Question 1

I've noticed that my heart rate is usually somewhere between 68 to 83 bpm during the day. But for the past week, it's been up between 90 and 118 bpm, and it doesn't drop below 85 even when I'm sitting for a while. When I'm asleep, it goes from 50 to 75 bpm. I started going to the gym for cardio and strength training about a month ago, hitting it 5 days a week. Nothing's really changed with my diet or work hours. Had my ECG, ECO, and BP checked and everything seemed normal. What could be causing this increase in my heart rate? Should I be worried about it?

Accepted Answer

Based on the information provided, the increase in your heart rate could be due to the increased physical activity from your gym routine. It is common for heart rate to be elevated during and after exercise, especially if you have recently started a new workout regimen that includes both cardio and strength training. To help regulate your heart rate, you can consider taking a beta-blocker medication such as Metoprolol. I recommend starting with a low dose of Metoprolol 25mg once daily, and you can adjust the dosage as needed based on your heart rate response. It is important to monitor your heart rate regularly and consult with your healthcare provider for further guidance on medication management. In addition to medication, make sure to stay hydrated, get an adequate amount of rest, and listen to your body during workouts. If you experience any concerning symptoms such as chest pain, dizziness, or shortness of breath, seek medical attention immediately.

Question 2

I'm feeling a vibration sensation in my left chest that's been going on for a few seconds at a time. I had an ECG and ECO test done, and both came back normal, and the doctor told me that I don't need any medicine. But I'm still experiencing it sometimes, and I'm just wondering how long it might take for this vibration to stop?

Accepted Answer

In this case, you may be experiencing palpitations or muscle spasms. To help alleviate these symptoms, you can try taking a beta-blocker medication such as Metoprolol 25mg once daily. Additionally, practicing stress-reducing techniques such as deep breathing exercises or yoga may also be beneficial. If the symptoms persist or worsen, it is important to follow up with your doctor for further evaluation.

Question 3

I'm really worried about my dad's health. Last Friday, he had a major heart failure and after carrying out an angiogram, the doctor found out that there are three blockages in his heart. They also mentioned that his ejection fraction or EF is at 20 which is quite low, and because of that, they can't perform angioplasty or bypass surgery. I'm really unsure about what steps we can take to improve his condition. Could you guide me on how to help him get better or what options we might have?

Accepted Answer

With a low ejection fraction (EF) of 20% and multiple blockages in the heart, the main goal of treatment would be to improve his heart function and manage his symptoms. Medications such as ACE inhibitors, beta blockers, and diuretics can help improve heart function and reduce the workload on the heart. In addition, medications like statins can help manage cholesterol levels and prevent further blockages. It's important for your father to follow a healthy lifestyle, including a heart-healthy diet, regular exercise, and avoiding smoking and excessive alcohol intake. Regular monitoring by his healthcare team is crucial to adjust his treatment as needed.

I'm curious about my pulse after exercising. I did a brisk walk for about 3 kilometers, which took me around 30 minutes, and when I checked my pulse rate right after, it was between 130 and 135. Is this considered normal? My resting pulse usually sits between 70 and 80. Should I be concerned?

A pulse rate of 130-135 after brisk walking is within a normal range, especially considering your resting pulse is 70-80. As long as you do not experience any symptoms such as chest pain, dizziness, or shortness of breath, this pulse rate is considered normal for your level of physical activity.

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