monitoring and further tests will help you get to the root cause.

More Cardiology Health Queries

I'm 50 years old and was diagnosed with mitral valve prolapse at 18, but there's no blood regurgitation according to my echocardiogram. I checked with a doctor about 8 years ago, and they said it's not something to worry about. Should I mention this condition when getting my COVID-19 vaccine?

I'm really worried about my dad. He had angioplasty done on March 1st, but he's still gasping and not feeling well. We're consulting with Dr. Shirish MS Hiremath, but it doesn't seem like there's any improvement. I'm not sure what to do next. Any advice on how to help him feel better?

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