Question 1

What are the 4 stages of heart failure?

Accepted Answer

Four stages of congestive heart failure are Stage A, B, C, D. Stage A and B are pre heart failure stages when persons do not have symptoms but have predilection to heart failure such as Diabetes, Hypertension, obesity, alcohol abuse, heart blocks and family history of heart failure. Stage C is when persons have symptoms, diagnosed with heart failure and responding to treatment. Stage D is when persons have advanced symptoms that may not get better with treatment.

Question 2

I'm experiencing this odd pressure on my chest, specifically on the left side where I've drawn a white line in the photo I sent. It's not quite pain, but more like an uncomfortable pressure. It tends to be noticeable when I lie down, which is pretty uncomfortable, but the pressure seems to go away when I'm up and walking around. There's no pain when I breathe or do exercises, which is confusing me. A few days ago, I was dealing with chest pain but it seems to have lessened. There's this constant pressure, though, especially when I'm lying down. Also, I had sinus tachycardia with a heart rate of 115 BPM during my first echocardiogram. The second one, however, was 77 BPM, and my blood pressure was 13383 mg. I'm wondering if all this is connected and if I should be worried about it?

Accepted Answer

It sounds like you may be experiencing musculoskeletal chest pain, possibly related to inflammation or strain in the chest wall muscles. The fact that the discomfort increases when lying down and improves with movement suggests a musculoskeletal origin. To help relieve the pressure and discomfort in your chest, you can try taking over-the-counter pain relievers such as acetaminophen (Tylenol) as needed. Additionally, applying a warm compress to the area may also help relax the muscles and alleviate the pressure sensation. If the symptoms persist or worsen, it would be advisable to consult with a healthcare professional for further evaluation and management.

Question 3

I'm kind of worried about my recent heart echo results after having a COVID infection. It says I've got mild tricuspid and mitral regurgitation and borderline concentric hypertrophy. But it also mentions that my systolic function is good with an LVEF of 66, and that my cardiac valves look normal. There's no pulmonary arterial hypertension, intracardiac shunt, or pericardial effusion. Sometimes I get this weird feeling, like something's stuck on the left side, and then when it goes down, I can breathe a lot better. Other than that, I'm feeling okay. Should I be concerned about these findings? What do you suggest I do next?

Accepted Answer

There is no immediate cause for worry. The symptoms you are experiencing on the left side may be related to the mild regurgitation, but further evaluation may be needed to determine the exact cause. To address the mild tricuspid and mitral regurgitation, you can take medication like Losartan to help reduce the regurgitation and prevent any worsening of the condition. Additionally, Metoprolol can be prescribed to help manage any symptoms related to the regurgitation. It is important to follow up with your healthcare provider for further evaluation and management based on your symptoms and the echocardiogram findings. Regular monitoring and follow-up appointments will be essential to ensure your heart health is maintained.

Ecg and chest x-ray pa view is advised to the patient.

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