Question 1

I've been dealing with these ectopic palpitations for the last 8 months and it's really stressing me out. I went to a general physician who said it's nothing to worry about and it's just anxiety related. I have really bad cardiophobia anxiety. He put me on ciplar la 20, which helped a bit with the palpitations but they haven't completely gone away. I did a holter and an echo screening and showed them to a cardiologist. He said it's just anxiety too, but mentioned there was concentric LVH on the echo and a single ectopic on the holter. Should I be concerned about the concentric LVH and the single ectopic beat, or is it really just anxiety like everyone's saying?

Accepted Answer

Based on your symptoms and reports, I recommend continuing with Ciplar LA 20 for the ectopic palpitations. In addition, you may benefit from an anti-anxiety medication such as Escitalopram 10mg once daily to help manage your cardiophobia anxiety. It is also important to address the concentric LVH detected in the echo report. You can start taking Losartan 50mg once daily to help manage the LVH. Regular follow-up with your cardiologist is essential to monitor your condition and make any necessary adjustments to your treatment plan.

Question 2

My mom's in the hospital with what's been diagnosed as an MUI heart attack. The doc's saying there's two blockages: one in the LAD that's 80% and another in the LCX at 99%. They've recommended doing angioplasty twicefirst for the LCX, then for the LAD. Is it really necessary to go through the procedure twice? Would love some advice on this.

Accepted Answer

In cases where multiple coronary arteries have significant blockages, it is not uncommon for doctors to perform angioplasty on separate occasions to address each blockage individually. This approach allows for better management of the procedure and reduces the risk of complications. It is important to follow the advice of your healthcare provider in this situation. The doctor may recommend starting with the LCX artery due to the higher percentage of blockage before proceeding to the LAD artery. The specific medications and dosages will be determined by the healthcare team based on your mother's individual condition.

Question 3

I'm really worried because my uncle just had a heart attack and we're in a different country than he is. He's been in intensive care for around 6 hours now. Does that mean it's not life-threatening anymore? How long do people usually survive after having a heart attack? Just trying to understand what we should expect.

Accepted Answer

The time elapsed since the heart attack occurred is an important factor in determining the prognosis. The first few hours after a heart attack are critical, and the sooner medical treatment is received, the better the chances of survival and recovery. Being in intensive care means that he is receiving close monitoring and specialized care to address any complications that may arise. It is difficult to predict the outcome without knowing the specific details of his case, but being in intensive care is a positive sign that he is receiving the necessary treatment. It is important to follow the advice of the medical team caring for your uncle.

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