Question 1

I'm a bit concerned about my sodium levels. I've been on medication for high blood pressure for the last 14 years and have cut down on salt as my doctor suggested. But my latest blood test showed sodium at 135 mmolL, which is just below the normal range. How can I keep my sodium levels up without eating more salt? And what are the early signs if my sodium levels are too low?

Accepted Answer

To maintain your sodium level without consuming excess salt, you can focus on incorporating foods rich in potassium, such as bananas, sweet potatoes, and spinach, as potassium can help balance sodium levels in the body. Additionally, staying hydrated is important for maintaining electrolyte balance, so make sure to drink an adequate amount of water daily. Symptoms of low sodium levels in the blood, also known as hyponatremia, may include nausea, vomiting, headache, confusion, fatigue, muscle weakness, and in severe cases, seizures or coma. If you experience any of these symptoms, it is important to consult with your healthcare provider for proper evaluation and management.

Question 2

I've been dealing with these palpitations for the past three years. I've gone through all the heart-related tests like ECG and 2Decho, and everything seems to be normal. I recovered from jaundice about five years ago, and I don't smoke or drink or have insomnia. But every time I eat or lie down comfortably, I start feeling this sensation in my throat and the back of my head. My blood pressure is typically around 12585, and my pulse is usually 100. But after meals, my BP creeps up to 13590, and my pulse hits 120. Doctors have suggested I take propranolol 10mg, but it doesnt seem to help. What could be going on?

Accepted Answer

Considering your symptoms and the ineffectiveness of propranolol, you may benefit from a calcium channel blocker such as Verapamil. I recommend taking Verapamil 120mg twice daily to help control your palpitations and regulate your heart rate. Additionally, practicing stress-reducing techniques and maintaining a healthy lifestyle can also help manage your symptoms.

Question 3

I'm experiencing shortness of breath when I run, and my ECG and Echo reports both came back normal. I'm trying to figure out what's going on. Should I consider getting a CT angiography? Oh, and I've noticed my Echo report lists an ejection fraction of 60, but the stroke volume and EDV fields are blankhow was the EF calculated? I've attached the report too.

Accepted Answer

Shortness of breath during exercise despite normal ECG and Echo reports could be due to other factors such as asthma, anemia, or even deconditioning. Since your Echo report shows a normal ejection fraction of 60%, the calculation is typically done using the formula EF = (SVEDV) x 100. However, since the SV and EDV values are missing in your report, it may be challenging to accurately calculate the EF. Considering your symptoms and the inconclusive nature of the Echo report, it may be advisable to consult with a cardiologist to determine the need for further testing such as a CT angiography to rule out any coronary artery disease.

I'm really worried about my mom who's 68. She's been diagnosed with mild concentric left ventricular hypertrophy and has an overall LVEF of 50-50. They also mentioned grade diastolic dysfunction. I'm just trying to understand, is this something serious that we need to be concerned about?

An angiogram is advised to the patient and a cardiac opinion..

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