- Female
- 22 Years
- 22/01/2025
I'm experiencing breathlessness when I exert myself and my heart rate seems really high. The recent echo shows mild TR, mild PAHRVSP at 45 mmHg, and a mild MR jet area of 2.5 sqcm, with tachycardia at 121 bpm. My hemoglobin and thyroid levels are normal, but I'm a bit concerned about the mild PAH. Should I be worried about this and check in with a doctor?
Answered by 1 Apollo Doctors
Yes, mild pulmonary arterial hypertension (PAH) should be followed up by a doctor, especially since you are experiencing breathlessness on exertion and have a high heart rate. Treatment for PAH may include medications such as sildenafil (Revatio) or tadalafil (Adcirca) to help lower the blood pressure in the lungs. It is important to monitor and manage PAH to prevent further complications.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI've been struggling with this issue for about two years now, and I'm really hoping for some insight. I'm a 27-year-old I.T. professional and this all started with sudden bouts of dizziness and sweating. I've gone through all the usual tests, like MRI and blood work, and the only thing that came up was a low B12 level at 83. Over time, I've begun feeling detached, and my doctor mentioned it might be anxiety. The problem hasnt gone away though, and now I sometimes experience fluttering, dizziness, and vomiting. It feels like I might faint, but I never actually do. I've had TMT and ECG tests twice, and both were normal. I worry it could be some kind of arrhythmia, but during these episodes, my heart rate seems stable with no major changes. It's confusing because these episodes don't seem linked to stress and only last a few seconds. I'm really anxious about this and just looking for a professional perspective on what's happening.
It sounds like you are experiencing symptoms of panic attacks, which can be very distressing. The dizziness, sweating, fluttering sensation, vomiting, and feeling like you might pass out are all common symptoms of panic attacks. Since your heart rate remains normal during these episodes and your cardiac tests (TMT, ECG) have come back normal, it is less likely to be related to arrhythmia. One possible treatment option for your symptoms could be to take an anti-anxiety medication such as **Xanax (Alprazolam)**. The usual starting dose for adults is 0.25 mg to 0.5 mg taken three times a day. However, it is important to consult with a doctor before starting any medication. In addition to medication, therapy such as cognitive-behavioral therapy (CBT) can also be very effective in managing panic attacks. It can help you understand and cope with the triggers of your anxiety. It is important to follow up with your doctor regularly to monitor your symptoms and response to treatment. If you continue to experience these episodes despite treatment, further evaluation may be needed.
Answered by 1 Apollo Doctors
I'm really worried because my blood pressure is reading 16080, which seems pretty high. Should I be concerned about potential heart problems in the future? I'm also noticing my pulse rate is at 98. What do you think could be going on here?
with single reading we don't justify it's bp it is due to anxiety also check bp continuosly for 3 days
Answered by 1 Apollo Doctors
I've just gotten my cholesterol test results back, and I'm a bit concerned about what they mean. My Total Cholesterol is at 155 mgdl, Triglycerides at 193 mgdl, HDL at 29 mgdl, VLDL at 39 mgdl, LDL at 87 mgdl, with a TCholHDL ratio of 5.3 and an LDLHDL ratio of 3.0. Can you help me understand these numbers and suggest what steps I should take? I'm not sure if these levels are something to worry about, and I'd appreciate any advice on how to handle this.
Your cholesterol report shows a total cholesterol of 155 mgdL, which is normal, but triglycerides are elevated at 193 mgdL, indicating a potential risk for heart disease. Your HDL ("good cholesterol") is low at 29 mgdL, which is concerning, as higher HDL helps reduce heart disease risk. Your LDL ("bad cholesterol") is at a good level of 87 mgdL, and your VLDL and cholesterol ratios are slightly elevated due to the low HDL and high triglycerides. To improve your cholesterol profile, focus on a healthy diet rich in healthy fats (like omega-3s), fiber, and whole foods, while cutting back on sugary and processed foods. Exercise regularly, aim for weight management, avoid smoking, and limit alcohol. Its also important to discuss these results with your doctor, who may recommend further testing or medications, especially considering your history of heart attack. Regular follow-ups will be important to manage and track your progress.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.