Question 1

I'm feeling a bit worried after our recent echocardiography showed mild pulmonary arterial hypertension (PAH) and moderate tricuspid regurgitation. Can this one test really confirm I have PAH, or should I be looking into more testing? And what should I expect in terms of life expectancy with mild PAH? Is there any chance that this condition can be cured?

Accepted Answer

Cardiologist opinion is advised to the patient.

Question 2

I'm really worried about my grandfather who's 76. He was hospitalized twice because his blood pressure went up to 200100. We have the ECG from when he was in the hospital and his prescription too. Since getting discharged, his blood pressure is fine during the day, but at night it gradually rises to somewhere between 16080 and 18090. Does the ECG indicate he's had a heart attack? Are the medications he's on appropriate?

Accepted Answer

If the ECG shows sinus rhythm with no signs of acute myocardial infarction. The medications prescribed are Amlodipine 5mg once daily and Atenolol 25mg once daily. These are appropriate medications for controlling high blood pressure. However, since your grandfather's blood pressure is still increasing during the night, a medication adjustment may be needed. I recommend consulting with the doctor who prescribed these medications to discuss the possibility of increasing the dosage or adding another medication to better control his blood pressure during the night.

Question 3

I'm really worried because I've been dealing with chest pain for the last 2 years. I've had all kinds of tests done like ECG, 2D Echo, TMT, and even a CT Coronary Angiography, and they all came back normal. But my blood test results are a bit concerning. My high sensitivity C Reactive protein is at 9.7 mgL, lipoprotein A is 35.09 mgdL, Lipase is 63.6 UL, SGOT is 70.9 UI, SGPT is 88.4, and GGT is 80.9. These numbers have gone up compared to my earlier tests. The chest pain is really troubling me the most. Could you advise me on what steps I should take next?

Accepted Answer

Given your elevated blood test values, it is important to further investigate the cause of your chest pain. The increased sensitivity C Reactive Protein (CRP) level indicates inflammation in the body, which may be related to your symptoms. Considering your symptoms and blood test results, I recommend consulting with a healthcare provider to discuss the possibility of underlying inflammatory conditions such as costochondritis or musculoskeletal issues. In the meantime, you can try over-the-counter pain relievers like acetaminophen (Tylenol) for chest pain relief. However, it is crucial to address the root cause of your symptoms through further evaluation and management. I hope this information helps.

I've been experiencing some chest heaviness, so I got an ECG done today. Could you let me know if it looks normal? I'm a bit concerned about this enlarged PTFV1 finding is that something to worry about? Would really appreciate your help.

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