- 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
0
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View allI've been a smoker and drank alcohol almost every day for the past decade, dealing with high cholesterol and triglycerides all this time. I just started medication for these issues. Recently, I had a 2D echo and TMT that both came back normal. Can I assume everything's okay with my coronary arteries if both tests look good, especially now that I've quit smoking and drinking?
Based on your recent normal 2D echo and TMT results, it is a positive indication that there may not be significant coronary artery disease present. However, it is important to continue monitoring your cholesterol and triglyceride levels, as well as maintaining a healthy lifestyle without smoking and alcohol consumption. Additionally, regular follow-ups with your healthcare provider are essential to ensure your cardiovascular health remains optimal.
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I'm really worried about my health. I've been dealing with chest discomfort, gastric issues, and health anxiety for the last two years. Last year, I went through several tests like ECG, echo, TMT, blood tests, and even checked troponin levels twice, but everything came back normal. I also had deficiencies in vitamin D and B12, for which I took injections and tablets. Now, for the past two weeks, I've been feeling that high gastric indigestion and chest discomfort again. Yesterday, I did another ECG, and it showed a slight ST depression in V5, but I was really anxious at the time. Could this be just anxiety, or is there something serious going on? I'm really concerned about this.
It's good to know that your previous cardiac tests and blood work have come back normal. Based on the symptoms you have described and the slight ST Depression in V5 on your recent ECG, it is important to consider both physical and psychological factors. The chest discomfort and gastric indigestion could be related to your anxiety, but it is also important to rule out any potential cardiac issues. I would recommend starting with a medication like omeprazole 20mg once daily for your gastric issues. Additionally, for anxiety, you can try taking a medication like escitalopram 10mg once daily. However, it is crucial to follow up with a cardiologist for a thorough evaluation and to discuss the ECG findings. They may recommend further tests or adjustments to your treatment plan. It's also important to continue managing your anxiety through relaxation techniques, regular exercise, and counseling support. Please continue to monitor your symptoms and seek medical attention if they worsen or if you experience any new concerning symptoms
Answered by 1 Apollo Doctors
I'm experiencing some worrying symptoms like left side chest pain and vomiting. I'm not feeling hungry and sometimes my heart starts beating really fast all of a sudden. It's even affecting my sleep. I've already had an echo and TMT done, and they didn't show anything wrong, but I'm still concerned. Could this be something serious? What should I do next?
Ecg and cardiac markers are advised to the patient.
Answered by 1 Apollo Doctors
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