apollo
  • Female
  • 42 Years
  • 29/01/2025

I'm really worried about my mom. She's been having chest pain for a while and thought it might be due to gastric issues, but yesterday it got really bad and lasted more than half an hour. Now she's noticing that when she turns her head to the right, the pain in her chest gets worse. Since yesterday, she's also been feeling some uneasiness in her chest. What could be going on? Should we be worried about something serious?

Doctor 1

Answered by 1 Apollo Doctors

Visit Physician for evaluation and appropriate management

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really worried about my father. He's been diagnosed with severe coronary ectasia and previously, doctors mentioned that a bypass surgery isn't an option for him. I'm wondering if treatments like Ace Inhibitors or the drug Entresto could be effective in his situation? Lately, he's been having more frequent chest pains and feeling a lot of unease. Could you provide some guidance on this?

For the treatment of coronary ectasia, Ace Inhibitors such as Lisinopril can be beneficial in managing symptoms and improving heart function. The recommended dosage of Lisinopril is usually starting at 2.5-5 mg once a day, which can be adjusted by the doctor based on individual response. Entresto, which is a combination of Sacubitril and Valsartan, can also be considered for the treatment of heart failure in patients with reduced ejection fraction. The usual starting dose of Entresto is 4951 mg twice daily, which can be increased to the target maintenance dose of 97103 mg twice daily as tolerated. However, it is important to consult with your father's healthcare provider before starting any new medication or making changes to his current treatment plan. Regular monitoring and follow-up with a healthcare professional are essential in managing coronary ectasia and associated symptoms.

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I'm trying to figure out the best method or test to determine if my heart is in good condition. I've heard that an echo might not fully guarantee a healthy heart. Can you clarify this for me and maybe suggest other reliable options?

The best way to check the health of your heart is through a combination of tests. One of the most common and effective tests is an ECG (Electrocardiogram), which measures the electrical activity of your heart. Additionally, an Echocardiogram (Echo) can provide valuable information about the structure and function of your heart. To get a comprehensive assessment, you can also consider a stress test to evaluate how your heart performs under physical exertion. These tests, along with blood tests to check cholesterol and other markers, can give a good indication of your heart health.

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I'm really worried after seeing my father's recent echo report. It mentioned mild concentric LV hypertrophy and Grade 1 LV diastolic dysfunction. His LVEF is at 75, which I think is good? But then there are terms like MV, AE, AV normal, and TDI EE 10.18, and I'm not sure what all that means. Can you help me understand the report and what it means for his heart health?

That says he is having mild left ventricular hypertrophy about wich you no need to worry and rest all the parametres are normal,have a healthy lifestyle,follow your doctors advice

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.