Question 1

I'm a bit concerned about my heart rate when I'm sleeping. At night, it sometimes goes as high as 115 beats per minute, but during the day, it's more like 85 BPM. I don't have any other health conditions right now. Should I be worried about this change in heart rate between day and night? Is it normal?

Accepted Answer

Heart beat rise during sleep in night up to 115 beats per minute is known as nocturnal tachycardia. This can be due to various reasons such as stress, anxiety, caffeine intake, or even certain medications. Since you do not have any other existing conditions, I recommend monitoring your caffeine intake and practicing relaxation techniques before bedtime. If the issue persists, you can consider taking a beta-blocker medication like Metoprolol, starting with a low dose of 25mg once daily in the morning. However, it is important to consult with a healthcare professional before starting any new medication.

Question 2

I'm really concerned about my ECG report that shows poor R wave progression in V3. I've been dealing with this pain in my left leg and a bit of chest pain. Could you help me understand what this means and what kind of treatment I might need?

Accepted Answer

Your ECG report showing poor R wave progression in V3 may indicate a possible heart issue. The left leg pain and slight chest pain could be related to poor blood circulation or heart problems. I recommend you to take Aspirin to prevent blood clotting and improve blood flow. Additionally, you can take Atorvastatin to lower cholesterol levels and reduce the risk of heart problems. Please consult a cardiologist for further evaluation and management.

Question 3

I've been experiencing this really painful, pinching sharp heartache that makes it hard to breathe. It's mostly in the upper part of my left chest and lasts around 2 minutes. It's happened a couple of times even when I was on an empty stomach or just had some warm lemon water. I've had it at night before dinner too. I got some blood tests done, and they said my lymphocytes were high, but sugar was normal. I often feel short of breath while sitting too, and climbing stairs always makes me breathless. This month, its happened like three times. Do you have any ideas about what this could be?

Accepted Answer

Could be due to a condition called angina. Angina is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. Given your symptoms and the fact that it has occurred multiple times, it is important to consult a healthcare professional for a proper evaluation and diagnosis. However, based on the information provided, you may benefit from taking medications such as Nitroglycerin sublingual tablets for immediate relief during episodes of chest pain. The usual dosage is 0.3 to 0.6 mg sublingually or chewed at the first sign of chest pain. Additionally, you may also be prescribed medications like Aspirin to prevent blood clot formation and reduce the risk of heart attack. The usual dosage is 75-325 mg once daily. It is important to follow up with a healthcare provider for further evaluation and management of your symptoms.

I'm a bit confused about my recent echo reports. The first one mentioned mild MR and MVP, but when I went to another hospital for a second opinion, they only found mild MR, no MVP. What should I do next? Should I be concerned about this discrepancy?

More Cardiology Health Queries

I'm really concerned about my ECG report that shows poor R wave progression in V3. I've been dealing with this pain in my left leg and a bit of chest pain. Could you help me understand what this means and what kind of treatment I might need?

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