Question 1

I'm experiencing shortness of breath when I run, and my ECG and Echo reports both came back normal. I'm trying to figure out what's going on. Should I consider getting a CT angiography? Oh, and I've noticed my Echo report lists an ejection fraction of 60, but the stroke volume and EDV fields are blankhow was the EF calculated? I've attached the report too.

Accepted Answer

Shortness of breath during exercise despite normal ECG and Echo reports could be due to other factors such as asthma, anemia, or even deconditioning. Since your Echo report shows a normal ejection fraction of 60%, the calculation is typically done using the formula EF = (SVEDV) x 100. However, since the SV and EDV values are missing in your report, it may be challenging to accurately calculate the EF. Considering your symptoms and the inconclusive nature of the Echo report, it may be advisable to consult with a cardiologist to determine the need for further testing such as a CT angiography to rule out any coronary artery disease.

Question 2

I've been dealing with high blood pressure for the last month, consistently around 170110, even after taking my medication. I'm really concerned about why it's not coming down and what I should do next. Could there be something else going on that I n...

Accepted Answer

It seems like your current medication may not be effectively controlling your blood pressure. I recommend discussing with your doctor about adjusting your medication. In addition to your current treatment, adding a medication like Amlodipine (5mg) or Lisinopril (10mg) can help lower your blood pressure. Remember to follow up with your doctor regularly to monitor your blood pressure levels.

Question 3

I'm experiencing a fast heartbeat and I'm worried if it could be a case of SVT. I had an echocardiogram and it came back normal. Does that mean my heart is fine or should I be concerned about something else?

Accepted Answer

It is good that your echo is normal. Fast heart beat can be due to various reasons, including SVT. To help control your heart rate, you can take medication like Metoprolol (brand name: Lopressor) at a dosage of 25-100mg twice daily. However, it is important to consult with a cardiologist for a proper diagnosis and treatment plan.

Question 4

Can extreme fear and stress lead to a heart attack or cardiac arrest in someone under 25, even if they don't have a history of heart problems? I'm really curious because I've been feeling super overwhelmed lately and it worries me.

Accepted Answer

Extreme fear and stress can trigger a condition known as Takotsubo cardiomyopathy, also called "broken heart syndrome," which mimics symptoms of a heart attack. In young people below 25, the risk of a heart attack or cardiac arrest due to extreme fear and stress is very low. However, it is important to manage stress and anxiety to maintain overall heart health

Question 5

I'm a bit concerned because I just started taking Telma 20mg and today I've been feeling dizzy and really tired. Is that a normal reaction? I checked my blood pressure and it's 14092. What should I do about this?

Accepted Answer

Starting on Telma (telmisartan) 20mg can sometimes cause side effects like dizziness and fatigue, especially when your body is adjusting to the medication. These symptoms can be more noticeable when standing up quickly or during the initial days of treatment. Your current blood pressure reading of 14092 mmHg indicates that it is still elevated. Its important to monitor your symptoms and blood pressure closely. If the dizziness and fatigue persist or worsen, please contact your healthcare provider to discuss your symptoms and possibly adjust your treatment plan.

Question 6

Ive been noticing that when I lie down, especially on my side, I can really feel my heartbeat, and it's hard to focus on anything else. What could be causing this? Any advice would be appreciated.

Accepted Answer

Feeling your heartbeat more prominently when lying down, especially on your side, can be due to a condition called palpitations. This can be caused by various factors such as anxiety, stress, caffeine intake, or even certain medications. To help alleviate this sensation, you can try taking a beta-blocker medication like Metoprolol (25-50mg) once daily. Additionally, practicing relaxation techniques and reducing caffeine consumption may also help.

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Related Questions

I've been dealing with high blood pressure for the last month, consistently around 170110, even after taking my medication. I'm really concerned about why it's not coming down and what I should do next. Could there be something else going on that I n...

I'm experiencing a fast heartbeat and I'm worried if it could be a case of SVT. I had an echocardiogram and it came back normal. Does that mean my heart is fine or should I be concerned about something else?

Can extreme fear and stress lead to a heart attack or cardiac arrest in someone under 25, even if they don't have a history of heart problems? I'm really curious because I've been feeling super overwhelmed lately and it worries me.

I'm a bit concerned because I just started taking Telma 20mg and today I've been feeling dizzy and really tired. Is that a normal reaction? I checked my blood pressure and it's 14092. What should I do about this?

Ive been noticing that when I lie down, especially on my side, I can really feel my heartbeat, and it's hard to focus on anything else. What could be causing this? Any advice would be appreciated.

Cardiology

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