Question 1

Is it normal for my resting heart rate to sometimes drop to 55? I've been keeping an eye on it using my Apple Watch, and I've noticed this happens on about six days over the past month. I'm currently taking Ciplar LA 20 since July, and before that, I was on Petril Beta for two months. Also, when I exercise, my heart rate shoots up to between 150 and 180 but returns to normal pretty quickly after I stop. I had a stress echo test done last December and everything was fine, but I'm wondering if I need any further testing. What do you think?

Accepted Answer

Resting heart rate between 54 to 60 beats per minute is considered normal for adults. Since you have a history of taking Ciplar LA 20 and Petril beta, which are beta blockers, it is expected to have a lower resting heart rate. Your heart rate increasing to 150 to 180 beats per minute during exercise is also normal and shows that your heart is responding appropriately to physical activity. As long as your heart rate returns to normal after you stop exercising, and considering your previous normal stress echo test results, there is no immediate need for further testing. Just continue monitoring your heart rate and consult your doctor if you notice any concerning symptoms.

Question 2

I'm worried about a high troponin level of 22.4. Can this be treated with medication, or does it mean I need to be admitted or go through some kind of procedure?

Accepted Answer

See a specialist for accurate diagnosis and targeted treatment.

Question 3

My mom, who's 75, has been having this center chest pain for 25 days now. Last week the doctor gave her met xl 12.5 and veloz d to take every morning after looking at her ECG report, but it hasn't helped with the pain. Today, after checking her 2D echo, they suggested she take Mucaine syrup and Sucrafil three times a day for a month. She's also on telmikind am 80 (half a tablet) and rosuless c 10 every night. I'm really worried since it's been more than a week without improvement. Do you have any idea what might be causing this pain?

Accepted Answer

Based on the medications your mother is currently taking and the symptoms described, the chest pain could be due to acid reflux or gastroesophageal reflux disease (GERD). The medications prescribed such as Veloz D, Mucaine, and Sucrafil are commonly used to treat symptoms of acid reflux. It is possible that the pain is related to acid irritation in the esophagus. To further alleviate the symptoms, you can consider adding a proton pump inhibitor (PPI) such as Esomeprazole (brand name: Nexium) or Pantoprazole (brand name: Protonix) to reduce stomach acid production. The usual dosage for Esomeprazole is 20-40mg once daily before a meal, and for Pantoprazole, it is 40mg once daily in the morning. Additionally, lifestyle modifications such as avoiding trigger foods, eating smaller meals, avoiding lying down after eating, and maintaining a healthy weight can also help in managing acid reflux symptoms. It is important to continue the current medications as prescribed and follow up with your doctor for further evaluation if the chest pain persists.

I'm trying to understand my latest ECG report. It mentions "Sinus Rhythm," a normal axis, and a short PR interval. Could this indicate any issues? Also, I'm on Thyronorm 25 mg for the last 3 years, and my TSH level is at 4.8. Does this all sound normal, or should I be concerned?

Thats normal no need to worry maintain healthy lifestyle

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I'm worried about a high troponin level of 22.4. Can this be treated with medication, or does it mean I need to be admitted or go through some kind of procedure?

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