apollo
  • Male
  • 37 Years
  • 20/02/2025

I've been diagnosed with RHD along with severe MS, severe MR, and moderate eccentric AR, but the ejection is normal. I'm feeling pretty worried and a bit confused about what all this means and how I should proceed. Could you give me some guidance on what steps to take next?

Doctor 1

Answered by 1 Apollo Doctors

For the management of Rheumatic Heart Disease (RHD) with severe Mitral Stenosis (MS), severe Mitral Regurgitation (MR), moderate eccentric Aortic Regurgitation (AR) with normal ejection fraction, the following treatment approach can be considered: 1. For symptomatic relief and to improve heart function, you can consider medications such as: - Diuretics like Furosemide (Lasix) to reduce fluid buildup - Beta-blockers like Metoprolol to control heart rate and blood pressure - ACE Inhibitors like Lisinopril to reduce strain on the heart - Anticoagulants like Warfarin to prevent blood clots 2. In severe cases, surgical interventions may be necessary such as: - Mitral valve repair or replacement for severe MS and MR - Aortic valve repair or replacement for moderate AR 3. Regular follow-up with a cardiologist is essential to monitor the condition and adjust treatment as needed. It is important to adhere to the prescribed treatment plan and make lifestyle modifications such as maintaining a healthy diet, regular exercise, and avoiding smoking to manage RHD with severe MS, severe MR, moderate eccentric AR with normal ejection.

Dr. Dhankecha Suggests...

Consult a Cardiologist

Answered 04/07/2025

0

0

Sick? Talk to a doctor now

More Cardiology Health Queries

View all

My father was just diagnosed with angiography and the doctors are suggesting an early CABG. I'm really worried and want to find the best hospital in Bangalore for this heart surgery can you help me figure out where to go?

yes ,cabg advised at apollo hospital.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm trying to make sense of my recent test results. The CT angiography came back normal, but my treadmill test is mildly positive. I don't have any chest pain, my blood sugar is normal, and my lipid profile is good, but I do have high blood pressure. What does this all mean? Should I be worried about the mildly positive TMT even though everything else seems fine? What should be my next steps?

TMT showing mild positive results without chest pain could indicate a potential issue with the heart's blood supply. Since your CT angiography is normal and other parameters like blood sugar and lipid profile are also normal, it's important to focus on managing your blood pressure to reduce the risk of any further heart-related issues. You can start taking Amlodipine 5mg once daily to help control your blood pressure effectively. Regular monitoring of your blood pressure is essential to ensure it stays within a healthy range.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

So, I was wondering, while I was out trekking recently, my heart rate spiked up to 85% of what my target heart rate is, which is about 185 BPM. During this, I felt a bit of pain on the left side of my neck. Its kind of a pulsating ache, but not too intense, and it seems to improve when I rest. Is this something normal? Ive already done some tests like a blood test showing my cholesterol is in range, an ECG that came back normal with sinus tachycardia, and both an ECHO 2D and TMT that are normal. By the way, Im 26 years old. Can you shed some light on this?

Hello, based on your description, it sounds like you may be experiencing some muscle strain or tension in your neck, especially since the pain improves with rest. However, given your normal test results and age of 26 years, it is less likely to be related to any serious heart condition. To help with the mild pulsating pain in your left side of the neck, you can try taking over-the-counter pain relievers like acetaminophen (Tylenol) as needed. Additionally, you can apply a warm compress to the area to help relax the muscles. Make sure to stay hydrated and practice good posture while trekking to prevent further strain on your neck muscles. If the pain persists or worsens, it would be advisable to follow up with your healthcare provider for further evaluation

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.