Question 1

I'm feeling really concerned about some symptoms I've been having lately. There's this persistent pain on the left side of my chest and in my left arm, and it's been going on for about four months now. I did a TMT test three months ago and it came back negative, but I'm still worried. I got my ECG and Echo done a few days ago and was told it's anxiety. Could you take a look at the results I've attached and let me know what you think?

Accepted Answer

"Based on your symptoms and previous tests, it seems like you may be experiencing musculoskeletal pain or nerve-related pain rather than a cardiac issue. You can try taking over-the-counter pain relievers like acetaminophen (Tylenol) for the chest and arm pain. Additionally, you can apply a topical pain relief cream like diclofenac gel to the affected areas. Make sure to follow the recommended dosage instructions on the packaging. If the pain persists, you should follow up with your doctor for further evaluation and management."

Question 2

I've been wondering if there's any kind of link between asthma and an enlarged heart. See, I know asthma can make breathing really tough, so does that mean the heart has to work extra hard to get enough oxygen around the body? If that's the case, could it lead to the heart muscle getting bigger over time because of all the extra effort it has to put in compared to someone without asthma?

Accepted Answer

While there is no definitive evidence that directly links asthma to an enlarged heart, it is plausible to consider that the increased workload on the heart due to labored breathing in asthma patients could potentially lead to the heart muscle becoming enlarged over time. This condition is known as cardiomegaly. In such cases, it is important to manage asthma effectively to reduce the strain on the heart. Medications such as inhaled corticosteroids like Fluticasone (100-250 mcg twice daily) and bronchodilators like Albuterol (2 puffs every 4-6 hours as needed) can help control asthma symptoms and potentially reduce the risk of complications such as cardiomegaly. Regular monitoring by a healthcare provider is also recommended to assess heart health and adjust treatment as needed.

Question 3

I'm a 28-year-old male, and I've been told I have grade 1 diastolic dysfunction. It's been about a week now, and I'm starting to find that I'm having a bit of trouble with breathing and noticing my heartbeat more. Sometimes it feels like my heart skips a beat, and occasionally I feel like my heart is struggling to pump. What kind of diet and exercise would be good for my condition?

Accepted Answer

For grade 1 diastolic dysfunction, it is important to focus on a heart-healthy diet and regular exercise routine. Include plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats in your diet. Limit your intake of sodium, saturated fats, and added sugars. Stay hydrated and avoid excessive alcohol and caffeine consumption. For exercise, aim for at least 150 minutes of moderate-intensity aerobic activity per week, such as brisk walking, cycling, or swimming. Additionally, include strength training exercises at least twice a week to improve overall cardiovascular health. As for your symptoms of difficulty in breathing, feeling your heartbeat, and heart palpitations, it is important to monitor your condition closely. If these symptoms persist or worsen, I recommend consulting with a cardiologist for further evaluation and management.

echo advised once in 6-12 months..

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