Question 1

I'm noticing that my heart rate is going above 100-115 from time to time. My blood pressure is normal, but my hemoglobin level is 10.8. About a month ago, I had an ECG done, and it showed sinus tachycardia and IRBBB. But I'm still experiencing a heart rate over 100-115. Should I be worried about this? What might be causing it?

Accepted Answer

Based on your symptoms and previous ECG findings, you may benefit from taking a beta-blocker medication to help control your heart rate. I recommend you take Metoprolol (brand name: Lopressor) at a starting dose of 25mg twice daily. This medication can help regulate your heart rate and improve your symptoms. However, it is important to consult with your healthcare provider for proper evaluation and monitoring.

Question 2

I'm experiencing these odd palpitations when I'm trying to sleep, but as soon as I wake up and move around a bit, they stop. I've had GERD since last September, and my recent endoscopy showed a grade 2. I've been keeping up with my health; did a TMT and checked my lipid profiles, and everything was normal. No blood pressure issues either, and I quit smoking 4 or 5 years ago, though I still have a drink now and then. My echo showed a grade 2, which makes me wonder if there's something going on with my heart or if it's all related to my esophagus issues. Also, I just started meds for fatty liverUdiliv 300, Darolac, Rifaximin 400mg, and Moza Plusand my SGPT was at 109. With a weight of 100 kg and being 5'10", I'm a bit worried. Is the grade 2 thing a sign of heart trouble, or could it be from the GERD? And is it possible for the grade 2 to be reversible?

Accepted Answer

1. AM I having any heart issues? Since grade 2 came in echo and sleeping palpitations are there. OR are these due to loose lower esophagus valve? Based on your symptoms and medical history, the palpitations you are experiencing while sleeping could be related to your grade 2 echo findings. It is important to further investigate the cause of these palpitations to rule out any underlying heart issues. I recommend you consult with a cardiologist for a thorough evaluation. In the meantime, you can take Metoprolol 25mg once daily to help with the palpitations. 2. Is grade 2 reversible? Grade 2 findings in an echocardiogram indicate mild abnormalities in the heart structure or function. In many cases, grade 2 abnormalities can be managed effectively with lifestyle changes and medications. It is important to follow up with your cardiologist regularly to monitor the condition and make necessary adjustments to your treatment plan. With proper management, some grade 2 abnormalities can show improvement over time.

Question 3

I've been having this weird feeling where my heart skips a beat, and it's making me uneasy. I recently saw a cardiologist, and he checked my echo test report and said everything looked fine. The sensation goes away when I sleep and feels okay in the morning, but it suddenly starts again when I'm lying down. Could you help me figure out what's going on or what I should do about it?

Accepted Answer

mostly no need to fear since echo is normal consult psychiatist if it stil persists

I've been feeling this heavy sensation and pressure on my chest, and it's making it hard to breathe. There's no actual pain, but it's definitely worrying me. What could be causing this shortness of breath? Should I be concerned?

Ecg and x-ray chest pa view is advised to the patient.

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