Question 1

I'm getting these episodes of chest pain and heaviness on my left side that go down to my shoulder and arm, and they last a really long time, like more than a day. They happen randomly without any exertion, and it's scary. I had an ECG during a panic attack, and it showed a heart rate of 130 bpm with sinus tachycardia, but I was discharged after 12 hours. Another time, I felt that chest heaviness with a burning sensation again, and the echocardiography came out normal. The doctor said there's nothing to worry about cardiac-wise, but the anxiety and fear are hard to shake off. Should I consider a stress test or something, even though my ECG was normal at that rate?

Accepted Answer

patient needs psychiatric opinion for his anxiety.

Question 2

I'm taking Navicard 5 mg regularly, as prescribed by my doctor. But recently, I've been having some mild chest pain, so I saw a cardiologist who prescribed Angizem CD 90 for my morning dose. He didnt mention anything about the Navicard though. Now I'm wondering, should I be taking both medications, or just one of them?

Accepted Answer

yes u can use it, visit ur physician for apprpropriate managent

Question 3

Is atrial flutter something that can actually be cured? Is catheter ablation the best solution for someone like me? I'm worried because I had mitral valve replacement surgery about six months ago and was doing fine until I got this bad cough. Suddenly, my heart rate shot up to 150 and it just won't come down. Now I've got a clot and I'm on blood thinners. Is there any hope for me or is this really serious?

Accepted Answer

Atrial flutter can be managed effectively with treatments such as catheter ablation. Catheter ablation is considered one of the best solutions for atrial flutter, especially when medications are not effective or not well tolerated. Atrial flutter may not go away on its own and often requires intervention. Given your history of MVR and the development of a high heart rate along with a clot, it is important to continue with the thinners as prescribed to prevent further complications. It is crucial to follow up with your healthcare provider for further evaluation and management. There is hope for you, and the outcome will depend on various factors including the underlying cause of the atrial flutter, your overall health, and how well you respond to treatment. It is important to stay proactive in managing your condition and follow your healthcare provider's recommendations closely.

I'm trying to understand the normal range for Right Ventricle and Left Ventricle EDD mid-cavity. Can you also tell me what the normal range for ejection fraction is? I'm really curious and a bit worried about this, so any insights would be super helpful.

The normal range for Right Ventricle EDD mid cavity is 2.0-3.5 cm, and for Left Ventricle EDD mid cavity is 3.0-5.6 cm. The normal range for ejection fraction is typically between 50-70%.

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