Question 1

I'm having these heart palpitations in my chest, left arm, and left leg for months now. They get worse at night and right after I wake up. Plus, I often feel really tired and out of breath. It's so frustrating and starting to affect my mood. Do you think this is something to do with my heart, or could it be linked to anxiety and depression?

Accepted Answer

It is important to consult a healthcare professional for a proper diagnosis and treatment plan. However, based on your symptoms of heart palpitations, tiredness, breathlessness, and irritability, it is possible that you may be experiencing a cardiac issue. It is recommended to get an ECG (Electrocardiogram) done to evaluate your heart's electrical activity. In the meantime, you can take Metoprolol (brand name: Lopressor) 25mg once daily to help with the heart palpitations. Additionally, if anxiety and depression are contributing to your symptoms, you can consider taking Sertraline (brand name: Zoloft) 50mg once daily to help manage these conditions.

Question 2

I'm really worried because my homocysteine level is 93. Is that really dangerous? I also have MVP with moderate MR. I'm relieved that my white and red blood cells are at normal levels. Should I be concerned about the high homocysteine given my condition?

Accepted Answer

Hi, based on your homocysteine level of 93, it is considered high. Elevated homocysteine levels are associated with an increased risk of cardiovascular diseases. To lower your homocysteine levels, you can take folic acid, vitamin B6, and vitamin B12 supplements. I recommend taking a combination of medications such as Foltx (folic acid 1 mg, vitamin B6 25 mg, vitamin B12 1 mg) once daily. It is important to consult with your healthcare provider for proper monitoring and management.

Question 3

Can you have a look at this EKG for me? I've been having a really tough time with chest discomfort that spreads to my left arm, back, and abdomen. Went to the ER and they did an EKG; the heart doctor said it was normal. They sent me home with meds for acidity and anxiety, but Im feeling even worse now, like it might be a heart attack. So I went to another hospital where they did another ECG, but no cardiologist checked it. Im having body shivers and tremors but no chills. My stomach's also upset, with loose motions a lot because of IBS and GERD, and I ate chocolates today which are the worst for GERD. Should I get a troponin test done? Its really expensivecan I skip it? Any advice would be helpful.

Accepted Answer

Based on your symptoms and medical history, it is important to rule out a heart attack as a cause of your chest discomfort. Given the persistent symptoms and the radiating pain to your left arm, back, and abdomen, along with the shivering and tremors, it would be advisable to go ahead with the Troponin test to assess for any cardiac damage. This test can help determine if there has been any injury to the heart muscles. It is a crucial test in cases of suspected heart attack. In the meantime, continue taking the acidity and anxiety medications prescribed to you. Additionally, avoid trigger foods like chocolates that can exacerbate your GERD symptoms. If the symptoms persist or worsen, seek medical attention promptly

yes C UDP can be used for hypertension. it is a calcium channel blocker

More Cardiology Health Queries

I'm really worried because my homocysteine level is 93. Is that really dangerous? I also have MVP with moderate MR. I'm relieved that my white and red blood cells are at normal levels. Should I be concerned about the high homocysteine given my condition?

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