Question 1

I had an AVR with a mechanical valve about 9 years ago and I'm wondering about my life expectancy now. I make sure to go for my yearly checkups, and my last echo showed an EF of 60, LVDD of 50mm, LA 36mm, with PW and IVS at 1.1cm. My INR level is 2.87. Could you give me some insights on these numbers and what they mean for my future?

Accepted Answer

With a mechanical valve replacement, it is important to maintain a stable INR to prevent complications such as thrombosis or bleeding. Your current INR of 2.87 is slightly higher than the recommended range for mechanical valves, which is usually between 2.0 to 3.0. It is good that you are going for yearly checkups to monitor your condition. To help manage your INR within the target range, you can consider using Warfarin (Coumadin) at a dosage prescribed by your healthcare provider. Regular monitoring and adjustments to your medication may be necessary to keep your INR within the desired range and reduce the risk of complications. As for life expectancy after AVR with a mechanical valve, it can vary depending on various factors including overall health, adherence to medication, lifestyle factors, and regular follow-up care. It is essential to continue with your yearly checkups and follow your healthcare provider's recommendations for optimal management of your condition.

Question 2

I'm dealing with rheumatic heart disease and usually use Penicillin LA12, but it's currently unavailable. My doctor suggested I take Pendids 400 instead. Are there any concerns with switching to this medication at the age of 30, or is it safe to use in place of Penidura LA12?

Accepted Answer

Penicillin G Benzathine (Penidura LA12) is commonly used for the treatment of Rheumatic Heart Diseases. Since it is currently out of stock, Penicillin V (Pendids 400) can be a suitable alternative. The recommended dosage for Pendids 400 is usually 400 mg taken orally every 6 hours. It is important to follow your doctor's prescription and guidance for the proper treatment of your condition.

Question 3

Im 18 and experiencing palpitations out of nowhere, like my heart races hard even when Im just chilling. Its weird because Im not anxious, and all my tests like ECG and chest x-ray are showing normal results with normal sinus rhythm. My cardiac shadow came out normal too. So what could be causing these palpitations when Im just at rest?

Accepted Answer

It's good that your ECG and chest x-ray results are normal. Palpitations can sometimes occur without any underlying heart condition. In your case, since there is no apparent cause for the palpitations, you may consider taking a beta-blocker medication such as Metoprolol (25-50mg) to help reduce the palpitations and the sensation of your heart beating fast. Additionally, practicing stress-reducing techniques such as deep breathing exercises or yoga may also help alleviate the symptoms.

I'm experiencing some mild chest pain after getting my first dose of Covishield. My blood pressure, pulse, and SpO2 levels seem fine. What should I do? Any advice would be really appreciated.

take pantop 40mg for 3 days

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I'm dealing with rheumatic heart disease and usually use Penicillin LA12, but it's currently unavailable. My doctor suggested I take Pendids 400 instead. Are there any concerns with switching to this medication at the age of 30, or is it safe to use in place of Penidura LA12?

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