Question 1

I'm looking at the results from a recent heart evaluation, and I'm a bit concerned. It mentions "Concentric LVH, Mild MR, Trivial TR, normal pasp, No pericardial effusion, LVEF 60, No RWMA, Normal LV function," and my blood pressure reading was 210110. Could you help me understand what all this means for my heart health? I'm especially worried about the high blood pressure and terms like "Concentric LVH" and "LVEF 60." What should I be doing or asking my doctor about these findings?

Accepted Answer

The findings suggest concentric left ventricular hypertrophy (LVH) with mild mitral regurgitation (MR) and trivial tricuspid regurgitation (TR). There is no pericardial effusion, and the left ventricular ejection fraction (LVEF) is normal at 60%. There are no regional wall motion abnormalities (RWMA) indicating normal left ventricular function. The blood pressure is elevated at 210110 mmHg. You may consider starting antihypertensive medication to help lower your blood pressure and reduce the risk of complications. A combination of medications such as Amlodipine 5mg and Lisinopril 10mg can be prescribed to help manage your blood pressure effectively. It is important to follow up with your healthcare provider regularly to monitor your condition and adjust your treatment as needed.

Question 2

I'm really worried about my cholesterol levels. My total cholesterol is now 273 and my LDL cholesterol is at 191, which has gone up from 180. My TcholHDL ratio has also increased to 6.5, and it used to be lower. The LDLHDL ratio is now 4.5, and it wa...

Accepted Answer

Your cholesterol levels indicate that you are at an increased risk for cardiovascular diseases. To help lower your cholesterol levels and reduce your risk, you can make lifestyle changes such as following a healthy diet, exercising regularly, and maintaining a healthy weight. Additionally, medication may be prescribed by your doctor to help manage your cholesterol levels. For your high LDL cholesterol, you can consider taking Atorvastatin (brand name Lipitor) at a dosage recommended by your healthcare provider. This medication helps lower LDL cholesterol levels and reduce the risk of heart disease. To improve your cholesterol ratios and overall lipid profile, you can also discuss with your doctor about taking Fenofibrate (brand name Tricor) at a suitable dosage. Fenofibrate helps lower triglycerides and non-HDL cholesterol levels, which can further reduce your cardiovascular risk. Remember to consult with your healthcare provider for personalized advice and monitoring of your cholesterol levels.

Question 3

I've been having some concerns about my recent health check-up. My heart rate is around 55, and after a second ECG, it dropped to 52. The doctor had me do some additional tests, and my sodium is at 137, and potassium is 5.8. I'm not experiencing any ...

Accepted Answer

The decrease in heart rate from 55 to 52 beats per minute on ECG may not be a significant concern on its own, but the high potassium level of 5.8 mmolL (normal range is typically 3.5-5.0 mmolL) could be a cause for your light-headedness and dizziness. High potassium levels can affect the heart's rhythm and lead to symptoms like weakness, fatigue, and palpitations. To lower your potassium levels, you can make dietary changes such as avoiding high-potassium foods like bananas, oranges, potatoes, and tomatoes. Additionally, you should limit salt intake as high sodium levels can affect potassium levels. Drinking salt water with lemon may not significantly affect your potassium levels, but it's best to avoid it for now. Your doctor may prescribe you with a medication called **Sodium Polystyrene Sulfonate** to help lower your potassium levels. The typical dosage is 15-60 grams daily, but your doctor will determine the appropriate dose for you based on your potassium levels. It's important to follow up with your doctor for further evaluation and management of your potassium levels. Make sure to follow a low-potassium diet and take the prescribed medication as directed to help normalize your potassium levels and alleviate your symptoms.

Question 4

I'm really worried about my dad. He's had a stroke and a bypass in the past, and his heart rate usually hangs around 55 to 60. I've heard about Chymoral AP and Myoril for his lower back pain, but I'm concerned if it's safe for him to take because of ...

Accepted Answer

Chymoral AP and Myoril can be risky for your father due to his history of stroke and bypass surgery, as well as his low heart rate. Chymoral AP contains Trypsin, Chymotrypsin, and Paracetamol which can increase the risk of bleeding, especially in patients with a history of stroke. Myoril contains Thiocolchicoside which can cause muscle weakness and dizziness, potentially increasing the risk of falls in someone with a history of stroke. Given his low heart rate, both medications can further lower the heart rate and blood pressure, leading to complications. It is important to consult with his healthcare provider to find a safer alternative for his lower back pain.

Question 5

I'm trying to understand what it means when there's a regional wall motion abnormality detected in an echocardiogram. Is this something related to ischemic heart disease? What does that imply for my heart health? I'm feeling a bit anxious about all t...

suggestive of bundle branch block .A cardiac opinion is required

Last updated on 22 Jan 2025

Share

Accepted Answer

suggestive of bundle branch block .A cardiac opinion is required

Question 6

I'm worried about left ventricle failure and what steps are involved in managing it. How do I go about registering for a heart transplant and who should I contact? Could you guide me through this, please?

Accepted Answer

Left ventricular failure is a serious condition where the heart's left ventricle is unable to pump blood effectively to the rest of the body. Treatment for left ventricular failure typically involves a combination of medications such as ACE inhibitors (e.g. Enalapril) and beta blockers (e.g. Metoprolol) to help improve heart function and manage symptoms. In some cases, a heart transplant may be recommended for severe cases of left ventricular failure. To register for a heart transplant, you would need to contact a specialized heart transplant center or hospital that performs such procedures. Some well-known centers for heart transplants include Cleveland Clinic, Mayo Clinic, and Johns Hopkins Hospital. It is important to consult with a cardiologist or heart failure specialist to discuss your options and determine the best course of action for your specific situation.

Consult Top Cardiologists

Dr. Siddharth Bajaj

Dr Gautam Naik

Dr. Monik Mehta

Dr. Sathwik Raj V A

Related Questions

I'm really worried about my cholesterol levels. My total cholesterol is now 273 and my LDL cholesterol is at 191, which has gone up from 180. My TcholHDL ratio has also increased to 6.5, and it used to be lower. The LDLHDL ratio is now 4.5, and it wa...

I've been having some concerns about my recent health check-up. My heart rate is around 55, and after a second ECG, it dropped to 52. The doctor had me do some additional tests, and my sodium is at 137, and potassium is 5.8. I'm not experiencing any ...

I'm really worried about my dad. He's had a stroke and a bypass in the past, and his heart rate usually hangs around 55 to 60. I've heard about Chymoral AP and Myoril for his lower back pain, but I'm concerned if it's safe for him to take because of ...

I'm trying to understand what it means when there's a regional wall motion abnormality detected in an echocardiogram. Is this something related to ischemic heart disease? What does that imply for my heart health? I'm feeling a bit anxious about all t...

I'm worried about left ventricle failure and what steps are involved in managing it. How do I go about registering for a heart transplant and who should I contact? Could you guide me through this, please?

Cardiology

Get medicines delivered in 2 hrs