Question 1

I'm really worried because I had Covid back in November 2020 and even though I got better with home quarantine, I've been having these palpitations. I was on Prolomet XL 12.5 for three months, but it was stopped and I don't have any other health issues. My weight is 85 kg and I'm 5 ft 7 in. Lately, I find myself googling symptoms a lot and after Covid, a few palpitations really made me anxious, and I think I've developed this fear of heart issues.

Between December and April, I had my ECG and 2D ECHO done twice and a 24-hour Holter monitoring, all of which came back normal. But now, for the past couple of days, I've been experiencing a little indigestion. Today, after lunch, I felt a mild pain around my heart, though it disappeared after a few seconds. Could this just be my anxiety, or should I get my heart checked out more thoroughly? Your advice would mean a lot.

Accepted Answer

Based on your history of palpitations post-Covid and your current symptoms of indigestion and mild pain in the heart area, along with normal ECG, 2D ECHO, and 24-hour Holter monitoring results, it is more likely that your symptoms are related to anxiety rather than a cardiac issue. To address your symptoms of anxiety and cardiophobia, I recommend continuing with lifestyle modifications such as regular exercise, stress management techniques, and maintaining a healthy diet. Additionally, you can consider therapy or counseling to help manage your anxiety. If your symptoms persist or worsen, you can discuss with your healthcare provider about starting a medication such as Escitalopram 10mg once daily to help with anxiety symptoms. However, it is important to continue monitoring your symptoms and follow up with your doctor regularly.

Question 2

I'm a bit confused about the changes in my LVEF readings. Initially, my echo showed an LVEF of 55, but a month later, it increased to 70, just 30 minutes after undergoing a TMT. Is it normal to have such variations, and should I be concerned about this?

Accepted Answer

The increase in Lvef from 55 to 70 after 30 minutes of tmt could be due to the positive effects of the medication. To maintain and improve your heart function, you can continue taking medications like Carvedilol 6.25 mg twice daily and Lisinopril 10 mg once daily as prescribed by your healthcare provider. Regular follow-up with your doctor is important to monitor your heart function and adjust your treatment plan if needed.

Question 3

Is there a difference in total lipid profile results when a test is done fasting versus non-fasting? A week ago, I got my lipid profile checked and all the parameters were within the range. But after taking another blood test post-meal seven days later, the values were outside the desired range. Could you guide me on whether fasting or non-fasting results are more accurate?

Accepted Answer

There won't be much variation, ideally fasting results and considered to be valid, In your scenario, that could be lab error also, visit your doctor for evaluation and appropriate management

I'm Aziz and I've been dealing with really high blood pressure, around 200110. I just took ENACE D and ASOMEX AT, but my headache and heart rate keep going up. I'm worried and not sure what to do next. Could you help me figure this out?

no problem u continue medicine

More Cardiology Health Queries

I'm a bit confused about the changes in my LVEF readings. Initially, my echo showed an LVEF of 55, but a month later, it increased to 70, just 30 minutes after undergoing a TMT. Is it normal to have such variations, and should I be concerned about this?

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