Question 1

I'm really concerned about this pain I'm experiencing. It's not just in my chest but also in my back near the shoulder blade, and it's accompanied by headaches and some numbness in my left hand. I've also been feeling short of breath. I had an ECG done, and it came back normal. What could be going on here? Should I be worried or looking into something else?

Accepted Answer

rule out spondylosis

Question 2

I'm experiencing heart palpitations, a fluttering feeling in my chest, and shortness of breath. I've already had an ECG, TMT, and echo scan, and all of the results came back normal. Why might this be happening?

Accepted Answer

Heart palpitations, fluttering, and shortness of breath can be caused by various factors, even if your ECG, TMT, and echo scan results are normal. One possible cause could be anxiety or stress. However, other causes such as thyroid disorders, electrolyte imbalances, or certain medications can also lead to these symptoms. In your case, since your reports are normal, I recommend trying a beta-blocker medication like Metoprolol (25-50mg) to help with the palpitations and fluttering. Additionally, practicing relaxation techniques and stress management may also be beneficial in reducing these symptoms.

Question 3

I've been diagnosed with RHD along with severe MS, severe MR, and moderate eccentric AR, but the ejection is normal. I'm feeling pretty worried and a bit confused about what all this means and how I should proceed. Could you give me some guidance on what steps to take next?

Accepted Answer

For the management of Rheumatic Heart Disease (RHD) with severe Mitral Stenosis (MS), severe Mitral Regurgitation (MR), moderate eccentric Aortic Regurgitation (AR) with normal ejection fraction, the following treatment approach can be considered: 1. For symptomatic relief and to improve heart function, you can consider medications such as: - Diuretics like Furosemide (Lasix) to reduce fluid buildup - Beta-blockers like Metoprolol to control heart rate and blood pressure - ACE Inhibitors like Lisinopril to reduce strain on the heart - Anticoagulants like Warfarin to prevent blood clots 2. In severe cases, surgical interventions may be necessary such as: - Mitral valve repair or replacement for severe MS and MR - Aortic valve repair or replacement for moderate AR 3. Regular follow-up with a cardiologist is essential to monitor the condition and adjust treatment as needed. It is important to adhere to the prescribed treatment plan and make lifestyle modifications such as maintaining a healthy diet, regular exercise, and avoiding smoking to manage RHD with severe MS, severe MR, moderate eccentric AR with normal ejection.

I'm 42 and my LDL cholesterol level is 162, with HDL at 43. I'm really hoping to get my LDL down from 162 to 109. Can you suggest any ways to do this? I'm looking for some advice on how to manage my cholesterol better.

Its better to start statins for a course of 3 months and stay physically active and consume balanced diet that would help

More Cardiology Health Queries

I'm experiencing heart palpitations, a fluttering feeling in my chest, and shortness of breath. I've already had an ECG, TMT, and echo scan, and all of the results came back normal. Why might this be happening?

I've been diagnosed with RHD along with severe MS, severe MR, and moderate eccentric AR, but the ejection is normal. I'm feeling pretty worried and a bit confused about what all this means and how I should proceed. Could you give me some guidance on what steps to take next?

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