Question 1

Can you help me understand these heart-related numbers? Im seeing terms like "left atrium 3.9cm", "aorta 3.5cm", and "EF 60". It mentions things like mild MR, trivial TR, and concentric LVH too. I'm curious if these results are normal or if there's anything to worry about, especially with LV diastolic dysfunction and no pericardial effusion mentioned. Could you explain them for me?

Accepted Answer

Based on the information provided, you have Concentric LVH, Mild MR, Trivial TR, Good LV Systolic function, Gr II LV diastolic dysfunction, and no clotpericardial effusion. It is important to continue monitoring your condition regularly with your healthcare provider to manage your heart health effectively.

Question 2

I'm really worried about my mom. Her blood pressure this morning was 16090, and she's gained 45 kgs in the last 7 months. She doesn't show any other symptoms, but should I be concerned? Do you think she should start on any medication, or is there something else I should do? I'm planning to keep track of her blood pressure from now on. What would you recommend?

Accepted Answer

High blood pressure (hypertension) can lead to serious health issues if left untreated. Given your mother's blood pressure reading of 16090, it is considered high and should be monitored closely. Since she has also gained weight recently, it is important to address this as well to help lower her blood pressure. I recommend starting with lifestyle modifications such as regular exercise, a healthy diet low in sodium and saturated fats, and weight loss if needed. Additionally, she can start taking an antihypertensive medication such as Losartan 50mg once daily to help lower her blood pressure. However, it is important to consult with a healthcare professional for proper evaluation and monitoring.

Question 3

I'm in a bit of a dilemma here. All of my tests, like ECG, echo, TMT, and chest X-ray, came back normal except for high LDL cholesterol. So the doctor put me on Rosuvas, which I've been taking. But now, after a month of feeling okay, the chest pain and tightness are creeping back. I remember the doctor saying to take BP meds if this happened, but I'm not sure which one to pick. My weight is around 110 kg, and my blood pressure was 14090 last month, but I can't check it now because of the lockdown. Should I stick with the Metoprolol I got last year, or should I go out and get Amlopidine? Which one would be better in this situation?

Accepted Answer

"Based on your symptoms of chest pain and tightness, and your history of high LDL cholesterol, it is important to manage your blood pressure effectively. Considering your weight and previous blood pressure reading of 14090, you can take amlodipine to help lower your blood pressure. Amlodipine is a calcium channel blocker that can help relax the blood vessels, making it easier for the heart to pump blood. Since you already have metoprolol with you, you can also consider taking it as it is a beta-blocker that can help lower blood pressure and reduce chest pain. The usual dosage of metoprolol for high blood pressure is 25-100mg once or twice daily. However, please note that metoprolol may not be as effective in controlling chest pain compared to amlodipine. If you choose to take metoprolol, start with a lower dose and monitor your blood pressure closely. If your symptoms persist or worsen, it is important to seek medical advice promptly. Additionally, try to monitor your blood pressure regularly, especially during this time when access to healthcare may be limited due to the lockdown."

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