Question 1

I'm a bit worried about my father's health. His INR is 1.90, and I'm wondering how much warfarin he should be taking. Also, after his ECG, when should we schedule an ECG or ECO test? I'd really appreciate your guidance.

Accepted Answer

Typically, the initial dose of Warfarin is usually 2 to 5 mg per day. However, the dosage may need to be adjusted based on regular INR monitoring. As for when he should do his ECG and ECO after starting Warfarin, it is generally recommended to have these tests done regularly to monitor his heart health and the effects of the medication. It is best to consult his healthcare provider for specific guidance on the timing of these tests based on his individual health needs.

Question 2

I'm really stressed out because, for the past six months, I've been dealing with these panic attacks that make me super anxious. I'm a 28-year-old guy and generally healthy. A few days back, I saw a doctor who recommended I get an echocardiogram and ...

Accepted Answer

cardiac opinion

Question 3

I'm really worried about my dad. He's been having heart palpitations and his creatinine level is at 2.4. Do you have any advice or suggestions on how we can help him get better?

Accepted Answer

Heart palpitations can be concerning, especially with a high creatinine level. To help manage heart palpitations, your father can take Metoprolol (brand name: Lopressor) at a dosage of 25-50mg twice a day. It is important to also address the underlying cause of the high creatinine level, which may involve medications like Lisinopril (brand name: Prinivil) at a dosage of 10-20mg once a day to protect the kidneys. Additionally, it is crucial to follow a low-sodium diet and stay hydrated. Regular follow-ups with a healthcare provider are essential to monitor his condition.

Question 4

I'm a bit worried after my recent check-up. A few months back, my doctor noticed an LBBB on my ECG and recommended a 2D echo, which thankfully came back normal. I wasn't feeling any symptoms then, but now, two months later, I've started experiencing ...

Accepted Answer

"Based on your description of having occasional light pain in the left and right side of your chest, it is important to consider your history of LBBB (Left Bundle Branch Block) and the normal 2D echo test results. Since you are experiencing chest pain, even though it is intermittent, it is essential to rule out any cardiac issues. I recommend taking Acetaminophen 500mg for pain relief as needed. However, it is crucial to follow up with your doctor for further evaluation and monitoring, especially considering your history of LBBB. If the pain persists or worsens, do not hesitate to seek medical attention for a thorough assessment."

Question 5

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of ...

Accepted Answer

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Question 6

I'm trying to understand my dad's recent health reports, and I'm a bit worried. He's been dealing with a gastro esophageal ulcer, and he just had an ECO done. The report says he has IAS and IVS intact. Can you explain what this means? I'm really conc...

Accepted Answer

IAS and IVS intact in echo means that those part of the heart are not damaged

I'm a bit worried about my father's health. His INR is 1.90, and I'm wondering how much warfarin he should be taking. Also, after his ECG, when should we schedule an ECG or ECO test? I'd really appreciate your guidance.

I'm a bit worried about my father's health. His INR is 1.90, and I'm wondering how much warfarin he should be taking. Also, after his ECG, when should we schedule an ECG or ECO test? I'd really appreciate your guidance.

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