Question 1

I've been noticing something a bit unsettling recently, like my heart seems to be beating really hard, especially when I'm just lying down or relaxing. My resting heart rate is around 94bpm, which seems a bit high to me? Also, I can feel this strong pulse over my suprasternal notch and some weird tingling vibrations on the right side of my sternum near the carotid. Its almost like a sensation of anxiety, but I dont feel anxious at all. Could you give me some insight into what might be going on?

Accepted Answer

An ecg,cardiac markers and echo is advised to the patient, if reports are normal, advised a psychiatric  opinion for anxiety..

Question 2

I'm trying to understand the results of my recent 2D echo and colour Doppler test. It mentioned things like LEFT VENTRICLE ASH, TRILEAFLETS, and an AORTIC VALVE that's thickened. It also noted some stuff about COLOUR DOPPLER and something called AV GRDT 5mmHg AR GRADE 1. They concluded I have HYPERTENSIVE HEART DISEASE and ASYMMETRICAL SEPTAL HYPERTROPHY among other things. They said I have a NORMAL LV SYSTOLIC FUNCTION with an EF of 64%, but I'm not quite sure what that means. Given this, is my condition something thats curable or can be managed? Would surgery or implants help at all? I don't have diabetes and my heart rate stays around 50-60 bpm consistently. I've been on Zabeta X for nine years, then LODOZ 2.5 for a year, and now CONCOR 2.5 for the last 15 days. Also, I've been taking Restyl 0.5 at bedtime for 9 years. What should I consider doing next?

Accepted Answer

1. Whether it is curablecontrolled? Based on the diagnosis of hypertensive heart disease, asymmetrical septal hypertrophy, sclerotic aortic valve with mild aortic regurgitation, and left ventricular diastolic dysfunction, these conditions can be managed and controlled with appropriate treatment and lifestyle modifications. While these conditions may not be completely curable, their progression can be slowed down and symptoms can be managed effectively with proper medical management. 2. Whether surgery or implants in any way will be of any help? In your case, since you have normal left ventricular systolic function and no regional wall motion abnormalities at rest, surgery or implants may not be necessary at this point. However, in some cases where there is severe aortic stenosis or regurgitation, surgical interventions such as aortic valve replacement may be considered. It is important to follow up with your cardiologist for further evaluation and to determine if any surgical interventions are needed in the future. 3. Your considered opinion, suggestion, solution? Considering your current medication regimen, it is important to continue taking Concor 2.5 as prescribed by your healthcare provider. Additionally, lifestyle modifications such as maintaining a healthy diet, regular exercise, managing stress, and avoiding smoking can help in managing your condition. Regular follow-up visits with your cardiologist are essential to monitor your heart health and adjust your treatment plan as needed. If you have any concerns or experience any new symptoms, please consult your healthcare provider for further evaluation and management.

Question 3

I've been having this chest pain and heaviness, and sometimes it feels like I'm short of breath, especially when I'm walking. I got an ECG and a chest x-ray, and they came back normal. I went to a nearby clinic just a couple of days ago for the same issue. I can't help but think I might have angina, but no doctor has confirmed this. They usually just check my pulse rate and listen to my heartbeat with a stethoscope and tell me everything's fine. Should I be worried about this, or can I trust the tests and what the doctors have said so far? Would love some guidance!

Accepted Answer

Since your symptoms are persisting, it's important to consider other causes of chest pain apart from heart-related issues. One common condition that can cause similar symptoms is acid reflux or GERD. You can try taking Omeprazole (brand name Prilosec) 20mg once daily before breakfast for 2 weeks to see if your symptoms improve. Additionally, you can also take Ranitidine (brand name Zantac) 150mg twice daily for immediate relief of chest pain. However, if your symptoms persist or worsen, it's advisable to consult a gastroenterologist for further evaluation and management.

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