Question 1

I'm a 39-year-old guy and I used to do a lot of sports about 20 years ago. Last May, I had an angiogram that showed a myocardial bridge in my mid LAD, causing 30% systolic narrowing. The doctor said it's nothing serious and pretty normal, but sometimes I still get chest pain and it even goes down my left arm. This pain usually kicks in during the evening and can last through the night. It's weird because it happens in phases, like I'll have it for about 10 days, then it'll disappear for a month or so, only to come back again. I went to see a gastroenterologist too and they think I might have GERD. I had an upper GI endoscopy and they found an H. Pylori infection, so they put me on pantoprazole. That helped a bit, but I still get the chest pain sometimes. I'm anxious a lot, and the doctors mentioned that might be making both the pain and the GERD worse. The heart doctors say the angiogram was normal and that's the gold standard, so they're not worried. I've started exercising, doing yoga, changed my diet, and managed to lose about 5kg. I even cut down on smoking to just one cigarette a day. What do you think might be going on here with this recurring pain?

Accepted Answer

You are doing great and no need to worry continue the same and have a regular follow up with your doctor

Question 2

I've been dealing with left atrium hypertrophy and costochondritis lately, and it's been quite a concern. What I'm confused about is whether it's safe for me to get back into playing football or engage in any strenuous physical activities. Could you provide some guidance on if I can safely start playing again?

Accepted Answer

It is important to consult with your healthcare provider for personalized advice, but in general, individuals with left atrium hypertrophy and costochondritis can usually continue playing football or engaging in strenuous physical activity. However, it is essential to monitor your symptoms closely and avoid activities that worsen your condition. For left atrium hypertrophy, medications like Losartan or Amlodipine may be prescribed to manage blood pressure and reduce strain on the heart. For costochondritis, over-the-counter pain relievers like Ibuprofen or Naproxen can help alleviate discomfort. Remember to follow your healthcare provider's recommendations and listen to your body during physical activity.

Question 3

My sister was diagnosed with an SVT problem and the doctor prescribed her calaptin 120 mg. He did an echo and an ECG and mentioned everything looked normal. But when I checked the echo report myself, it mentioned trivial MR and trivial TR. The doctor didn't mention these. Should I be concerned about them?

Accepted Answer

The presence of trivial mitral regurgitation (MR) and trivial tricuspid regurgitation (TR) in the echo report is usually not a cause for concern. These are common findings in many individuals and are often considered normal variations. Trivial MR and TR typically do not require any specific treatment and do not usually impact a person's overall health. In your sister's case, since the doctor did not mention these findings and stated that the echo was normal, it is likely that these minor regurgitations are not clinically significant. However, if you have any concerns or if your sister experiences any new or worsening symptoms, it is always best to follow up with the prescribing doctor for further clarification and guidance. As for the prescribed medication, Calaptin 120 mg is a brand name for the drug Verapamil. It is commonly used to treat certain heart conditions, including supraventricular tachycardia (SVT). The usual dosage for Calaptin 120 mg in the treatment of SVT is typically one tablet to be taken orally, once or twice daily, as directed by the doctor.

yes it is a concern immediate cardiologist opinion is required.

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