Question 1

I'm really concerned about my pulse rate, as it's been hovering between 95 and 105 for the past four years. I'm feeling a mild discomfort in my heart again, similar to what I experienced last year. When I visited Ibrahim Cardiac in Bangladesh, everything seemed normalno blockages or anything serious. After some rest and medication, I felt a bit better, but my pulse didn't change. Now that I'm in Oman, I can't easily consult the same doctor. I'm 33 years old, not overweight at 74 kg, and 5.5 in height. Do you think I should be worried about this pulse rate or the mild heart pain coming back? What should I do next?

Accepted Answer

It would be advisable to consult with a healthcare professional for a thorough evaluation. In the meantime, you can consider taking a low dose of Metoprolol (brand name: Lopressor) 25mg twice daily to help manage your heart rate and alleviate any discomfort. However, it is crucial to seek medical advice for a proper diagnosis and treatment plan.

Question 2

I've noticed that my blood pressure has gone up a couple of times in the last month after eating salty foods, though most days it's normal even if I've had salt. I'm overweight by around 12-14 kgs, and I'm curious if that's contributing to this issue. Like yesterday, after having salty tea, I got a bad headache at the back of my head, and when I checked my BP with our home digital machine, it read 14090. I drank some water, and it seemed to go back to normal. I'm wondering, how accurate are those home BP machines anyway? My lifestyle is pretty sedentary because of my online work. I talked to a doctor, and he said it's not the right time to start BP medications. What do you suggest?

Accepted Answer

Yes change your routine and have regular physical activity and consume healthy diet,have a regular follow up with your doctor

Question 3

My INR levels have been all over the place latelyone month it's at 2.5, and then the next it's down to 1.5. My doctor keeps changing my medication dose, and honestly, I'm getting worried. If this continues, could it cause problems with my mechanical valve in the aortic position? I do an echo each year, but I'm still concerned. Can you explain how this might affect me?

Accepted Answer

Fluctuating INR levels can indeed be concerning, especially for patients with a mechanical heart valve. It is important to maintain a stable INR to prevent complications such as blood clots or bleeding. To help stabilize your INR levels, your doctor may consider prescribing a medication like Warfarin. It is crucial to follow your doctor's instructions regarding dosage adjustments based on your INR levels. If your INR continues to fluctuate, it can increase the risk of blood clots forming on your mechanical heart valve. This can potentially lead to serious complications such as valve malfunction or stroke. Regular echocardiograms are essential for monitoring the function of your mechanical valve and detecting any issues early. To help stabilize your INR and protect your mechanical heart valve, it is important to adhere to your prescribed medication regimen and attend regular follow-up appointments with your healthcare provider.

I don't know about a drug called S93R. It seems to be a fictional drug created for the purpose of the show "Human" on Hotstar.

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