Question 1

I was really stressed out and had a day where I experienced palpitations. It's been about a month since then, and I went in for both an ECG and an echocardiogram. The doctors told me everything looked normal, but I noticed a Q wave in lead 3 on my ECG. Is that something I should be worried about, or is it considered normal?

Accepted Answer

Seeing a q wave in lead 3 on an ECG can sometimes be a normal variant and not necessarily indicative of any heart condition. However, it is important to consider the overall clinical context and additional factors. In this case, since your ECG and echo results were reported as normal by your doctors, it is likely that the q wave in lead 3 is not a cause for concern. It would be advisable to continue monitoring your symptoms and follow up with your healthcare provider for any further evaluation if needed.

Question 2

I've been noticing this weird thing happening with my heartbeat over the last couple of days. It feels like my heart is beating really strongly, and I can actually see it beating when I look at my chest. Sometimes it even makes the dirt move around me. It doesn't happen all the time, just randomly throughout the day. Could you help me understand why this might be happening and what I should do about it?

Accepted Answer

This irregular heartbeat may be due to a condition called palpitations. I recommend you to consult a doctor for proper evaluation and diagnosis. In the meantime, you can take a beta-blocker medication like Metoprolol (25-50mg) to help control your heart rate and rhythm. Additionally, try to reduce stress and avoid stimulants like caffeine and nicotine. If the symptoms persist or worsen, seek medical attention promptly.

Question 3

I'm trying to understand the results of my recent 2D echo and colour Doppler test. It mentioned things like LEFT VENTRICLE ASH, TRILEAFLETS, and an AORTIC VALVE that's thickened. It also noted some stuff about COLOUR DOPPLER and something called AV GRDT 5mmHg AR GRADE 1. They concluded I have HYPERTENSIVE HEART DISEASE and ASYMMETRICAL SEPTAL HYPERTROPHY among other things. They said I have a NORMAL LV SYSTOLIC FUNCTION with an EF of 64%, but I'm not quite sure what that means. Given this, is my condition something thats curable or can be managed? Would surgery or implants help at all? I don't have diabetes and my heart rate stays around 50-60 bpm consistently. I've been on Zabeta X for nine years, then LODOZ 2.5 for a year, and now CONCOR 2.5 for the last 15 days. Also, I've been taking Restyl 0.5 at bedtime for 9 years. What should I consider doing next?

Accepted Answer

1. Whether it is curablecontrolled? Based on the diagnosis of hypertensive heart disease, asymmetrical septal hypertrophy, sclerotic aortic valve with mild aortic regurgitation, and left ventricular diastolic dysfunction, these conditions can be managed and controlled with appropriate treatment and lifestyle modifications. While these conditions may not be completely curable, their progression can be slowed down and symptoms can be managed effectively with proper medical management. 2. Whether surgery or implants in any way will be of any help? In your case, since you have normal left ventricular systolic function and no regional wall motion abnormalities at rest, surgery or implants may not be necessary at this point. However, in some cases where there is severe aortic stenosis or regurgitation, surgical interventions such as aortic valve replacement may be considered. It is important to follow up with your cardiologist for further evaluation and to determine if any surgical interventions are needed in the future. 3. Your considered opinion, suggestion, solution? Considering your current medication regimen, it is important to continue taking Concor 2.5 as prescribed by your healthcare provider. Additionally, lifestyle modifications such as maintaining a healthy diet, regular exercise, managing stress, and avoiding smoking can help in managing your condition. Regular follow-up visits with your cardiologist are essential to monitor your heart health and adjust your treatment plan as needed. If you have any concerns or experience any new symptoms, please consult your healthcare provider for further evaluation and management.

Ive been experiencing some pain in the heart area of my chest whenever I bend backwards and raise my hands. It just started this morning. Yesterday, I was doing deep breathing exercises for PMR and some physical workouts. Do you think there's an issue if I use a spray like Volini on that area?

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