Question 1

Hey, I'm reaching out because my dad, who's 57, is dealing with some serious mitral regurgitation and his LVEF is just 30. The doctors here have mentioned a MITRACLIP surgery as a possible solution. Could you tell me where in India we can get this surgery done? I'm really worried and just want the best care for him.

Accepted Answer

"Hi, for mitral regurgitation with low LVEF, MITRACLIP surgery is a good option. In India, you can consider getting the MITRACLIP surgery done at hospitals like Apollo Hospitals, Fortis Hospitals, or Medanta - The Medicity. These hospitals have experienced cardiac surgeons who can perform the procedure successfully. It is important to consult with the cardiologist and surgeon at the chosen hospital to discuss the procedure in detail and plan for the surgery. The dosage and specific brand of medications post-surgery will be prescribed by the treating doctor based on your father's condition."

Question 2

I'm experiencing something strange after starting my TB medication. My heart beats really fast while I'm sleeping and even after I wake up. I don't have shortness of breath, just a persistent headache, and it's really bothering me because it's affecting my sleep. There's no cough either, just this constant headache and rapid heartbeat throughout the day. My blood pressure is around 13070. What could be causing these symptoms?

Accepted Answer

Continue same treatment as advised by the physician.

Question 3

I'm really worried because every time I feel stressed, I get chest pain and end up panicking. I rush to get an ECG and 2D echo done, but it's always normal, which is honestly exhausting. I'm scared it's something serious like a heart attack, but then the tests say otherwise. What should I do? Any advice would be appreciated.

Accepted Answer

To help manage your symptoms, you can try taking a medication called **Propranolol**. This is a beta-blocker that can help reduce the physical symptoms of anxiety, such as chest pain and palpitations. The usual dosage for Propranolol in such cases is 20-40mg taken 2-3 times a day. Additionally, you may benefit from an anxiolytic medication such as **Lorazepam** to help with acute episodes of anxiety and panic. The typical dosage for Lorazepam is 0.5-2mg taken as needed for anxiety symptoms. It's important to also consider non-pharmacological approaches to managing stress, such as relaxation techniques, deep breathing exercises, regular physical activity, and seeking support from a therapist or counselor. Remember to consult with your healthcare provider before starting any new medication.

I'm trying to make sense of this ECG report. It's got me a bit worried. The vent rate is 64 BPM, PR interval is at 232 ms, Qrs duration reads 114 ms, and the QtQtc interval shows 407423. Should I be concerned about any of these numbers? Are there any changes I should be considering?

Based on the ECG report you provided, everything seems within normal limits. There are no serious concerns noted. The ventricular rate is 64 BPM, PR interval is 232 ms, QRS duration is 114 ms, and QTQTC interval is 407423 ms. No immediate changes in medication are required based on this ECG report.

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