Question 1

I'm really worried because I had Covid back in November 2020 and even though I got better with home quarantine, I've been having these palpitations. I was on Prolomet XL 12.5 for three months, but it was stopped and I don't have any other health issues. My weight is 85 kg and I'm 5 ft 7 in. Lately, I find myself googling symptoms a lot and after Covid, a few palpitations really made me anxious, and I think I've developed this fear of heart issues.

Between December and April, I had my ECG and 2D ECHO done twice and a 24-hour Holter monitoring, all of which came back normal. But now, for the past couple of days, I've been experiencing a little indigestion. Today, after lunch, I felt a mild pain around my heart, though it disappeared after a few seconds. Could this just be my anxiety, or should I get my heart checked out more thoroughly? Your advice would mean a lot.

Accepted Answer

Based on your history of palpitations post-Covid and your current symptoms of indigestion and mild pain in the heart area, along with normal ECG, 2D ECHO, and 24-hour Holter monitoring results, it is more likely that your symptoms are related to anxiety rather than a cardiac issue. To address your symptoms of anxiety and cardiophobia, I recommend continuing with lifestyle modifications such as regular exercise, stress management techniques, and maintaining a healthy diet. Additionally, you can consider therapy or counseling to help manage your anxiety. If your symptoms persist or worsen, you can discuss with your healthcare provider about starting a medication such as Escitalopram 10mg once daily to help with anxiety symptoms. However, it is important to continue monitoring your symptoms and follow up with your doctor regularly.

Question 2

My mom has severe pulmonary stenosis and right heart failure, and lately she's been too weak for any physical activity. She's on diuretics and lanoxin but some surgeons said she can't handle open heart surgery. What do you think would be the best treatment options or medications for her condition

Accepted Answer

Given that open heart surgery is not an option, focusing on symptom management and exploring less invasive options like balloon valvuloplasty is crucial. Medications like diuretics and digoxin (Lanoxin) should be optimized, and additional medications might be considered to manage right heart failure. Lifestyle changes, such as a heart-healthy diet and regular exercise as tolerated, can also help

Question 3

I'm dealing with high blood pressure since 2020 and I often have headaches and chest pain. My average blood pressure is around 150100. My doctor has prescribed me olmesartan 20mg. Should I be concerned about these symptoms, and is the medication dosage suitable?

Accepted Answer

Since you are already taking olmesartan 20mg for your high blood pressure, it is important to continue with the medication as prescribed by your doctor. In addition to olmesartan, you can also consider adding a calcium channel blocker such as Amlodipine 5mg to further control your blood pressure. It is important to monitor your blood pressure regularly and follow up with your doctor for any necessary adjustments to your treatment plan.

More Cardiology Health Queries

My mom has severe pulmonary stenosis and right heart failure, and lately she's been too weak for any physical activity. She's on diuretics and lanoxin but some surgeons said she can't handle open heart surgery. What do you think would be the best treatment options or medications for her condition

I'm dealing with high blood pressure since 2020 and I often have headaches and chest pain. My average blood pressure is around 150100. My doctor has prescribed me olmesartan 20mg. Should I be concerned about these symptoms, and is the medication dosage suitable?

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