apollo
  • male
  • 60 Years
  • 14/08/2025

My dad had a heart bypass surgery 3 years ago at Ushamullapudi Hospital and now his heart is enlarged causing breathing problems. He's 60 years old what could be causing this and what should we do next?

Doctor 1

Answered by 1 Apollo Doctors

please upload the reports

Dr. Dhankecha Suggests...

Consult a Cardiologist

Answered 14/08/2025

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I've had several EKGs, and they keep showing I have inverted T wave lines. Ive also done a few stress tests, which were said to be normal. But then I ended up in the ER with chest pain, and the doctor there said I need a heart cath because my stress tests werent completely normal. One doctor says they're normal, and another one disagrees. I'm only 45 years old, and I'm just wondering if a heart cath is really necessary. I've got an appointment with a cardiologist in 9 days, and I'm feeling a bit nervous about all this. What do you think?

ECHO is advised for further management.

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I'm a little worried about my mom. She's been taking 3mg of warfarin, but her PTINR test just showed 1.27. Since she has heart issues, should we think about upping her dose to 5mg?

An INR of 1.27 indicates that the patient's blood is not clotting as well as it should be on the current dose of warfarin. For a heart patient, the target INR range is usually higher. In this case, it would be advisable to increase the dose of warfarin. I recommend increasing the dose to 4mg and then rechecking the INR in a week to see if it falls within the target range. Regular monitoring and adjustment of the warfarin dose is important to ensure the patient's blood is clotting within the desired range.

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I'm a bit worried about my health right now. I've had hypertension for about 9 years and just found out there's an issue with my heart, something about left atrial enlargement. I'm experiencing symptoms like peripheral edema, dizziness, and even feeling faint sometimes. Is this something that can be reversed or might it turn out to be really serious?

Left atrial enlargement is a common complication of long-standing hypertension. While it may not be completely reversible, managing your blood pressure effectively can help prevent further enlargement and reduce the risk of complications. To help manage your symptoms and condition, you can take medications like Losartan 50mg once daily to control your blood pressure and reduce the strain on your heart. Additionally, your doctor may recommend a diuretic like Furosemide 40mg once daily to help with the peripheral edema. It's important to follow your doctor's advice closely and make lifestyle changes such as maintaining a healthy diet, regular exercise, and reducing stress to improve your overall health and prognosis.

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