Question 1

I've been dealing with these ectopic palpitations for the last 8 months and it's really stressing me out. I went to a general physician who said it's nothing to worry about and it's just anxiety related. I have really bad cardiophobia anxiety. He put me on ciplar la 20, which helped a bit with the palpitations but they haven't completely gone away. I did a holter and an echo screening and showed them to a cardiologist. He said it's just anxiety too, but mentioned there was concentric LVH on the echo and a single ectopic on the holter. Should I be concerned about the concentric LVH and the single ectopic beat, or is it really just anxiety like everyone's saying?

Accepted Answer

Based on your symptoms and reports, I recommend continuing with Ciplar LA 20 for the ectopic palpitations. In addition, you may benefit from an anti-anxiety medication such as Escitalopram 10mg once daily to help manage your cardiophobia anxiety. It is also important to address the concentric LVH detected in the echo report. You can start taking Losartan 50mg once daily to help manage the LVH. Regular follow-up with your cardiologist is essential to monitor your condition and make any necessary adjustments to your treatment plan.

Question 2

I've recently had an echo done, and it showed grade 1 diastolic dysfunction. I'm a bit concerned and wondering if this is something serious. Should I see a cardiologist about it, or is it a common finding that's usually not a big deal?

Accepted Answer

It is important to follow up with a cardiologist for further evaluation and management. Treatment may include lifestyle modifications and medications such as ACE inhibitors like Enalapril (5-20mg once daily) or ARBs like Losartan (25-100mg once daily) to help improve heart function and symptoms. Regular follow-up with a cardiologist is recommended to monitor your condition.

Question 3

I'm taking Betacap TR 40 in the morning, but my BP is still high and can't be controlled. I've been feeling dizzy for a few days, and yesterday I had a root canal done. Today, my blood pressure is 150110, and I'm not sure what's going on. Can you hel...

Accepted Answer

I can't know the exact reason for your high blood pressure without a proper examination, but considering your symptoms and recent dental procedure, it is possible that the pain and stress from the root canal treatment may have contributed to the elevated blood pressure. I would recommend you to continue taking Betacap TR 40 as prescribed, and also consider adding an additional medication like Telma 40 (Telmisartan) once daily to help control your blood pressure. Additionally, try to manage your stress levels, get an adequate amount of rest, and follow a healthy diet low in salt and saturated fats. It is important to monitor your blood pressure regularly and follow up with your healthcare provider for further evaluation and management.

Question 4

My wife has been dealing with some pain on the left side of her chest, and we're getting a bit worried. Do you have any idea what might be causing this and what kind of treatment she should consider?

Accepted Answer

Chest pain on the left side can be caused by various reasons such as heart problems, muscle strain, or even digestive issues. However, it is important to rule out any serious conditions related to the heart. I recommend taking your wife to a doctor for a proper evaluation and diagnosis. In the meantime, you can give her Acetaminophen 500mg for pain relief. But please consult with a doctor for further evaluation and treatment."

Question 5

I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he w...

Accepted Answer

Given the patient's history of angioplasty, a 70% arterial blockage, elevated creatinine level of 3.2, and low platelet count of 58,000, the current chest pain is concerning and requires immediate medical attention. The discontinuation of Brilinta due to low platelet counts increases the risk of clot formation. The patient should be evaluated urgently by a cardiologist and a nephrologist to manage both the cardiac and renal issues. Alternative anti-platelet strategies may be needed, and continuous cardiac monitoring, possibly including a coronary angiogram, should be performed. A multidisciplinary approach involving cardiologists, nephrologists, and hematologists is essential to address the complexities of his condition

Question 6

I'm trying to understand if a pulse pressure of 110 over 80 is considered normal for an adult, or if it's something I should be concerned about. Is that a low pulse pressure? And what steps can I take to maintain a healthy pulse pressure?

Accepted Answer

it is abnormal, high pulse pressure causes include aging, aortic regurgitation, pagets disease,hyperthyroidism, co arctation of aorta, etc ,, treatment includes diuretics and ACE inhibitors,.

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Related Questions

I've recently had an echo done, and it showed grade 1 diastolic dysfunction. I'm a bit concerned and wondering if this is something serious. Should I see a cardiologist about it, or is it a common finding that's usually not a big deal?

I'm taking Betacap TR 40 in the morning, but my BP is still high and can't be controlled. I've been feeling dizzy for a few days, and yesterday I had a root canal done. Today, my blood pressure is 150110, and I'm not sure what's going on. Can you hel...

My wife has been dealing with some pain on the left side of her chest, and we're getting a bit worried. Do you have any idea what might be causing this and what kind of treatment she should consider?

I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he w...

I'm trying to understand if a pulse pressure of 110 over 80 is considered normal for an adult, or if it's something I should be concerned about. Is that a low pulse pressure? And what steps can I take to maintain a healthy pulse pressure?

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