apollo
  • Male
  • 26 Years
  • 22/01/2025

I'm thinking about marrying a girl who's had heart valve surgery. She's 27 and on meds her cardiologist says she'll need forever. I'm worried about what this means for us, especially if we want to have kids. Could her medication cause any side effects or issues with pregnancy? And what should we expect for her health and our life together?

Doctor 1

Answered by 1 Apollo Doctors

Consult with a cardiologist personally with detailed medical history

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm having some issues with chest pain on my left side, and it's been going on for the last couple of months. The pain comes and goes and often extends from my upper chest to my left arm. I've also experienced some pulling in my left leg and occasional abdominal pain. I've had 5 ECG tests which were normal, and my echo showed an LVEF of 55. Today, we did a TMT. Could you help explain what all this means? Do you think I need any other tests?

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. The pain in your upper chest that extends from your shoulder to your left arm, along with left hand pain and abdominal pain, could be related to this. The normal ECG results and an LVEF of 55% from the echo are positive findings. Since you have already undergone a TMT (Treadmill Test), it is good for assessing how your heart responds to exertion. If the TMT results are inconclusive or if your symptoms persist, you may consider getting a coronary angiography to visualize any blockages in the coronary arteries. This test can help determine if there is any significant blockage that may be causing your symptoms. In the meantime, it is important to manage your symptoms. You can take medications like Aspirin to help reduce the risk of blood clots, and medications like Atorvastatin to lower cholesterol levels. Additionally, Nitroglycerin can help relieve chest pain during episodes of angina. It is important to follow up with your healthcare provider for further evaluation and management.

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Doctor 1Doctor 2

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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?

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.

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Doctor 1Doctor 2

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Is it a big issue if I have cardiac conduction defects like PVC and PVAs? My May 2d echo came back normal, but the ECG still shows PVCs. Should I be worried about this?

Having cardiac conduction defects such as PVCs (Premature Ventricular Contractions) and PVAs (Premature Atrial Contractions) can sometimes indicate an underlying heart issue. While PVCs and PVAs are common and can be benign in many cases, they can also be associated with certain heart conditions. Since your 2D echo is normal, it is a good sign that the structure of your heart is normal. However, the presence of PVCs on ECG warrants further evaluation to determine the underlying cause and assess the overall heart function. In terms of medication, if your PVCs are symptomatic or concerning, your doctor may prescribe antiarrhythmic medications such as Flecainide or Propafenone to help regulate your heart rhythm. The dosage and duration of treatment will depend on your individual case and should be determined by your healthcare provider. Regular follow-up with a cardiologist is important to monitor your heart health and make any necessary adjustments to your treatment plan.

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