Question 1

I'm really worried about my brother. He had COVID-19 a few months back, and he's still dealing with some tough symptoms like a racing heart rate, tremors, tinnitus, and fatigue. Hes only 30 and was super healthy and fit before all this. His echo was normal a while ago, but the cardiologist did mention arrhythmia back then. Lately, he's been feeling chest pain just from walking or climbing stairs, and his heart rate shoots up to 150-180. It's affecting his daily life a lot post-COVID. We got an NT Pro BNP test done, and it came back at 160. Could this be an early sign of heart failure? Should we look into more tests or anything else?

Accepted Answer

"Based on the symptoms your brother is experiencing, along with the elevated NT Pro BNP levels, there may be concerns about the possibility of heart failure. It is important to further investigate and monitor his condition. I recommend consulting with a cardiologist for a thorough evaluation. In the meantime, to help manage his symptoms, he can be prescribed with medication such as Carvedilol 6.25mg twice daily to help reduce heart rate and improve heart function. Additionally, he can take Furosemide 20mg once daily to help reduce fluid buildup in the body. These medications can help alleviate his symptoms and improve his quality of life. It is also important for him to follow a low-sodium diet and avoid strenuous activities. Regular follow-ups with the cardiologist are essential to monitor his condition and adjust treatment as needed."

Question 2

I'm dealing with mild diastolic dysfunction, tricuspid regurgitation, and mitral regurgitation. My left ventricular ejection fraction is 55. I'm a little concerned and just wondering how often I should see a cardiologist. Can you tell me more about my current condition? Is it okay for me to do regular activities like climbing stairs? And do I need to change anything about my diet or eating habits?

Accepted Answer

Having LV diastolic dysfunction, along with TR and MR, all mild, with LVEF of 55 means you have a mild heart condition. You should visit your cardiologist regularly for follow-up appointments to monitor your condition. It is recommended to see your cardiologist at least every 6-12 months or as advised by your doctor. In terms of your present condition, with mild LV diastolic dysfunction, TR, and MR, and an LVEF of 55, you are in a stable condition. You may continue with your normal daily activities, including chores and climbing stairs. However, it is important to avoid excessive physical exertion and follow a heart-healthy diet. For your heart condition, your cardiologist may prescribe medications such as ACE inhibitors like Lisinopril or ARBs like Losartan to help manage your blood pressure and reduce the workload on your heart. They may also recommend beta-blockers like Metoprolol to help improve heart function. Additionally, diuretics like Furosemide may be prescribed to reduce fluid buildup in your body. Remember to follow your cardiologist's advice closely and attend all scheduled follow-up appointments for proper management of your heart condition.

Question 3

I'm looking at these ECG results, and I'm kinda worried. It mentions things like incomplete right bundle branch block, sinus tachycardia, and negative T-wave anterior. There's also something about right atrial enlargement. It even says "probably abnormal ECG." Should I be concerned about these findings? Is any of this stuff serious? I'm really not sure what all these terms mean for my health.

Accepted Answer

Visit Cardiologist foe evaluation, need to check ECG physically for interpertation

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