apollo
  • female
  • 30 Years
  • 20/02/2025

I'm getting really worried because my heart feels like it's beating really loudly after I eat and right before I sleep. I'm also feeling this tightness in my chest a lot. I've been taking cough and cold meds for the last ten days, but these symptoms arent going away. What could be going on?

Doctor 1

Answered by 1 Apollo Doctors

refer to Pulmonologist

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm feeling really worried because my heart pumping seems weak, yet my heart rate is 72 bpm. I also have this severe mitral valve regurgitation. Is something like this normal, or should I be concerned?

A heart rate of 72bpm is within the normal range. However, with severe mitral valve regurgitation and weak heart pumping, it is important to manage your condition. You can take medications like Carvedilol 6.25mg twice daily to help improve heart function and Metoprolol 25mg twice daily to control heart rate. Additionally, you may benefit from medications like Furosemide 40mg once daily to reduce fluid buildup. Regular follow-up with your cardiologist is essential for monitoring and adjusting your treatment plan.

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I'm having some trouble with breathlessness and occasional chest pain. I got an ECG, and it came back normal, but a 2D echo showed mild concentric LVH with reduced diastolic compliance, grade 1. Everything else seemed fine. My hemoglobin is at 6.7, blood pressure at 16090, and pulse at 105. Cholesterol levels are total 149, triglycerides 94, HDL 55, and LDL 100. I also have some gastric issues, and the breathlessness feels better after I burp. Do you think this is something I should be worried about, or is it okay?

Given your symptoms of breathlessness and chest pain, the mild concentric LVH with reduced diastolic compliance noted in your 2D echo, high blood pressure of 16090, and significantly low hemoglobin level of 6.7, there are multiple areas needing attention. While your ECG and cholesterol levels are normal, the combination of LVH, hypertension, and anemia requires medical management. Addressing your anemia is crucial, as it can contribute to your breathlessness and fatigue. Managing your blood pressure through medication adjustments and lifestyle changes is also important. Since your breathlessness is relieved by burping, addressing any gastrointestinal issues such as acid reflux is necessary. Follow up with your cardiologist for ongoing monitoring and management of the LVH and reduced diastolic compliance.

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I'm a bit worried about what my latest test results mean. It mentions sinus bradycardia with frequent PVCs, but no AV block or ischemic period. Also, my lipid, thyroid, kidney, and liver profiles all came back normal. I've been taking Cordarone 100. Could you explain what all this means for my health, and if there's anything specific I should be doing or watching out for?

SINUS bradycardia with frequent PVC can be managed with medication. Since you are already taking Cordarone 100, which contains Amiodarone, it is likely being used to treat the frequent PVCs. In addition to Cordarone, a beta-blocker such as Metoprolol can also be prescribed to help regulate the heart rate and reduce the PVCs. The dosage of Metoprolol can vary, but a common starting dose is around 25-50mg twice daily. It is important to follow up with your doctor regularly to monitor the effectiveness of the treatment and adjust the dosage if needed.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.