Question 1

I'm on some medications right nowConcor 2.5, Paxidep CR 25, and Nexpro RD 40for panic disorder and concentric LVH. I've been thinking about doing some cardio exercises like running, jogging, push-ups, sit-ups, and maybe some light weight lifting with a dumbbell. I'm planning to do this for about 30 to 40 minutes, five days a week, because I've noticed I'm gaining some weight. I weigh 70 kg at a height of 5'3". Is it okay to keep up with these exercises while on these meds, or should I be cautious?

Accepted Answer

Visit your Physician for appropriate management

Question 2

I'm a bit worried because I've been experiencing palpitations and when I took an ECG, it showed sinus tachycardia. My 2D echo test came back normal, so my doctor prescribed Betacap TR 20mg. After a week of taking it, the follow-up ECG was normal. Can you explain what sinus tachycardia is? Should I be concerned about any heart-related issues? I've also been dealing with anxiety for the past six months. I've attached my ECGs. Can you take a look and let me know what's going on? I'm really worried about my health.

Accepted Answer

Sinus tachycardia is a condition where the heart beats at a faster rate than normal, typically over 100 beats per minute. It is usually a normal response to stress, exercise, or certain medications. In your case, since your 2d echo test was normal and your follow-up ECG was also normal after taking Betacap TR 20mg, there is likely nothing to worry about. Betacap TR 20mg is a brand name for Propranolol, which is a beta-blocker medication that helps to slow down the heart rate and reduce palpitations. For your anxiety, you can continue taking Betacap TR 20mg as prescribed by your doctor. Additionally, you may benefit from therapy or relaxation techniques to help manage your anxiety symptoms. Overall, it seems like your heart is healthy and the medication is helping with your symptoms. Keep following up with your doctor for further guidance and monitoring.

Question 3

I'm a bit confused about my liver function test results. My total cholesterol is at 230, and I've gotten different opinions from doctors. Some suggest medication, while others say it's nothing to worry about. Should I be concerned about this level? When exactly should I start taking action or medication?

Accepted Answer

A total cholesterol level of 230 is considered borderline high, which means you're at risk of developing heart disease. The American Heart Association recommends aiming for a total cholesterol level below 200 milligrams per deciliter (mgdL).

Here are some conditions where you should take care:

Liver-Related Conditions

- Fatty Liver Disease: Excess fat accumulation in liver cells can disrupt liver function and increase cholesterol levels.
- Non-Alcoholic Steatohepatitis (NASH): A more severe form of fatty liver disease characterized by inflammation and scarring.
- Cirrhosis: Late-stage liver disease where liver tissue is replaced by scar tissue, affecting cholesterol metabolism [1).

Lifestyle Changes

To manage your cholesterol levels:

- Exercise Regularly: Aim for 150 minutes of moderate-intensity exercise weekly.
- Follow a Healthy Diet: Focus on whole grains, fruits, vegetables, and lean protein sources.
- Maintain a Healthy Weight: Excess weight contributes to high cholesterol [1).

Visit Physician for evaluation and appropriate management

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