Question 1

Is a mild concentric LVH and Grade I diastolic dysfunction something serious for a 68-year-old woman who's had a high sugar level of 250 and has been taking medication for diabetes for 6 years and heart issues for 4 years? What steps should we be taking? Is there a concern about ischemic heart disease with these symptoms, especially given the normal echo report?

Accepted Answer

Neck Pain and Burping Symptoms

_Possible Causes_

1. _Gastroesophageal reflux disease (GERD)_: Burping and neck discomfort may be related to GERD, where stomach acid flows back into the esophagus.
2. _Dysphagia_: Difficulty swallowing or a sensation of blockage in the neck could be causing your symptoms.
3. _Musculoskeletal issues_: Neck pain might be related to muscle strain or poor posture.

_Recommendations_

1. _Antacids or acid reducers_: Over-the-counter medications like antacids (Tums, Rolaids) or acid reducers (Zantac, Pepcid) may help alleviate GERD symptoms.
2. _Dietary changes_: Avoid trigger foods (spicy, fatty, or acidic), eat smaller meals, and avoid lying down after eating.
3. _Physical therapy_: Gentle neck stretches and exercises may help relieve musculoskeletal tension.
4. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to rule out underlying conditions.

_When to Seek Immediate Attention_

1. _Severe symptoms_: If you experience severe neck pain, difficulty swallowing, or vomiting blood, seek immediate medical attention.

Question 2

I'm a bit worried because my heart rate is around 113 BPM even when I'm just resting, but my ECG came back normal. I have to admit, I'm pretty lazy and don't get much exercise, and my breathing gets heavier when I try to run. Could my lifestyle be causing this high heart rate, or should I be concerned about something else?

Accepted Answer

A heart rate of 113 BPM at rest can be caused by various factors, including physical inactivity and a sedentary lifestyle. Since you mentioned that your ECG is normal, it is less likely to be due to a heart condition. The increase in respiratory rate on running suggests that your body is not efficiently adapting to physical exertion. To address this issue, I recommend starting with lifestyle modifications such as regular exercise and physical activity. Additionally, you can consider taking medication like Metoprolol to help lower your heart rate and improve cardiovascular health. It is important to consult with a healthcare professional before starting any medication regimen.

Question 3

I'm really worried because my cholesterol is high, like 252, and today I've been experiencing this pain in my left arm, shoulder joint, and even in my hands. Could this mean I'm having a heart attack?

Accepted Answer

Having high cholesterol levels can increase your risk of heart attack, especially when experiencing symptoms like pain in the left arm, shoulder joint, and hands. This could be a sign of a heart-related issue. It is important to seek medical attention immediately. In the meantime, you can take Aspirin 81mg to help reduce the risk of blood clot formation.

I'm a bit concerned about my recent ECG report. It showed a result of 800 sinus rhythm and 733 suspect inferior myocardial infarction. Could you help me understand what these numbers mean and how serious this might be? Do I need to take immediate action or get more tests done?

yes it is a concern immediate cardiologist opinion is required.

More Cardiology Health Queries

I'm really worried because my cholesterol is high, like 252, and today I've been experiencing this pain in my left arm, shoulder joint, and even in my hands. Could this mean I'm having a heart attack?

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