Question 1

I'm really worried because I got my ECG done and it came back abnormal. The report mentions sinus tachycardia and right atrial enlargement. What does that mean exactly? Should I be concerned about this? My heart rate was really high at the time of the test, but my other tests, like thyroid and lipid profile, were normal. Can you help me understand what might be going on?

Accepted Answer

Hello sir, based on your description of the ECG findings showing sinus tachycardia and right atrial enlargement, along with the symptoms of high heart rate, it indicates that your heart is beating faster than normal and the right upper chamber of your heart is enlarged. Sinus tachycardia can be caused by various factors such as stress, anxiety, caffeine, or certain medications. Right atrial enlargement can be a sign of heart conditions such as heart failure or lung disease. To address the sinus tachycardia, you can take a beta-blocker medication like Metoprolol at a starting dose of 25mg once daily, which can help slow down your heart rate. For the right atrial enlargement, managing the underlying cause such as treating heart failure or lung disease is important. It is also essential to follow up with a cardiologist for further evaluation and management.

Question 2

I've been experiencing this tightness in my chest whenever I do surya namaskaram and, for the past two days, I've been having frequent burping and indigestion. Sometimes when I breathe, there's this pain on the left side of my chest. A few months back, I had an ECG done, and the doctor said it was normal. I've been doing yoga for a month now, and I'm just wondering if this is something serious? How do you think it can be treated?

Accepted Answer

You may be experiencing symptoms of acid reflux or gastroesophageal reflux disease (GERD), which can cause chest tightness, frequent burping, indigestion, and chest pain. It is good that your ECG was normal, but it is still important to address your symptoms. You can try over-the-counter antacids like Tums or Rolaids to help with the indigestion and chest pain. Additionally, you can take medications like omeprazole (Prilosec) or ranitidine (Zantac) to reduce stomach acid production. It is also helpful to avoid spicy, fatty, or acidic foods, eat smaller meals, and avoid lying down right after eating. If your symptoms persist or worsen, it is important to follow up with your doctor for further evaluation and management.

Question 3

I'm 32 and dealing with anxiety and hypertension. I've been diagnosed with mild concentric left ventricular hypertrophy after a 2D echo. My doctor mentioned taking a TMT and prescribed me TelmaCT 4012.5, Inderal 10, and Rosuvastatin 20. Do you think I should go ahead with the TMT? I'm feeling a bit worried about all this.

Accepted Answer

Since you are already diagnosed with mild concentric left ventricular hypertrophy, it is important to follow your doctor's advice and go for the TMT (Treadmill Stress Test) as suggested. This test will help assess your heart's response to physical stress and evaluate any possible blockages in the arteries.

I'm experiencing this pain on the left side of my chest right below the breast. It's a bit worrying because it gets slightly worse when I take a deep breath, and now I can't even sleep on my left side because it hurts too much. Could you let me know what's going on or what I should do about it?

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