apollo
  • male
  • 50 Years
  • 22/01/2025

I'm getting palpitations after just one drink of alcohol and my ECG results show something about a QRST contour abnormality and possible inferior myocardial damage. What should I do about this?

Doctor 1

Answered by 1 Apollo Doctors

Based on your symptoms and ECG findings, it is important to avoid alcohol consumption. You should also consider taking medications such as Metoprolol (25-50mg) to help control your palpitations and protect your heart. Additionally, you may benefit from medications like Aspirin (75-150mg) to reduce the risk of further myocardial damage. It is important to follow up with your healthcare provider for further evaluation and management.

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 25/07/2025

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I've been dealing with a heavy feeling in my chest and some chest pain for the past four months. The pain often starts on the center left side but sometimes shifts to the center right. Ive tried Gelusil a few times, but it hasnt really helped. I do pranayam and take a short walk every day. What could be causing this? What do you think I should do, and are there any specific tests you recommend?

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Doctor 1Doctor 2

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I'm really worried about something. I've been dealing with diabetes for about three years now and high blood pressure for over 15 years. For that, I've been taking losium and istamate regularly. But lately, I've been experiencing a dry cough and feeling gassy. When I went to the Baptist Hospital, they said I needed to be admitted to the CCU and they ran some tests like ECG and blood tests, which came back negative. They also did a TMT and an echo. During the TMT, I felt tired after the second stage when the speed increased, and they told me I might have a heart problem, suggesting an angiogram. I decided against it and got discharged instead. I'm confused and not sure what to do next. Can you give me some advice on this?

It sounds like you are experiencing some side effects from your current medications. The dry cough and gas could be related to the medications you are taking for diabetes and high blood pressure. Since you are experiencing symptoms related to your heart, it is important to follow up with a cardiologist for further evaluation. I recommend discussing with your doctor about switching from losium to a different medication for high blood pressure to see if that helps with the cough and gas. Additionally, you may benefit from a medication adjustment for your diabetes as well. For your heart condition, it is important to follow up with a cardiologist for further evaluation and to discuss the possibility of undergoing an angiogram to assess the blood flow to your heart. In the meantime, make sure to monitor your blood pressure and blood sugar levels regularly, follow a healthy diet, and engage in regular physical activity as advised by your healthcare provider.

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Doctor 1Doctor 2

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I'm really concerned about my recent echocardiogram results. It showed everything as normal except it mentioned mild PAH, trivial TR, Grade 1 diastolic dysfunction, and traces of pericardial effusion. My last master health check-up was normal just two months ago. I'm 41, unmarried, and I weigh 108kg, which puts me in the obese range. I've also been experiencing some issues with deep breathing and saw a pulmonologist who prescribed some medication. I'm really anxious about the mild PAH results. Is this something I should be worried about, and is it possible for mild PAH to be reversed? And what about the other findings? Are they serious? I'm planning to do a TMT soon, but this whole thing is stressing me out quite a bit. Could you please help clarify all this?

Mild PAH (Pulmonary Arterial Hypertension) is a condition where there is increased blood pressure in the arteries of the lungs. While mild PAH may not cause immediate concern, it is important to monitor it regularly as it can progress over time. Treatment options for PAH include medications such as Sildenafil or Bosentan to help manage symptoms and improve quality of life. It is important to follow up with your Pulmonologist regularly to monitor the progression of PAH. Trivial TR (Tricuspid Regurgitation) is a common finding in echocardiograms and is often not a cause for concern, especially when it is mild. Grade 1 diastolic dysfunction refers to abnormalities in the relaxation phase of the heart's pumping cycle, which may indicate early signs of heart disease. Traces of pericardial effusion indicate the presence of fluid around the heart, which can have various causes and may need further evaluation. Since you are experiencing deep breathing problems, it is a good idea to follow through with the planned TMT (Treadmill Stress Test) to assess your heart's response to exercise. This test can provide valuable information about your heart's function and help guide further management. Overall, it is important to continue working closely with your healthcare providers, including your Pulmonologist and Cardiologist, to monitor and manage these findings. Regular follow-ups and lifestyle modifications, such as weight loss in the case of obesity, can help improve your overall health and well-being."

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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