Question 1

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of the heart, suggests normal LVH and a normal LV cavity with normal thickness, having a zero calcium score. Also, my TMT came out negative for any chest pain-related issues. I'm kind of confused here. Which result should I rely on when it comes to the left ventricular hypertrophy? Which is considered more accurate or should I be concerned about something else here?

Accepted Answer

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

Question 2

I've been having this strange cold sensation near my left chest, around the heart area, and it sometimes moves to my arms and legs. Not too long ago, I had heartburn for over three weeks, and my doctor recommended Robo 20 tablets which helped with that. But now, even after an ECG which came back normal, I'm still feeling this odd coldness near my heart. Could you give me some insights or advice on what might be going on?

Accepted Answer

Differential diagnosis coild be decongestion,GERD,Cold weather,etc, u can take tab ZIFI 200 mg twice daily for 5 days, if symtoms not subsiding ,cardiac opinion is advised.

Question 3

I'm really concerned about my father who's been dealing with Atrial Fibrillation for about 6 years now. A month ago, we talked to the doctor who recommended Eliquis 5mg, which he's been taking consistently. He's wondering if it's safe to stop taking the medication on his own, or if he should check with the doctor first. Could you offer some guidance on how to approach this situation?

Accepted Answer

It is important for your father to not stop taking Eliquis (Apixaban) 5mg suddenly without consulting the doctor. Abruptly stopping the medication can increase the risk of blood clots and stroke in patients with Atrial Fibrillation. Your father should consult with his doctor before making any changes to his medication regimen.

See a specialist for accurate diagnosis and targeted treatment.

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