Question 1

My brother has been feeling some discomfort on the left side of his chest, and the doctor said his ECG is normal, just showing sinus tachycardia. He's really anxious and tends to worry about his health a lot, especially after recovering from COVID. We're wondering about getting an echo done, but the doctor suggested waiting a month. Is it okay to wait that long, or should we consider doing it sooner given his anxiety and constant thinking about his health?

Accepted Answer

Can delay the echo testing for up to one month after the ECG. It is important to monitor his symptoms during this time. Given his history of anxiety and hypochondria, it may be beneficial for him to consult with a mental health professional to address his concerns and manage his anxiety. It is also important for him to continue following up with his healthcare provider for further evaluation and guidance."

Question 2

I'm really worried because her entire body is getting swollen and the doctor mentioned something about heart enlargement with fluid buildup. She seems to only stay healthy and not get swollen if she consistently takes her medication and injections to remove the fluid. What's this condition called, how serious is it, and what can be done to help her live a healthier, longer life? I'd really appreciate any advice.

Accepted Answer

It sounds like your loved one is experiencing symptoms of congestive heart failure, which is a serious condition where the heart is unable to pump blood effectively, leading to fluid buildup in the body. To manage this condition and improve her health and longevity, she will need to take medications such as Furosemide (Lasix) to help remove excess fluid from the body. Additionally, medications like Lisinopril (Zestril) or Carvedilol (Coreg) may be prescribed to help the heart function better and reduce symptoms. It is important for her to follow a low-sodium diet, monitor her fluid intake, and regularly follow up with her healthcare provider for proper management of her condition.

Question 3

I'm a bit concerned about my heart rate. It's usually around 96, but it goes up to 120 when I walk. I don't have any other symptoms and I've had a thyroid test, ECG, and echo done, all of which came back normal. The only thing on the ECG was sinus tachycardia. I did have mild Covid last April. Should I be worried about this, or will my heart rate settle down on its own over time?

Accepted Answer

Sinus tachycardia is a common condition where the heart rate is elevated but the heart rhythm is normal. Since your thyroid, ECG, and echo results are normal, and considering your history of mild COVID-19 last year, your elevated heart rate may be due to post-viral effects. In most cases, sinus tachycardia resolves on its own as the body recovers from the viral illness. To help manage your heart rate, you can try to reduce stress, stay hydrated, and ensure you are getting adequate rest. If your symptoms persist or worsen, you can consider taking a beta-blocker medication like Metoprolol at a low dose of 25mg once daily to help control your heart rate. However, it is important to consult with your doctor before starting any new medication. Monitoring your heart rate regularly and following up with your healthcare provider for further evaluation is recommended.

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