Question 1

My mom has been in the hospital for a few days with chest and left arm pain, and the doctors are saying her ejection fraction is really low. Theyve mentioned theres no definite treatment beyond the medication she's on, and theyre not sure about her life expectancy. Im really worried. Is there any other treatment available, like pacemakers or maybe even a transplant? How does a low ejection fraction, like 28, affect life expectancy?

Accepted Answer

With an ejection fraction of 28%, your mother is experiencing heart failure. In cases where medication alone is not sufficient, treatment options such as implanting a pacemaker or considering heart transplantation may be considered. Pacemakers can help regulate the heart's rhythm and improve its function. In more severe cases, heart transplantation may be recommended. Medications that are commonly used to manage heart failure and improve ejection fraction include: - ACE inhibitors (e.g., Enalapril) - Dosage: as prescribed by the doctor - Beta blockers (e.g., Metoprolol) - Dosage: as prescribed by the doctor - Diuretics (e.g., Furosemide) - Dosage: as prescribed by the doctor - Aldosterone antagonists (e.g., Spironolactone) - Dosage: as prescribed by the doctor It is important to follow the treatment plan outlined by the healthcare team and make lifestyle changes to manage heart failure effectively. As for life expectancy, it can vary depending on various factors, including the underlying cause of heart failure, overall health, and response to treatment. It is best to discuss this in detail with your healthcare provider.

Question 2

I'm experiencing this dull pain on the left side of my chest, kind of between the center of my left chest rib and going up towards my left shoulder. It's been happening for about 3 days now, and it gets worse when I lean forward or round my shoulders, but sometimes when I stretch my left shoulder back, it feels a bit better for a while. I dont think its acidity because I dont have issues with that, and Ive never had high blood pressure or heart problems. What could be causing this pain?

Accepted Answer

Based on your description, the dull pain you are experiencing on the left side of your chest that worsens with certain movements could be musculoskeletal in nature. It may be due to muscle strain or inflammation in the chest wall or shoulder muscles. I recommend taking a muscle relaxant such as **Cyclobenzaprine** 10mg twice a day for a few days to help relieve the pain and discomfort. Additionally, applying a topical pain relief gel containing **Diclofenac** to the affected area can also provide relief. Remember to avoid activities that worsen the pain and try to maintain good posture to prevent further strain. If the pain persists or worsens, it is advisable to consult a healthcare professional for further evaluation and management.

Question 3

I've been feeling some tightness in my chest lately and it's making me a bit anxious, especially since I'm about to start a new job soon. I recently got an ECG done, and it mentions "LARGED PTFv1" which has me worried. My blood pressure was within normal range over the past couple of months, usually around 12080 or 12090, and my echo from last year was fine. Is this something I should be concerned about?

Accepted Answer

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