Question 1

I'm really worried because my one-year-old has a heart murmur. Could you explain what a heart murmur is and if there are specific foods I should be giving my child?

Accepted Answer

A heart murmur in a one-year-old can be a sound made by turbulent blood flow within the heart, detected during a physical examination. It can be classified as either "innocent," which is harmless and often resolves on its own, or "pathologic," which may indicate underlying heart conditions requiring further evaluation by a pediatric cardiologist. For your baby's diet, it is essential to provide balanced nutrition, including breast milk or formula as the primary source, pureed or soft-cooked fruits and vegetables, whole grains like cereals and oatmeal, proteins such as well-cooked and finely shredded meat, poultry, fish, beans, lentils, and dairy like whole milk or yogurt if recommended by the pediatrician. Consult with your child's pediatrician for personalized advice and to discuss the heart murmur.

Question 2

I've been experiencing something concerning that Id like some input on. So, last week, I had this issue but after taking some medication, it seemed to go away. However, Ive been noticing that whenever I lift weights around 25kg, I get this tight feel...

Accepted Answer

Based on your symptoms, it sounds like you may be experiencing episodes of arrhythmia, which are abnormalities in the heart's rhythm. One common type of arrhythmia is atrial fibrillation, which can cause symptoms like fast or irregular heartbeats. I recommend discussing with your doctor about the possibility of wearing a Holter monitor for 24-48 hours to capture your heart's rhythm during your daily activities. This can help in identifying any intermittent arrhythmias that may not be captured during a standard ECG. In terms of management, if significant arrhythmias are detected, your doctor may prescribe medications such as beta-blockers or anti-arrhythmic drugs to help control your heart rate and rhythm. Lifestyle modifications such as reducing stress, avoiding stimulants like caffeine, and maintaining a healthy weight can also be beneficial. It's important to follow up with your doctor regularly and keep track of your symptoms. If you experience any chest pain, severe shortness of breath, fainting, or dizziness, seek immediate medical attention.

Question 3

I'm really concerned about my wife's health. Last night, her resting heart rate on the wrist was showing 5257 while she was sleeping. This morning, I checked her blood pressure with our digital home monitor and it was 95 over 86, with a heart rate of...

Accepted Answer

A resting heart rate of 52-57 beats per minute is considered normal for some individuals, especially athletes or those who are physically fit. A blood pressure reading of 9586 mmHg is slightly lower than the normal range, but if your wife is not experiencing any symptoms such as dizziness, lightheadedness, or fainting, it may not be a cause for concern. The heart rate of 65 beats per minute is also within the normal range. Home blood pressure monitors can be reliable if used correctly. Make sure to follow the instructions provided with the device, such as positioning the cuff at heart level and ensuring it is the right size for your wife's arm. If your wife is otherwise healthy and not experiencing any symptoms, these readings may not be alarming. However, it is always a good idea to consult with a healthcare professional for a proper evaluation and personalized advice based on her medical history and overall health status.

Question 4

I'm dealing with mitral stenosis and had a balloon mitral valvotomy about two years ago. I'm really anxious to know about my life expectancy now. I've attached my ECG and echo results. Could you help me understand what to expect going forward?

Accepted Answer

"Based on your history of mitral stenosis and previous balloon mitral valvuloplasty (BMV) done 2 years ago, your life expectancy can vary depending on various factors such as the severity of the stenosis, your overall health, and any other underlying medical conditions. It is important to regularly follow up with your cardiologist for monitoring and management. For mitral stenosis, medications such as diuretics, beta-blockers, and anticoagulants may be prescribed to manage symptoms and prevent complications. In some cases, surgical intervention or another BMV procedure may be recommended. Without reviewing your specific ECG and echo results, I cannot provide a precise estimate of your life expectancy. It is best to discuss this question with your cardiologist who has access to your complete medical history and test results."

Question 5

I'm a bit confused and concerned because I just got an EKG done, and the results say "borderline ECG." What exactly does that mean? Should I be worried about this?

Accepted Answer

Borderline ECG means that the results of your EKG are not definitively normal or abnormal. It suggests that there may be slight abnormalities in the electrical activity of your heart, but it is not conclusive. It is important to follow up with your healthcare provider for further evaluation and monitoring.

Question 6

I'm really worried about my blood pressure lately. My 2D echo showed concentric LVH with an EF of 60 and grade 1 diastolic dysfunction. I've been on medication since September, taking one tablet in the morning and two at night. Initially, my BP seeme...

Accepted Answer

It is important to monitor your blood pressure regularly, especially with your medical history of Concentric LVH and diastolic dysfunction. Considering your situation, I would recommend adding or adjusting your current medication regimen to better control your blood pressure during the winter season. You can discuss with your doctor about adding a calcium channel blocker like Amlodipine 5mg in the morning and a combination of Valsartan 80mg + Hydrochlorothiazide 12.5mg in the evening. This can help in better blood pressure control throughout the day. In addition to medication, it is also important to make lifestyle modifications to help manage your blood pressure. This includes reducing salt intake, maintaining a healthy weight, regular exercise, managing stress, and avoiding smoking and excessive alcohol consumption. It is not uncommon for blood pressure to fluctuate with the change in seasons, but with the right medication and lifestyle adjustments, you can better manage your blood pressure even during the winter months. Make sure to continue monitoring your blood pressure regularly and follow up with your doctor for any further adjustments needed."

I'm really worried because my one-year-old has a heart murmur. Could you explain what a heart murmur is and if there are specific foods I should be giving my child?

I'm really worried because my one-year-old has a heart murmur. Could you explain what a heart murmur is and if there are specific foods I should be giving my child?

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Related Questions

I've been experiencing something concerning that Id like some input on. So, last week, I had this issue but after taking some medication, it seemed to go away. However, Ive been noticing that whenever I lift weights around 25kg, I get this tight feel...

I'm really concerned about my wife's health. Last night, her resting heart rate on the wrist was showing 5257 while she was sleeping. This morning, I checked her blood pressure with our digital home monitor and it was 95 over 86, with a heart rate of...

I'm dealing with mitral stenosis and had a balloon mitral valvotomy about two years ago. I'm really anxious to know about my life expectancy now. I've attached my ECG and echo results. Could you help me understand what to expect going forward?

I'm a bit confused and concerned because I just got an EKG done, and the results say "borderline ECG." What exactly does that mean? Should I be worried about this?

I'm really worried about my blood pressure lately. My 2D echo showed concentric LVH with an EF of 60 and grade 1 diastolic dysfunction. I've been on medication since September, taking one tablet in the morning and two at night. Initially, my BP seeme...

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