Question 1

I'm feeling pretty worried after getting my recent full body check-up results. The echo report showed something unusual, and I'm not sure what to make of it. Sometimes I get really anxious, and when I was getting the echo done, my heartbeat was racing at about 110 to 120 beats per minute because I was so scared. Could you take a look at my echo report and tell me what steps I should take next or if everything seems okay? The report mentions Mild MR and TR PASP at 32 mm Hg and LVEF at 65, but everything else seems normal. What should I do?

Accepted Answer

In your echo report, it mentions that you have mild mitral regurgitation (MR) and tricuspid regurgitation (TR) with a pulmonary artery systolic pressure (PASP) of 32 mmHg. Your left ventricular ejection fraction (LVEF) is 65%, which is within the normal range. Based on the information provided, everything seems to be normal except for the mild MR and TR. Given your symptoms of feeling anxious and experiencing an elevated heart rate during the echo, it is important to address your anxiety. To manage anxiety and potentially reduce the impact on your heart rate, you can consider taking medication such as Propranolol. The usual dosage for anxiety is 20-40mg three to four times daily. It is also advisable to follow up with your healthcare provider to discuss the findings of your echo report and to determine if any further evaluation or treatment is necessary. Regular follow-ups and monitoring may be recommended to ensure your heart health is maintained.

Question 2

I've been experiencing some concerning symptoms and I could really use some advice. My heart rate is around 50-60 when I'm lying down and my SPO2 is 98 with an RR of 16. Lately, I've been having chest pains that feel like needles. They last for just a few seconds or sometimes up to a couple of minutes. I had these issues about two months ago and got an ECG and a stress test done back then, both of which were normal. But now the pains on my left side have started coming back. Should I be doing any additional tests, or does it sound like everythings okay?

Accepted Answer

It sounds like you may be experiencing episodes of angina, which are chest pains caused by reduced blood flow to the heart. Since your ECG and Stress Test results were normal 2 months ago, it is possible that the symptoms you are currently experiencing could be related to a different issue. However, it is important to rule out any cardiac concerns. I recommend that you undergo a Holter monitor test to continuously record your heart's activity over a period of 24-48 hours. This will help to capture any abnormal heart rhythms that may not be detected during a standard ECG. Additionally, an echocardiogram may be beneficial to assess the structure and function of your heart. In the meantime, to manage your symptoms, you can take Nitroglycerin sublingual tablets as needed for chest pain. The usual dosage is 0.3 to 0.6 mg every 5 minutes as necessary, up to 3 doses. If the chest pain persists or worsens, seek immediate medical attention. It is important to follow up with your healthcare provider for further evaluation and management.

Question 3

After reviewing my mother-in-law's recent ECG, it shows something called Concentric LVH with Diastolic dysfunction Type 1. She's 54 years old, and I'm really concerned about whether this is something serious. Can this condition be treated with medication, or is heart surgery necessary? Looking for some guidance here.

Accepted Answer

grade 1 diastolic dysfunction normal..salt restricted diet ,dash diet and regular aerobic exercises is advised to the patient.

I'm a bit concerned because my doctor has put me on Lipitas 10 (Rosuvastatin) to take at night, along with Sartel LN (Telmisartan 40) and Cilnidipine. I stumbled across some info that mentioned a serious drug interaction between Cilnidipine and Lipitas. Is that something I should be worried about?

Prolonged use of clinidipine 10 mg can cause hypotension ,that is a serious side effect. whereas telma causes sinus congestion,tachycardia,changes in vision, large ives and fainting etc.. Both telma and clinidepine are recommended for the control of BP.,You can continue taking the medications..

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