Question 1

I'm really concerned about something and wanted to get your advice. I'm 61 and just had some tests done. They said my LV function is normal with an EF of 60 and no RWMA, but I have trivial MR and Grade 1 LV diastolic dysfunction with concentric LVH. The valves check out fine and there are no clots, vegetation, or pericardial effusion. My chamber dimensions are normal too. But when I did a stress TMT, it showed some significant ST changes in leads II, III, AVf, V4, V6, although I had no arrhythmia or chest pain, and my heart rate and blood pressure responded normally. Should I be worried about these ST changes? What does this all mean for my heart health?

Accepted Answer

Based on the information provided, it seems like the patient may be experiencing some significant ST changes in specific ECG leads without chest pain. In this case, the patient may benefit from medication to help manage their condition. The patient can be prescribed **Aspirin** 75mg daily to help reduce the risk of cardiovascular events. Additionally, **Atorvastatin** 20mg can be prescribed to help lower cholesterol levels and reduce the risk of further cardiac issues. In addition to these medications, **Metoprolol** 25mg can be prescribed to help manage the patient's blood pressure and heart rate, especially in the presence of significant ST changes on ECG. It is important for the patient to follow up with their healthcare provider regularly to monitor their condition and adjust their treatment plan as needed.

Question 2

I'm really worried because I've been dealing with indigestion for a week now. Everything I eat just comes back up with some sour water, and on top of that, I'm experiencing chest and shoulder pains, feeling lightheaded and dizzy, plus there's this bu...

Accepted Answer

Based on your symptoms, it is important to rule out any serious conditions such as a heart attack. However, the symptoms you are describing, including indigestion, sour water regurgitation, chest pain, shoulder pain, light-headedness, dizziness, and burning sensation in the stomach, are more commonly associated with acidity or acid reflux. To help with your symptoms, you can try taking an over-the-counter antacid like Tums or Rolaids to help neutralize the stomach acid. Additionally, you can take a proton pump inhibitor like Prilosec or Nexium to reduce the production of stomach acid. It is important to follow the recommended dosage instructions on the packaging. If your symptoms persist or worsen, it is important to seek medical attention for further evaluation and management.

Question 3

I've just had an ECG, and the doctor mentioned there were some issues. They suggested I get an ECHO, which thankfully turned out to be normal. Now they've advised me to go for an angiography. I'm a bit uncertain about going for another test. Could yo...

yes to continue all the medications as advised ,, angiography as a prognosis is advised..

Last updated on 22 Jan 2025

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Accepted Answer

yes to continue all the medications as advised ,, angiography as a prognosis is advised..

Question 4

I've been experiencing these weird moments where I feel like I skip a breath or it just goes shallow for a quick second and then goes back to normal. It's kind of freaking me out. I had an ECG done and it turned out normal, except for some Tachycardi...

Accepted Answer

Random shallow breathing or skipped breaths, despite normal ECG results, may indicate:

Potential Causes

1. Anxiety or stress
2. Panic attacks
3. Hyperventilation syndrome
4. Respiratory issues (asthma, COPD)
5. Cardiac arrhythmias (although ECG was normal)
6. Sleep apnea
7. Neurological conditions (e.g., epilepsy, multiple sclerosis)

Next Steps

1. Consult a cardiologist or pulmonologist

Question 5

I'm curious about the Inderal LA 20 tablet. What exactly is it used for? Can it help with blood pressure, or is it meant for something else?

Accepted Answer

Inderal LA 20 tablet is a brand name for propranolol, which is a beta-blocker medication. It is commonly used to treat high blood pressure (hypertension), as well as to prevent chest pain (angina) and to improve survival after a heart attack. Propranolol can also be used to prevent migraine headaches and to manage symptoms of anxiety. The usual dosage for high blood pressure is 120-240 mg per day, divided into smaller doses.

Question 6

I've been having these random chest pains for the last three months and just did a TMT test today. I couldn't go past 7 minutes, and my heart rate shot up to 190 really fast, so they stopped the test early. The doctor said it's nothing to worry about...

Accepted Answer

It sounds like you experienced some discomfort during the TMT test due to your anxiety and elevated heart rate. Since the doctor mentioned that there is nothing to worry about, it is likely that the symptoms you experienced were related to your anxiety rather than any underlying heart issue. However, it is important to address your anxiety to prevent such symptoms in the future. To help manage your anxiety and heart rate, you can consider taking a beta-blocker medication such as Metoprolol. The usual dosage for anxiety-related tachycardia is 25-100mg once daily. This medication can help lower your heart rate and reduce symptoms of anxiety. Additionally, you may benefit from an anti-anxiety medication such as Alprazolam. The usual dosage for anxiety is 0.25-0.5mg three times daily. This medication can help alleviate feelings of anxiety and reduce physical symptoms such as rapid heart rate. It is important to follow up with your doctor to discuss your symptoms and explore treatment options for your anxiety. Regular exercise, stress management techniques, and therapy can also be beneficial in managing anxiety and improving overall heart health.

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Related Questions

I'm really worried because I've been dealing with indigestion for a week now. Everything I eat just comes back up with some sour water, and on top of that, I'm experiencing chest and shoulder pains, feeling lightheaded and dizzy, plus there's this bu...

I've just had an ECG, and the doctor mentioned there were some issues. They suggested I get an ECHO, which thankfully turned out to be normal. Now they've advised me to go for an angiography. I'm a bit uncertain about going for another test. Could yo...

I've been experiencing these weird moments where I feel like I skip a breath or it just goes shallow for a quick second and then goes back to normal. It's kind of freaking me out. I had an ECG done and it turned out normal, except for some Tachycardi...

I'm curious about the Inderal LA 20 tablet. What exactly is it used for? Can it help with blood pressure, or is it meant for something else?

I've been having these random chest pains for the last three months and just did a TMT test today. I couldn't go past 7 minutes, and my heart rate shot up to 190 really fast, so they stopped the test early. The doctor said it's nothing to worry about...

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