Question 1

I'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.

Accepted Answer

1. Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider.
2. The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH.
3. A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages.

Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.

Question 2

My husband recently had an LDL cholesterol reading of 148. I'm really concerned and wondering if that's considered dangerous. What are the normal levels for LDL? Could you suggest some ways to help reduce his LDL? Would really appreciate your guidance on this.

Accepted Answer

-Hi, an LDL level of 148 is slightly above the recommended range, which is generally below 100 mgdL for optimal health. To reduce LDL levels, your husband can focus on a heart-healthy diet, including more fiber, healthy fats, and regular exercise. It's a

Question 3

I'm experiencing breathlessness when I exert myself and my heart rate seems really high. The recent echo shows mild TR, mild PAHRVSP at 45 mmHg, and a mild MR jet area of 2.5 sqcm, with tachycardia at 121 bpm. My hemoglobin and thyroid levels are normal, but I'm a bit concerned about the mild PAH. Should I be worried about this and check in with a doctor?

Accepted Answer

Yes, mild pulmonary arterial hypertension (PAH) should be followed up by a doctor, especially since you are experiencing breathlessness on exertion and have a high heart rate. Treatment for PAH may include medications such as sildenafil (Revatio) or tadalafil (Adcirca) to help lower the blood pressure in the lungs. It is important to monitor and manage PAH to prevent further complications.

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More Cardiology Health Queries

My husband recently had an LDL cholesterol reading of 148. I'm really concerned and wondering if that's considered dangerous. What are the normal levels for LDL? Could you suggest some ways to help reduce his LDL? Would really appreciate your guidance on this.

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