I'm really worried about my brother. He's 25 and we've just found out he's got a 20mm hole in his heart. I'm not sure how serious this is and what the next steps should be. Can you help us understand what all of this means and what we should do next?

Answered by 1 Apollo Doctors

Dr Mubarak Parveez B

General Practitioner

MBBS
2+ Yrs

Consult Now

Treatment for ASD depends on the size of the hole and the symptoms it is causing. In some cases, small ASDs may not require treatment and can close on their own. However, larger defects may require intervention. One common treatment for ASD is surgical repair, where the hole is closed with a patch. Another option is transcatheter closure, where a device is inserted through a catheter to close the hole. Medications may also be prescribed to manage symptoms or prevent complications. In this case, your brother may be prescribed medications such as aspirin to prevent blood clots or medications to manage heart failure symptoms. It is important for your brother to follow up with a cardiologist for further evaluation and to discuss the best treatment options for his specific situation.

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Answered 04/07/2025

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I'm really worried about a heartbeat of 240 beats per minute. Is this life-threatening? Can it lead to heart failure? Is there a way to treat it, or what should I do next?

Yes it is very abnormal and needs immediate attention ,vist cardiologist for appropriate managemnet

Answered by 1 Apollo Doctors

I'm dealing with constrictive pericarditis and was admitted to Sri Satya Sai Hospital. They won't operate because my white blood cell count is low. They recommended getting my WBC up before they proceed with the surgery. Could you suggest how I can increase my WBC levels within 10-15 days?

To increase your WBC count, you can take Filgrastim (brand name Neupogen) at a dosage of 5-10 mcgkgday. This medication can help stimulate the production of white blood cells in your body. Additionally, you can also consider taking Granulocyte Colony-Stimulating Factor (G-CSF) medications such as Pegfilgrastim (brand name Neulasta) at a dosage of 6 mg per chemotherapy cycle. These medications can help boost your WBC count within the specified timeframe.

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I'm a bit concerned because my ECG report shows something called right axis deviation. But, I have normal blood pressure and sugar levels, and my heart rate is usually under 80. Is this something I should be worried about?

Visit Physician for evaluation and appropriate management

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.