Question 1

I'm feeling a bit worried because I've been having a lot of symptoms since I recovered from COVID back in July. I still don't feel completely better. Lately, I've been having chest pain on the left side and near my shoulder blade, and my left hand feels heavy, with some pain in my armpit. There's this weird pressure in the center of my upper chest, but it doesn't hurt. Bending or moving around makes my chest hurt too, but it's sort of bearable. Plus, I often get this numb feeling in my head, like pins and needles, though it doesn't really hurt. Sometimes I get headaches as well. I did an ECG and a 2D echo three months ago and everything was normal, but I'm attaching the latest ECG I just had done today. Can you help me figure out what's going on?

Accepted Answer

Based on your symptoms and history of Covid-19, it is important to consider the possibility of post-Covid complications such as myocarditis or pericarditis. The chest pain, left shoulder blade pain, heaviness in the left hand, and pressure in the upper chest could be indicative of cardiac issues. Since your recent ECG is available, it would be important to review it for any acute changes. I recommend starting a course of aspirin to help with any potential inflammation and to prevent blood clots. Additionally, you can take a proton pump inhibitor like omeprazole to protect your stomach while on aspirin. It is important to follow up with a cardiologist for further evaluation and possible additional tests such as a cardiac MRI. Medication: - Aspirin 75mg once daily - Omeprazole 20mg once daily

Question 2

I'm experiencing some left arm pain and dizziness lately, and I also have GERD issues. From time to time, I get this jaw pain too. Could this be something related to my heart? I had a Holter test done back in February and everything seemed normal, but I'm still a bit worried. Would really appreciate your insight on this.

Accepted Answer

Visit your Physician for appropriate management

Question 3

My dad is 65 and just had a pacemaker put in because his heart rate dropped dangerously low. The doctors found two major blockages 95% and 99% and are recommending bypass surgery, but his creatinine level is high at 2.58. They say his kidneys might not handle the surgery well. What are our options here? Also, could you suggest a diet that helps both his heart and kidneys?

Accepted Answer

cardiology opinion is advised.

I'm 23 and had some tests done recently where my ECG and ECHO came back normal, but my QRS duration was 98ms. I'm kind of worried about whether this might have any implications for my health in the future. Can you explain if this is something I should be concerned about?

QRS duration of 98ms is considered to be within normal limits for adults. It is unlikely to cause any issues in the future. No specific treatment is needed for this. Just continue to follow up with your healthcare provider for routine check-ups.

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