Question 1

What could be causing my palpitations if it's not heart-related? All my tests, like the ECG, 2D echo, CBC, thyroid, and vitamin D3, came back normal. I still get palpitations randomly and also feel really tired with body aches. What might be going on?

Accepted Answer

Palpitations can be caused by various factors other than heart problems, even if your ECG, 2D echo, CBC, thyroid, and vitamin D3 levels are normal. Some possible causes of palpitations in your case could be: - Anxiety or stress - Caffeine or stimulant intake - Anemia - Dehydration - Electrolyte imbalances - Medications (such as decongestants or asthma inhalers) - Hormonal changes (such as during menstruation or menopause) To help alleviate your symptoms, you can try reducing caffeine intake, staying hydrated, managing stress through relaxation techniques, and ensuring a balanced diet. If symptoms persist, you may consider discussing with your doctor about medications like beta-blockers to help control palpitations.

Question 2

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.

Question 3

I'm really worried about my dad. He's 73 years old and his recent 2D echo report showed an LVEF of 50 percent, no MR, no TR, and a paradoxical IVS. How serious is this situation and is there anything we can do to improve it? Should we be thinking about getting more tests done?

Accepted Answer

My father 73 years old his 2Decho report says LVEF 50 percent, no MR no TR, paradoxical IVS. How critical it and and how it can be improved. Any further investigation required? LVEF of 50% indicates a slightly reduced heart function, which may increase the risk of heart-related issues. The paradoxical IVS refers to an abnormal movement of the interventricular septum during the cardiac cycle. To improve the condition and prevent further complications, medications such as ACE inhibitors like Enalapril 5mg daily and beta-blockers like Metoprolol 25mg daily can be prescribed. Additionally, lifestyle modifications such as regular exercise, a heart-healthy diet, and stress management can help. Further investigation may include a stress test or coronary angiography to assess coronary artery disease.

What should we eat when BP is high?

You may consume your staple foods except prefer low salt diet, avoid coffeine and alcohol, avoid delimeat, eat Citrus fruits.

More Cardiology Health Queries

What could be causing my palpitations if it's not heart-related? All my tests, like the ECG, 2D echo, CBC, thyroid, and vitamin D3, came back normal. I still get palpitations randomly and also feel really tired with body aches. What might be going on?

I'm really worried about my dad. He's 73 years old and his recent 2D echo report showed an LVEF of 50 percent, no MR, no TR, and a paradoxical IVS. How serious is this situation and is there anything we can do to improve it? Should we be thinking about getting more tests done?

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