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

I'm a bit confused and worried because even though my TMT and ECG tests from 4 months ago were normal, I still feel a slight pain in my left arm and chest. I rarely drink, maybe just some wine occasionally, and I don't smoke. My blood test and chest X-ray came back normal, and I don't have any blood pressure or other health issues. What could be going on?

Accepted Answer

Considering your symptoms and ineffective response to Novamox 500, you may want to consider alternative antibiotics. However, *always consult your doctor before switching medications*.

_Augmentin 625 Duo vs. Azithral 500_

Both are effective antibiotics, but:

1. *Augmentin 625 Duo*: A broad-spectrum antibiotic, often prescribed for tonsillitis. It's a combination of amoxicillin and clavulanic acid.
2. *Azithral 500*: A macrolide antibiotic, also effective against tonsillitis. Azithromycin is often prescribed for 3-5 days.

Azithral 500 might be a better option if:

- You're allergic to penicillin (Augmentin contains amoxicillin, a penicillin-type antibiotic)
- Your tonsillitis is caused by a macrolide-sensitive bacterium

However, *your doctor should determine the best course of treatment* based on your medical history, allergy status, and the severity of your symptoms.

Question 3

I'm really worried because I've been having this chest pain for the last 40 days. It used to be constant, but now it just comes and goes. I feel this heaviness in my left chest, and then it moves to the right. Sometimes there's this sharp pinch that lasts like two seconds, and I'm also burping a lot when I sit down. I've already done an ECG, which I've attached. Can you give me any advice or suggest any medication?

Accepted Answer

Based on your symptoms and ECG findings, it is important to rule out any cardiac issues. However, considering the description of your pain and symptoms, it could also be related to acid reflux or gastritis. I recommend starting with an antacid medication like **Omeprazole** 20mg once daily before breakfast for at least 2 weeks. Additionally, you can take **Simethicone** for relief from burping. It is important to follow up with your doctor for further evaluation and management.

I'm really worried about my dad. He just had a TMT test and they've said it's positive for inducible myocardial ischemia. I've attached the report here. Can you take a look and help me understand what's going on? What steps should we take to make sure he gets better quickly?

Angiography and echo is advised .For the diagnosis of heart block,ischaemia and cardiomyopathy.

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