apollo
  • male
  • 24 Years
  • 29/01/2025

I've been noticing that my resting pulse rate is around 90-100, and sometimes it even goes above 100. I often feel these strong heart palpitations. I had an echo done, and everything seemed normal, and my blood pressure is fine too. I'm 24 and weigh 67 kg. People say it might be due to anxiety, and yeah, I do worry about my career and family like everyone else. I don't eat junk food, and I drink about 3-4 cups of tea a day max. I'm just really trying to figure out what's going on with me. Could it really be just anxiety, or should I be looking into something else?

Doctor 1

Answered by 1 Apollo Doctors

Penile Lesions: Possible Causes

Small, painless lesions on the inner skin of the penis can be caused by:

  1. Fordyce spots: Small, harmless bumps caused by sebaceous gland blockage.
  2. Pearly penile papules: Small, benign growths common in men.
  3. Allergic reactions: Contact dermatitis from soaps, condoms, or other products.
  4. Skin conditions: Eczema, psoriasis, or dermatitis.
  5. STIs: Certain sexually transmitted infections (STIs) can cause penile lesions.

Consult a doctor or a dermatologist for a proper diagnosis and guidance.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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My dad has blockages in all three arteries and the numbers are 90 80 80. How long can he safely wait before getting surgery? I'm really worried about his condition.

A detailed evaluation will help decide the best course of action.

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I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of the heart, suggests normal LVH and a normal LV cavity with normal thickness, having a zero calcium score. Also, my TMT came out negative for any chest pain-related issues. I'm kind of confused here. Which result should I rely on when it comes to the left ventricular hypertrophy? Which is considered more accurate or should I be concerned about something else here?

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

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I'm really concerned about my mother. She had four stents put in her heart last week, around the RCA and PLVLADRI areas, and seemed to be doing okay after the angioplasty. But then she started having atrial fibrillation, and the doctor gave her nordam and an amiodarone injection, which helped for a couple of days. But after we got home, she's been feeling dizzy and seeing black spots. Now she's on amiodarone 200 mg tablets twice a day and some anti-anxiety meds, but her heart rate is still 150 bpm. Is this normal? How common is it to have arrhythmia like this after angioplasty, and how long might it last? I'm worried if this is our new normal, and if there's a chance that atrial fibrillation after angioplasty comes with any risks?

The treatment your mother is receiving is appropriate for atrial fibrillation post-angioplasty. Amiodarone 200mg tablet twice a day is commonly used to control heart rhythm. In addition to that, anti-anxiety medication can help manage symptoms related to anxiety and dizziness. A heart rate of 150 bpm is considered high, and the medications prescribed aim to bring it back to a normal range. Atrial fibrillation can occur after angioplasty, and it is not uncommon. The risk associated with atrial fibrillation post-angioplasty includes an increased risk of stroke and other cardiovascular complications. It is essential to monitor and manage atrial fibrillation to reduce these risks. The duration of atrial fibrillation can vary from person to person. In some cases, it may resolve on its own, while in others, long-term management may be required. Regular follow-up with the doctor is crucial to monitor the heart rhythm and adjust treatment as needed. Overall, the treatment your mother is receiving is appropriate for atrial fibrillation post-angioplasty. It is essential to continue following up with her doctor for further evaluation and management.

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