Question 1

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.

Question 2

I'm monitoring my blood pressure with an Omron machine, and it reads 100140, but my pulse is normal. I heard that blood pressure can stay high in winter. Should I think about consulting a doctor for this?

Accepted Answer

Seasonal changes can indeed affect blood pressure levels in some individuals. If your blood pressure consistently remains at 140100 mmHg, it is advisable to consult a doctor for further evaluation. You can consider taking antihypertensive medication like Losartan 50mg once daily to help manage your blood pressure. However, it is important to consult a healthcare professional for proper assessment and personalized treatment plan.

Question 3

I've been dealing with high blood pressure for the past five months, and it's really starting to worry me. I get dizzy, have blurred vision, headaches, and neck pain too. The weird thing is, sometimes my blood pressure shoots up after I eat. I'm a 26...

Accepted Answer

It seems like your blood pressure is not well controlled with Losakind-H 25 mg anymore. I recommend adding a calcium channel blocker like Amlodipine 5 mg once daily to help lower your blood pressure. Additionally, you can consider adding a diuretic like Hydrochlorothiazide 12.5 mg once daily to further control your blood pressure. However, it is important to consult with your healthcare provider before making any changes to your medication regimen.

Question 4

I'm feeling a bit worried because all my tests like ECG, echocardiography, TMT, and CT coronary angiogram came back normal, but I'm still having symptoms every day. Could it be microvascular angina or maybe spasms in my arteries, or is it something e...

Accepted Answer

Based on your normal test results and everyday symptoms, it is possible that you may be experiencing microvascular angina or spasms in the arteries. In such cases, medications like Nitroglycerin sublingual tablets can be helpful in relieving symptoms. The usual dosage is 0.3 to 0.6 mg sublingually as needed. Additionally, medications like Calcium channel blockers such as Amlodipine can also be prescribed to help with vasospasms. The typical dosage for Amlodipine is 5 to 10 mg once daily. It is important to follow up with your healthcare provider for further evaluation and management.

Question 5

I'm a bit worried about my ECG results from a recent preventive health checkup. It mentioned "T inversion in III and aVF" and I'm not sure what that means. My heart rate was 75 bpm, PR interval at 126 ms, and QRS duration at 112 ms. Then, there's the...

Accepted Answer

You have mentioned that you received an ECG impression showing T inversion in lead III and aVF. Your heart rate is 75 bpm, PR interval is 126 ms, QRS duration is 112 ms, QT interval is 358 ms, QTC interval is 402 ms, and the axis values for P wave, QRS wave, and T wave. Based on the information provided, you may need to consult a cardiologist for further evaluation and management.

Question 6

I'm 24 and I've been noticing my heart rate is usually under 60 beats a minute. Should I be worried about this, or is it normal? I weigh 120kg, and I'm 5'10". Also, I was diagnosed with GERD a few weeks back and have been on medication for it. Is it ...

Accepted Answer

A resting heart rate below 60 beats per minute is known as bradycardia. In your case, with a history of GERD and being on medication, it is important to consider the overall clinical picture. However, in general, a heart rate in the 50s can be normal for some individuals, especially those who are physically fit. Given your weight and height, it would be advisable to monitor your heart rate regularly and consult with your healthcare provider if you experience any symptoms such as dizziness, fainting, chest pain, or shortness of breath. It is important to ensure that your GERD medication is not causing any adverse effects on your heart rate.

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Related Questions

I'm monitoring my blood pressure with an Omron machine, and it reads 100140, but my pulse is normal. I heard that blood pressure can stay high in winter. Should I think about consulting a doctor for this?

I've been dealing with high blood pressure for the past five months, and it's really starting to worry me. I get dizzy, have blurred vision, headaches, and neck pain too. The weird thing is, sometimes my blood pressure shoots up after I eat. I'm a 26...

I'm feeling a bit worried because all my tests like ECG, echocardiography, TMT, and CT coronary angiogram came back normal, but I'm still having symptoms every day. Could it be microvascular angina or maybe spasms in my arteries, or is it something e...

I'm a bit worried about my ECG results from a recent preventive health checkup. It mentioned "T inversion in III and aVF" and I'm not sure what that means. My heart rate was 75 bpm, PR interval at 126 ms, and QRS duration at 112 ms. Then, there's the...

I'm 24 and I've been noticing my heart rate is usually under 60 beats a minute. Should I be worried about this, or is it normal? I weigh 120kg, and I'm 5'10". Also, I was diagnosed with GERD a few weeks back and have been on medication for it. Is it ...

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