Question 1

I'm a bit concerned because after I did some moderate exercise, like walking uphill and climbing steps, my heart rate hit about 151 BPM. Now, it's been two hours, and its still around 113 BPM. I used my pocket ECG device, Sanketlife 2.0, to check, and it says I have Sinus Tachycardia. Should I be worried about this? How long will it typically take for my heart rhythm to return to a normal sinus rhythm?

Accepted Answer

Sinus tachycardia after exercise is common, but it usually returns to a normal resting rate (typically 60-100 BPM) within a few minutes to an hour after stopping the activity. If your HR remains elevated for an extended period or if you experience other symptoms such as chest pain, dizziness, shortness of breath, or palpitations, it is important to seek medical evaluation promptly.

Question 2

My dad is 59 and he's been having occasional chest pain, especially when he exercises. He had an echo cardiography and an ECG, and the reports say something about a regional wall motion abnormality with mild left ventricular systolic dysfunction. Can you explain what that means? What should we do next for treatment? Ive attached the reports.

Accepted Answer

Based on the reports of echo cardiography and ECG showing regional wall motion abnormality with mild left ventricular systolic dysfunction, it indicates that there is a problem with the contraction of the heart muscle in a specific region, leading to reduced pumping function of the left ventricle. The next steps for treatment may include medication to improve heart function and reduce the workload on the heart. A specialist consult will be required to assess and work out a suitable medication regimen. It is important to closely monitor his condition with regular follow-up visits and additional tests as advised by the cardiologist. Additionally, lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also important for overall heart health. If he experiences any worsening symptoms or new symptoms, such as increased chest pain, shortness of breath, or swelling, seek medical attention immediately. Regular follow-up with the cardiologist is essential to adjust the treatment plan as needed.

Question 3

I'm 46 and worried about heart disease. What can I do to prevent it or even reverse it? My blood pressure is at 13588, HDL is 30, LDL is 80, and triglycerides are 150. I've had a CT Calcium score of 12, which isn't great for my age since it puts me in the 81 range. I'm on a BP med, 10mg statin, fish oil, garlic, Vitamin D, aspirin, CoQ10, and other stuff. There's no family history of heart disease, and I've been sticking to a low-fat diet for ages, so I was really surprised with the Calcium score. Any advice on what I could be doing differently?

Accepted Answer

To prevent and reverse heart disease, it's important to make some lifestyle changes. Despite your efforts with a low-fat diet, your CT Calcium score of 12 indicates some level of coronary artery calcification, which can be a sign of early heart disease. Here are some recommendations based on your current medications and supplements: 1. Blood Pressure Medication: Continue taking your BP medication as prescribed to keep your blood pressure under control. 2. Statin (10mg): This medication helps lower LDL cholesterol. Consider discussing with your doctor about potentially increasing the dosage based on your current LDL level of 80. 3. Fish Oil: Omega-3 fatty acids in fish oil can help lower triglycerides. Consider increasing the dosage to further improve your triglyceride levels. 4. Garlic: Garlic supplements may have some cardiovascular benefits. Continue taking it as it may help with overall heart health. 5. Vitamin D: Ensure you are getting enough Vitamin D through supplements or sunlight exposure, as Vitamin D deficiency can be linked to heart disease. 6. Aspirin: Aspirin is often recommended for its blood-thinning properties. Continue taking it as prescribed by your doctor. 7. CoQ10: Coenzyme Q10 is an antioxidant that may help improve heart health. Continue taking it for its potential benefits. In addition to your current regimen, here are some additional recommendations to consider: - Increase physical activity: Aim for at least 150 minutes of moderate-intensity exercise per week. - Improve diet: Consider a heart-healthy diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats like those found in nuts and olive oil. - Stress management: Practice stress-reducing activities like yoga, meditation, or deep breathing exercises. - Regular check-ups: Continue monitoring your cholesterol levels, blood pressure, and overall heart health with regular visits to your healthcare provider. By making these lifestyle changes and working closely with your healthcare provider, you can further reduce your risk of heart disease and potentially reverse some of the early signs of coronary artery calcification.

I'm wondering if it's okay to stop taking ecospirin 75 after recovering from COVID. Is there a recommended time to keep taking it if I only had mild symptoms? And what happens if I stop using it after a month? Could there be any side effects from stopping it so soon?

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