Question 1

Hey, I came across a service called chc healthwatch that offers portable echocardiograms you can do at home. Are these tests just as reliable and accurate as the ones performed in a lab? I'm a bit hesitant to go to a lab right now because of the covid situation, so I'm hoping this could be a good alternative. What do you think?

Accepted Answer

"Hi, portable echocardiograms done at home can be reliable and valid for assessing heart function. One commonly used portable echocardiogram device is the Philips Lumify, which provides high-quality images and can be used by healthcare professionals for accurate diagnosis. However, it is important to ensure that the healthcare provider performing the test is trained and experienced in using the device to obtain accurate results. The convenience of at-home testing can be beneficial, especially during the current covid situation. It is recommended to discuss the option of portable echocardiogram with your healthcare provider to determine if it is suitable for your specific medical needs."

Question 2

I'm concerned after seeing something on my dad's ECG report that mentioned diastolic dysfunction. He had a heart attack back in 2006 but hasn't had any problems for 11 years. Should we be worried about this diastolic dysfunction showing up now? What does it really mean for his heart health moving forward, especially given his heart history?

Accepted Answer

The ECG report indicating diastolic dysfunction in a patient with a history of a heart attack in 2006 is concerning, despite the absence of recent issues. Diastolic dysfunction refers to abnormalities in the heart's relaxation phase, which can lead to impaired filling of the heart chambers. To address this, it is important to manage the underlying heart condition effectively. In this case, prescribing medications such as ACE inhibitors like Lisinopril or ARBs like Losartan can help improve diastolic function and reduce the risk of further complications. Additionally, beta-blockers such as Metoprolol can be beneficial in managing heart conditions and improving overall heart function. Regular follow-ups with a cardiologist are essential to monitor the heart's health and adjust the treatment plan as needed.

Question 3

I'm really worried because every time I feel stressed, I get chest pain and end up panicking. I rush to get an ECG and 2D echo done, but it's always normal, which is honestly exhausting. I'm scared it's something serious like a heart attack, but then the tests say otherwise. What should I do? Any advice would be appreciated.

Accepted Answer

To help manage your symptoms, you can try taking a medication called **Propranolol**. This is a beta-blocker that can help reduce the physical symptoms of anxiety, such as chest pain and palpitations. The usual dosage for Propranolol in such cases is 20-40mg taken 2-3 times a day. Additionally, you may benefit from an anxiolytic medication such as **Lorazepam** to help with acute episodes of anxiety and panic. The typical dosage for Lorazepam is 0.5-2mg taken as needed for anxiety symptoms. It's important to also consider non-pharmacological approaches to managing stress, such as relaxation techniques, deep breathing exercises, regular physical activity, and seeking support from a therapist or counselor. Remember to consult with your healthcare provider before starting any new medication.

Yes its is due to fluctating tsh levels. U may repeat angio after 6 months.

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