Question 1

I'm really worried because lately Ive been experiencing this weird heart fluttering sensation. Its been happening for the last 15 days whenever Im asleep. I suddenly wake up feeling unconscious, and its like I cant even express what Im going through. For a moment, I seriously feel like Im dying, but then after a few seconds, I feel okay again. It happened again last week and then today during the day when I napped. Its super scary and I dont understand whats going on or why this is happening when Im sleeping. Can you please help me figure out what this might be?

Accepted Answer

Hii, it sounds like you are experiencing episodes of heart palpitations or fluttering. This can be a concerning symptom and it's important to get evaluated by a healthcare professional. In the meantime, you can try taking a beta-blocker medication like Metoprolol (25-50mg) to help control your heart rate and reduce palpitations. It is important to follow up with a doctor for further evaluation and management of your symptoms.

Question 2

I'm a 51-year-old male and I've just been diagnosed with Mitral valve prolapse. My doctor mentioned that it's not something dangerous and there's nothing to worry about for now. But, I'm curious about what can cause this condition so I can take precautions. What should I know to prevent any potential issues down the line?

Accepted Answer

MVP is often a condition people are born with, caused by abnormalities in the tissue that makes up the valve and its supporting structures. While the exact cause isn't always clear, several factors can contribute to its development: genetics (it can run in families), connective tissue disorders like Marfan syndrome, and age-related changes to the heart. As for precautions, while you can't prevent MVP itself, you can help maintain good heart health by: managing blood pressure, eating a heart-healthy diet, getting regular exercise (as approved by your doctor), maintaining a healthy weight, not smoking, and keeping up with regular medical check-ups. Your doctor is right that many people with MVP never develop serious problems, but it's still good to monitor it. The most important thing is to attend your follow-up appointments and alert your doctor if you notice any new symptoms like shortness of breath, chest pain, or irregular heartbeats.

Question 3

I'm really worried about my heart rate. I was prescribed Propranolol 20 MG for anxiety and palpitations by my cardiologist, but when I started feeling uncomfortable with light chest pain, I went to another cardiologist who told me to stop taking it. So I did, and I felt normal for a day, but then my heart rate jumped from 85 sitting to 145 standing the next day. I'm scared to go to the hospital because my heart rate might increase even more. If it's already at 140 just standing, I can't imagine how high it would go while working. Is this something very serious? Also, my blood pressure at night was 130 after eating and 127 before eating while I was on the medication, but it hardly ever went over 120 before all this. If just two days of using Propranolol caused these withdrawal effects, how am I supposed to handle this medication for the long term? I'm living in constant fear of dying. Can you help?

Accepted Answer

It sounds like you are experiencing significant anxiety and palpitations along with withdrawal effects from Propranolol. The sudden increase in heart rate upon standing is concerning and may indicate a condition called orthostatic intolerance. This needs to be evaluated further by a healthcare professional. To address your symptoms, you can try the following: - Discontinue Propranolol under medical supervision to avoid withdrawal effects - Practice relaxation techniques such as deep breathing or meditation to help with anxiety - Stay well-hydrated and maintain a healthy diet - Avoid sudden changes in posture to prevent orthostatic intolerance In the meantime, it is important to consult with a cardiologist or a healthcare provider for a proper evaluation and management plan. They may consider alternative medications or therapies to help with your symptoms. Remember, sudden changes in heart rate and chest discomfort should not be ignored. Take care.

I'm a bit worried after seeing my chest x-ray results. It mentions mild bilateral perihilar and basal congestion along with borderline cardiomegaly. Can you explain what this means, and how I might be able to treat it or manage the symptoms?

That could be age related changes if you have no symptoms like chest pain,chest discomfort,shortnes of breath,then visit Physician for appropriate management.if not you can ignore it

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