Question 1

I've been told I have an Incomplete Right Bundle Branch Block, but I'm really concerned because I'm experiencing irregular heartbeats quite often, lasting anywhere from 30 minutes to an hour. My heart rate slows down, skips beats, speeds up, and this cycle keeps repeating. I've had an echo, and my blood tests are fine. The first ECG showed an abnormal sinus rhythm, but the more recent ones only show the IRBBB with a normal sinus rhythm. Im not stressed or anxious, so I cant figure out what might be causing this. What could be going on?

Accepted Answer

It sounds like you may be experiencing episodes of arrhythmia, given your symptoms of irregular heartbeats with variations in speed. Since your echo and blood tests came back normal, and your ECGs have shown Incomplete Right Bundle Branch Block (IRBBB) with a normal sinus rhythm, it's important to further investigate the cause of your arrhythmias. One possible reason for your symptoms could be Atrial Fibrillation (AF), which can sometimes be difficult to detect on ECGs. I recommend discussing with your healthcare provider about possibly wearing a Holter monitor or undergoing a cardiac event monitor to capture your heart's electrical activity over an extended period. This can help in identifying any underlying arrhythmias such as paroxysmal atrial fibrillation. In the meantime, to help manage your symptoms, you can consider taking a medication like Metoprolol (brand name: Lopressor) at a low dose under the guidance of your healthcare provider. Metoprolol is a beta-blocker that can help regulate your heart rate and reduce the frequency of irregular heartbeats. The usual starting dose for Metoprolol is 25mg to 50mg once daily, but your doctor will determine the appropriate dosage for you based on your individual health needs.

Question 2

I'm really worried about my husband. He's in the paramilitary and has been dealing with blood pressure issues for a while. He's been taking LOSAR H tablets every day, like for years. But now, his blood pressure seems to be dropping and has recently dipped below 110. He's stationed in a very high-risk area and has to do intense physical work. I'm really concerned. What should we do about this situation?

Accepted Answer

It is important to monitor his blood pressure regularly, especially since it has dropped below 110. In this situation, it is advisable to consult with a doctor to adjust the dosage of LOSAR H or consider switching to a different medication. Since he is in a high-stress environment and engaged in intensive physical work, it is crucial to ensure that his blood pressure remains within a safe range to prevent any complications. I recommend seeking medical advice promptly to address this issue and make necessary adjustments to his medication.

Question 3

I'm looking at my mom's ECG and echo reports, and I'm kind of worried. The ECG mentions poor R wave progression from V1 to V3, and the echo report says she has grade 1 left ventricular diastolic dysfunction. I'm not sure what that means. The thing is, she doesn't have any heart issue symptoms like chest pain or shortness of breath. Could you help me understand what these findings imply?

Accepted Answer

consult cardiologist

Ecg and chest x-ray pa view is advised to the patient.

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