apollo
  • Male
  • 40 Years
  • 29/01/2025

I'm dealing with some light pain in my chest and shoulders, and my 2D echo report showed mild MR and TR with PAH and an RVSP of 40 mmHg. Can you help me figure out what steps I should take or what this might mean for my health?

Doctor 1

Answered by 1 Apollo Doctors

Based on your symptoms and 2D echo report showing mild MRTRPah with an Rvsp of 40mmHg, it is important to manage your condition. You can take Tablet Aspirin 75mg once daily to help with any chest pain and to prevent blood clots. Additionally, you can take Tablet Losartan 50mg once daily to help lower blood pressure and reduce the strain on your heart. It is important to follow up with your doctor for further evaluation and management.

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm looking over my recent ECG report and I'm a bit worried about understanding it. It shows various measurements like QRS 84ms, QTQTcB 360439 ms, PR 148ms, and more stuff like that. I'm not sure if anything seems off, especially with these values like P 92ms and RRPP 672650 ms, and how they all add up. Also, theres something about Sokolow 1.3mVNK from 13 May. Could you explain what these all mean and if I should be concerned about anything unusual here?

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I'm really worried about my brother Jiten, who was in the cardiac care unit recently. He's just 28 and now that he's home, his blood pressure keeps dropping in the evening, and he starts vomiting. After that, his skin turns pale and he experiences pain in his right calf. I'm also noticing that he's coughing a bit. The hospital stay was stable after his procedure with the AICD implant, but I'm worried about these symptoms popping up. His meds include things like concor, aldactone, and levoflox among others. Could you advise on what might help him recover better and keep these symptoms in check?

To address the symptoms of low blood pressure, vomiting, pale skin, calf pain, and cough, the following adjustments can be made to the medication regimen: 1. **Low Blood Pressure and Vomiting**: Given the symptoms of low blood pressure and vomiting, it is important to review the medications that may be contributing to these side effects. In this case, Dytor 10mg (Torsemide) is a diuretic that can lower blood pressure and cause electrolyte imbalances leading to vomiting. It may be advisable to reduce the dosage of Dytor or consider an alternative diuretic. 2. **Pale Skin and Calf Pain**: The symptoms of pale skin and calf pain could be indicative of poor blood circulation. To address this, it is important to ensure adequate hydration and blood flow. Aldactone 25mg (Spironolactone) can sometimes cause electrolyte imbalances leading to symptoms like calf pain. Monitoring electrolyte levels and adjusting the dosage of Aldactone may be beneficial. 3. **Cough**: If the cough persists, it may be related to heart failure or respiratory issues. Dapaone 10mg (Dapagliflozin) is a medication used to treat heart failure. However, if the cough is persistent and bothersome, a review of the medication regimen and potential respiratory evaluation may be necessary. 4. **Overall Recommendation**: Considering the symptoms described, it may be beneficial to consult with the healthcare provider who prescribed the medications. Adjustments in medication dosages or alternative medications may be necessary to address the symptoms of low blood pressure, vomiting, pale skin, calf pain, and cough effectively. Please note that any changes to the medication regimen should be done under the supervision and guidance of a healthcare professional. Regular monitoring and follow-up with the healthcare provider are essential for optimal management of these symptoms.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Sure, here's a rephrased version of the user's query: I've been having chest pains off and on for a couple of days and got an ECG done. Here's what the results say: Vent rate is 73 bpm, PR interval is 114 ms, QRS duration is 94 ms, QTQTc is 388427 ms, and the PRT axes are 64, 52, and 25. I'm really not sure if these numbers are normal. Should I be taking any special precautions, especially since the pain keeps showing up in different parts of my body at different times?

_Blood Vomiting and Blood in Stool: Potential Causes_ Blood vomiting (hematemesis) and blood in stool (hematochezia) can be symptoms of various conditions. Given your friend's experience, possible causes include: 1. *Gastroesophageal reflux disease (GERD)*: Stomach acid can cause bleeding in the esophagus or stomach. 2. *Peptic ulcers*: Open sores in the stomach or duodenum can bleed. 3. *Gastritis*: Inflammation of the stomach lining can lead to bleeding. 4. *Esophageal varices*: Enlarged veins in the esophagus can bleed. 5. *Inflammatory bowel disease (IBD)*: Conditions like Crohn's disease or ulcerative colitis can cause bleeding. 6. *Infections*: Bacterial or viral infections, such as food poisoning, can cause bleeding. _Urgent Medical Attention Needed_ Encourage your friend to seek immediate medical attention to determine the underlying cause and receive proper treatment.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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