Question 1

I'm really worried about my 82-year-old grandmother. She's got this shrunk valve, and apparently, only a small part is still working. Her heart rate dropped a lot, so the doctors put in a temporary pacemaker. They said they're going to make it permanent soon. I'm wondering if it's a good idea for her to get a valve replacement surgery. Would it help her?

Accepted Answer

Given your grandmother's age and the severity of her heart valve condition, a valve replacement surgery may be a suitable option to improve her heart function and overall quality of life. However, the final decision should be made after a thorough evaluation by her healthcare team. In the meantime, it is important for her to continue taking her prescribed medications, such as beta-blockers like Metoprolol, at the appropriate dosage to help regulate her heart rate and manage her symptoms.

Question 2

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. ...

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 3

I'm a bit concerned after my TMT test results. The cardiologist mentioned that everything looked normal, but I noticed that the ST level changed from 2.04 to 1.64 at peak exercise level 3. Is this something I should be worried about, or is it totally...

yes u can use it, visit ur physician for apprpropriate managent

Last updated on 22 Jan 2025

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Accepted Answer

yes u can use it, visit ur physician for apprpropriate managent

Question 4

I'm really concerned about my pulse rate, as it's been hovering between 95 and 105 for the past four years. I'm feeling a mild discomfort in my heart again, similar to what I experienced last year. When I visited Ibrahim Cardiac in Bangladesh, everyt...

Accepted Answer

It would be advisable to consult with a healthcare professional for a thorough evaluation. In the meantime, you can consider taking a low dose of Metoprolol (brand name: Lopressor) 25mg twice daily to help manage your heart rate and alleviate any discomfort. However, it is crucial to seek medical advice for a proper diagnosis and treatment plan.

Question 5

I've been dealing with a recurrent pericardial effusion and had it removed twice already. After the second removal, I was given steroids but stopped them after a month, and now the effusion is happening again. I've also been on TB medications for fou...

Accepted Answer

It sounds like you are dealing with recurrent pericardial effusion despite previous treatments. Since you have been diagnosed with tuberculosis (TB) and have been taking TB medications for the past 4 months, it is important to continue with your TB treatment as prescribed by your healthcare provider. In addition to TB treatment, your healthcare provider may consider prescribing colchicine to help prevent recurrent pericardial effusion. Colchicine has been shown to be effective in reducing the recurrence of pericardial effusion in patients with a history of recurrent episodes. Please consult with your healthcare provider to discuss the possibility of adding colchicine to your treatment regimen for a more permanent solution to your recurrent pericardial effusion.

Question 6

I just came across the term "borderline short PR interval" in my medical report, and I'm really curious about what it actually means. Is it something that I should be worried about? What could be causing it, and are there any specific treatments for ...

Accepted Answer

You're 30 weeks pregnant with a baby weighing 1265g (+-185g) and a diagnosis of mild Intrauterine Growth Restriction (IUGR).

_Current Diet and Supplements_

1. _Argipreg sachet and Alamine Forte_: Continue taking these as prescribed to support fetal growth.
2. _Diet_: Your current diet includes:
    - Milk with protein powder
    - Eggs
    - Dry fruits
    - Curd
    - Coconut water
    - Fresh fruits

_Additional Recommendations_

1. _Increase calorie intake_: Focus on nutrient-dense foods to support fetal growth.
2. _Protein-rich foods_: Include more protein sources like lean meats, fish, and legumes.
3. _Healthy fats_: Nuts, seeds, avocados, and olive oil are rich in healthy fats.
4. _Folic acid and iron supplements_: Ensure you're taking these essential supplements as prescribed.
5. _Stay hydrated_: Drink plenty of water throughout the day.
6. _Rest and stress management_: Prioritize rest and engage in stress-reducing activities like meditation or deep breathing exercises.

_Monitoring and Follow-ups_

1. _Regular prenatal check-ups_: Attend all scheduled appointments to monitor fetal growth and your health.
2. _Growth scans_: Continue with regular growth scans to track fetal development.
3. _Report any concerns_: Inform your healthcare provider about any changes in your symptoms, fetal movements, or overall health.

Please consult your healthcare provider before making any changes to your diet or supplements. They will provide personalized guidance based on your specific situation.

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Related Questions

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. ...

I'm a bit concerned after my TMT test results. The cardiologist mentioned that everything looked normal, but I noticed that the ST level changed from 2.04 to 1.64 at peak exercise level 3. Is this something I should be worried about, or is it totally...

I'm really concerned about my pulse rate, as it's been hovering between 95 and 105 for the past four years. I'm feeling a mild discomfort in my heart again, similar to what I experienced last year. When I visited Ibrahim Cardiac in Bangladesh, everyt...

I've been dealing with a recurrent pericardial effusion and had it removed twice already. After the second removal, I was given steroids but stopped them after a month, and now the effusion is happening again. I've also been on TB medications for fou...

I just came across the term "borderline short PR interval" in my medical report, and I'm really curious about what it actually means. Is it something that I should be worried about? What could be causing it, and are there any specific treatments for ...

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