Question 1

I'm really worried because my father has an LVEF of 35% as per his 2D echo report. I'm trying to figure out what kind of treatment he might need. Should we be considering an angiography? He hasn't had a heart attack and doesn't feel any chest pain. I did some reading and think maybe it's arrhythmia because about three years ago, he nearly fainted while cycling due to stress. Since then, he's been on medication for hypertension. Could you tell me what steps we should take next?

Accepted Answer

Since the patients LVEF (left ventricular ejection fraction) is 35.. indicates that he is having severe heart damage .. Some of the causes uncontrolled hypertension , heart muscle diseasesex cardiomyopathy, heart attack and heart valve issues..Angiography is needed since echo report reveals severe heart dysfunction.Treatment invoves ACE inhibitors ,calcium channel blockers and beta blockers..

Question 2

I'm feeling palpitations in my jaws and neck, and I'm really concerned. Are these palpitations something that comes and goes, or could they be a permanent issue? Is there a treatment or cure for them?

Accepted Answer

-Palpitations are usually harmless and often pass on their own, triggered by stress, anxiety, or other temporary factors. If they persist or occur frequently, it's important to consult a doctor for proper evaluation and treatment. In most cases, they can

Question 3

I'm wondering if it's really necessary to get my heart rate up by walking on a treadmill for a stress echocardiogram. When I was lying down for the test, my heart rate was already high at around 130-140 because of anxiety and stuff. The doctor mentioned that since my heart rate is already up, they wouldnt make me do the treadmill, and the stress echo would still be completed. I was told that it doesnt matter if the heart is beating faster due to stress or exercise; all they need are the images. I paid 3.5k for the stress test but ended up with just an echo report, which usually costs 1.5k. I've been having typical chest pain and in the report, they noted sinus tachycardia during the study. What should I do?

Accepted Answer

In your case, since your heart rate was already elevated due to anxiety and other factors during the stress echocardiogram, it was not necessary to further increase your heart rate through walking on a treadmill. The main goal of the test is to assess the heart's function and structure under stress, whether it is due to mental stress or physical exertion. The doctor's focus is on obtaining clear images rather than solely on increasing the heart rate. Regarding your chest pain and the presence of sinus tachycardia noted in the echo report, it is important to follow up with your doctor for a comprehensive evaluation. Based on your symptoms and the findings in the report, your doctor may prescribe medications such as beta-blockers like Metoprolol to help control your heart rate and chest pain. Additionally, further investigations or treatments may be recommended based on the overall assessment of your cardiac health.

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More Cardiology Health Queries

I'm feeling palpitations in my jaws and neck, and I'm really concerned. Are these palpitations something that comes and goes, or could they be a permanent issue? Is there a treatment or cure for them?

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