- female
- 60 Years
- 20/02/2025
I'm really concerned about my mom. She had a heart attack at the end of October and initially had some anginal pain, but the meds seemed to help for a couple of months. After an angiography, her doctor found an 85% blockage in the LCX OM artery and decided to do an angioplasty. I was hoping that would improve things, but a month later, her LVEF dropped from 45 to 32. Before the angioplasty, her heart was stable, and the dimensions of the left atrium and ventricle seemed normal, but now they're dilated. I was expecting her to get better after the angioplasty and I'm really worried. It's just me and my mom, and I need some guidance on what could be happening. Can you help?
Answered by 1 Apollo Doctors
The drop in LVEF after angioplasty may be due to various factors such as the extent of the heart muscle damage from the heart attack, the response to the stent placement, or potential complications post-procedure. To help improve her heart function and prevent further deterioration, her doctor may consider adding medications like Carvedilol (Coreg) to help improve heart function and reduce strain on the heart. Additionally, medications like Lisinopril (Zestril) may be prescribed to help reduce the risk of future heart-related events. It's important for your mother to follow up regularly with her cardiologist for monitoring her heart function and adjusting her treatment plan as needed. Encouraging her to maintain a healthy lifestyle with a balanced diet, regular exercise, and stress management can also support her heart health. Stay positive and supportive for your mother during this challenging time
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Heart Function Decline
a. The drop in LVEF suggests worsening heart function, possibly due to heart muscle damage or inadequate blood supply. -
Dilated Heart Chambers
a. The dilation of the left atrium and ventricle may indicate heart failure or cardiomyopathy. -
Recommended Actions
a. Consult a cardiologist for a detailed evaluation.
b. Consider medications to manage heart failure and improve heart function.
c. Regular follow-up and possibly further imaging or tests to assess heart health.
Recommended next steps
Consult a Cardiologist
Answered 10/09/2025
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Based on your 2D echo report, with a mean PAP of 23.18 and PASP of 38mm Hg, along with a peak tricuspid regurgitation velocity of 2.6 and mild tricuspid regurgitation, it indicates that there is a possibility of pulmonary hypertension. However, further evaluation and monitoring by a healthcare professional are recommended to determine the severity and appropriate treatment.
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I'm wondering about something. I had an angioplasty last year and got a stent placed. Lately, I've been experiencing these weird palpitations every night as I try to sleep, but I don't actually feel them in my chest. It's strange because they're more noticeable in my jaw. My doctor prescribed Prolomet XL 25, which I've been taking for about four months now, even though I don't have high blood pressure. I'm really curious if this is something that's going to stick around forever or if there's a way to get rid of it. What's your take on this?
The palpitations you're experiencing, particularly at night and localized to your jaw, may be related to anxiety, stress, or a cardiac issue; given your history of angioplasty and stent placement, consult your cardiologist to rule out any underlying cardiac concerns, and consider adjusting your Prolomet XL 25 dosage or exploring alternative treatments, such as beta blockers or anti-anxiety medications, to alleviate symptoms.
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I'm having some pain in my left arm and a kind of sensation there too. At the same time, I'm feeling a bit of a light pain in my chest. What could this be? Should I be worried?
Ecg and cardiac markers are advised to the patient.
Answered by 1 Apollo Doctors
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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.