Question 1

What are the 4 stages of heart failure?

Accepted Answer

Stage 1:Cardiac disease but no symptoms and no physical limitations in ordinary activity. Stage 2: Mild symptoms and slight limitation in physical activity. Stage 3: Siginificant limitation in physical activity due to symptoms, comfortable ony at rest. Stage 4: Severe limitaitons, symptoms even at rest.

Question 2

I'm getting ready for my aviation medical, and I had an ECG done. The report showed ST segment elevation in the anterior, large T waves, and it said "borderline ECG." I'm 20 years old, weigh 82kg, and I'm 176cm tall. Should I be worried about any of these findings? What do they really mean, especially with my age and size?

Accepted Answer

Based on the ECG findings of ST segment elevation (anterior), large T wave, and borderline ECG, along with your age, weight, and height, it is important to further evaluate these findings. These ECG changes could indicate various conditions such as myocardial infarction, myocarditis, pericarditis, or other cardiac issues. I recommend consulting with a cardiologist for a thorough evaluation and appropriate management. In the meantime, it is important to avoid strenuous physical activity and follow a heart-healthy diet. Medications such as aspirin, nitroglycerin, and beta-blockers may be prescribed based on further evaluation by your cardiologist.

Question 3

I was just told I have bradycardia, but my symptoms seem to be getting worse over time. I've been feeling really nauseous and light-headed, and I notice weakness, shortness of breath, painful headaches, and even high blood pressure. I'm curious about how serious my bradycardia is. My pulse usually sits around 45-58, but whenever my blood pressure spikes up to around 14599, my pulse jumps to 85 before it settles back down. Could there be something specific causing all of this? It's been three months, and instead of getting better, it seems to be getting worse. Should I be doing something right away about it?

Accepted Answer

It sounds like you are experiencing symptoms of bradycardia along with other concerning symptoms such as nausea, lightheadedness, weakness, shortness of breath, headaches, and high blood pressure. The fluctuation in your pulse rate from 45-58 to 85 is also concerning. Bradycardia can be serious, especially when accompanied by these symptoms. One possible cause of your symptoms could be a heart condition affecting the electrical signals that control your heart rate. It is important to seek medical attention immediately given the severity and duration of your symptoms. You should go to the emergency room or seek urgent medical care to have a thorough evaluation, including an ECG to assess your heart rhythm, blood tests, and possibly other cardiac tests. Based on your symptoms and the seriousness of the situation, the healthcare provider may prescribe medications such as Atropine or Epinephrine to increase your heart rate and stabilize your condition. In some cases, a pacemaker may be necessary to regulate your heart rate. It is crucial to address these symptoms promptly to prevent any potential complications. Please seek medical help without delay.

I'm feeling some pain on the left side of my chest. It's not constant, and sometimes it just goes away on its own. I'm kinda worried about what this could mean or if I should be concerned. Any ideas on what might be going on?

consult yor cardiologist immediately for further treatment

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