- Male
- 26 Years
- 22/01/2025
I'm really worried because I'm 26 and I've been having some heart pain, shortness of breath, and light dizziness. My lipid profile is normal, but my 2D Echo showed a Left ventricle size of 4.0 x 3.0 cm, IVSD 0.8 cm, LVPW 0.8 cm, EF 47, and FS 23. Everything else seemed normal. Is this something I should be really concerned about? Is it fixable, and can I get back to my normal life? I'm feeling scared and unsure about what steps to take.
Answered by 1 Apollo Doctors
Based on your symptoms and the findings from your 2D Echo, it is important to further evaluate your condition. The slight heart pain, shortness of breath, and dizziness could be indicative of a cardiac issue. With an EF of 47% and FS of 23%, there may be some impairment in your heart's pumping function. To address this, you may benefit from medication to improve your heart function and symptoms. I recommend starting with a beta-blocker such as Metoprolol (25-50 mg once daily) to help reduce your heart's workload and improve its efficiency. Additionally, an ACE inhibitor like Enalapril (5-10 mg once daily) can also be beneficial in improving heart function. It is important to follow up with a cardiologist for further evaluation and management. Lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also crucial in improving your heart health. With proper treatment and lifestyle changes, many individuals can lead a normal life with cardiac conditions. Remember, early detection and management are key in addressing any potential heart issues. Take care and follow up with your healthcare provider for personalized care and guidance
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 25/07/2025
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View allI've noticed that my heart rate is usually somewhere between 68 to 83 bpm during the day. But for the past week, it's been up between 90 and 118 bpm, and it doesn't drop below 85 even when I'm sitting for a while. When I'm asleep, it goes from 50 to 75 bpm. I started going to the gym for cardio and strength training about a month ago, hitting it 5 days a week. Nothing's really changed with my diet or work hours. Had my ECG, ECO, and BP checked and everything seemed normal. What could be causing this increase in my heart rate? Should I be worried about it?
Based on the information provided, the increase in your heart rate could be due to the increased physical activity from your gym routine. It is common for heart rate to be elevated during and after exercise, especially if you have recently started a new workout regimen that includes both cardio and strength training. To help regulate your heart rate, you can consider taking a beta-blocker medication such as Metoprolol. I recommend starting with a low dose of Metoprolol 25mg once daily, and you can adjust the dosage as needed based on your heart rate response. It is important to monitor your heart rate regularly and consult with your healthcare provider for further guidance on medication management. In addition to medication, make sure to stay hydrated, get an adequate amount of rest, and listen to your body during workouts. If you experience any concerning symptoms such as chest pain, dizziness, or shortness of breath, seek medical attention immediately.
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I'm trying to understand my recent ECG results better. It mentions LVH and LAE, and the report says it's moderately abnormal. Can you tell me what that means for me? The ECG also showed a normal sinus rhythm and axis, and my heart rate was 80 BPM. Should I be concerned or take any specific actions?
LVH (Left Ventricular Hypertrophy) and LAE (Left Atrial Enlargement) can appear on an ECG due to changes in the electrical activity of the heart caused by the enlargement of the left ventricle and left atrium, respectively. These changes can be detected on an ECG as alterations in the patterns of the electrical signals produced by the heart. In your case, the ECG showing LVH and LAE along with a description of "moderately abnormal ECG" indicates that there are significant changes in the electrical activity of your heart. However, it is positive that the ECG also shows normal sinus rhythm and normal axis, which means that the heart is beating normally and the electrical signals are following the correct pathways. With a heart rate of 80 beats per minute (BPM), it falls within the normal range. To further evaluate the significance of the LVH and LAE seen on the ECG, additional tests such as an echocardiogram may be needed to assess the structure and function of the heart in more detail. In terms of treatment, managing the underlying conditions that may have led to LVH and LAE, such as hypertension or valvular heart disease, is important. Medications like ACE inhibitors or ARBs may be prescribed to help reduce the workload on the heart and control blood pressure. Regular follow-up with a cardiologist is recommended to monitor your heart health and make any necessary adjustments to your treatment plan.
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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.





