Question 1

I'm a bit worried about my recent health report. The doctor said I need an ECG before anesthesia, and the results mention a probable left atrial enlargement with a borderline ECG. I'm wondering what this means for my heart health. Should I see a cardiologist? Lately, I've been experiencing mild chest pains and numbness, and I'm a bit overweight, though my blood pressure is normal. I also have a fatty liver and occasionally notice shortness of breath. Do you think these symptoms are related?

Accepted Answer

Based on your symptoms and the findings in your ECG report, it is important to consult a cardiologist for further evaluation and management. The probable left atrial enlargement and borderline ECG findings may indicate underlying heart issues that need to be addressed. In the meantime, to help with your symptoms, you can take medications like Aspirin for chest pain (if not contraindicated) and Atorvastatin for high cholesterol. Additionally, to manage your fatty liver, you can take Ursodeoxycholic acid. For shortness of breath, you can use an inhaler like Salbutamol as needed. It is also important to make lifestyle changes such as maintaining a healthy weight, regular exercise, and a balanced diet to improve your overall health.

Question 2

I've been having chest pain when I walk or go up stairs, so I got a CT angiography done. The report shows I have myocardial bridging of the proximal LAD, about 1.8 cm long. The doctor said not to worry and that no treatment is needed, but the pain on my left side isn't going away. Can you help me understand what this all means and what I should do next?

Accepted Answer

Since you are experiencing persistent chest pain despite the reassurance from your doctor, it may be helpful to consider medication to help manage your symptoms. You can try taking a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, under the guidance of your doctor. The usual starting dose for Diltiazem is 120 mg to 180 mg per day, taken in divided doses. This medication can help relax the smooth muscle in the walls of your coronary arteries and improve blood flow to the heart muscle, potentially reducing chest pain associated with your condition. However, please consult with your doctor before starting any new medication.

Question 3

I'm dealing with mitral valve prolapse with some mild regurgitation, and I've been on Cardivas for my blood pressure. My doctor mentioned it might also help with MVP. However, I've been having issues with sexual dysfunction, so my doctor switched me to Nebicard. I'm curious which medication, Cardivas or Nebicard, is better for managing both my blood pressure and mitigating any sexual side effects. Any insights would be really helpful.

Accepted Answer

Both Cardivas and Nebicard are beta blockers commonly used to treat conditions like high blood pressure and certain heart conditions. In your case, both medications can help with mitral valve prolapse (MVP) with mild regurgitation by reducing the workload on the heart and helping to control heart rate. Regarding sexual dysfunction, some beta blockers like Cardivas can potentially cause sexual side effects such as erectile dysfunction. Nebicard is a newer generation beta blocker that is less likely to cause sexual dysfunction compared to older beta blockers like Cardivas. Therefore, Nebicard may be a better option for you if sexual dysfunction is a concern. In terms of controlling blood pressure, both Cardivas and Nebicard are effective medications. However, Nebicard may be a preferred choice if you are experiencing sexual side effects with Cardivas. Ultimately, the decision between Cardivas and Nebicard should be made in consultation with your healthcare provider, taking into consideration your individual health needs and any potential side effects you may be experiencing.

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