Question 1

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.

Question 2

I'm really worried because for the past four months I've been dealing with high blood pressure, fatigue, and dizziness. A month ago, I saw a physician who told me my BP was 150100 and put me on some tablets. I started with Prolomet XL 25, then added Amlong 2.5 after dinner. For a couple of weeks, things seemed better with my BP at 13080, but the dizziness and fatigue haven't gone away. I've never felt like this before. Do you think there are other medicines I should consider or any other advice you might have?

Accepted Answer

It's good that your blood pressure has improved with the medications you are currently taking. However, if you are still experiencing dizziness and fatigue, it may be necessary to adjust your medication regimen. I would recommend adding a medication like Hydrochlorothiazide (HCTZ) 12.5mg once daily in the morning. This medication can help further control your blood pressure and reduce the dizziness and fatigue symptoms you are experiencing. Remember to consult with your physician before making any changes to your medication regimen."

Question 3

I've just gone over my lipid profile results and it's showing a level of 244. I'm really concerned about what this means for my health. What steps can I take to bring it back to normal levels? Also, I'm curious about at what point a bypass might become necessary. Can you give me some guidance on this?

Accepted Answer

To help lower your cholesterol levels, you can start by making lifestyle changes such as following a healthy diet low in saturated fats and cholesterol, exercising regularly, maintaining a healthy weight, and avoiding smoking. If lifestyle changes alone are not enough to lower your cholesterol levels to a healthy range, your doctor may prescribe medication to help manage your cholesterol. Commonly prescribed medications to lower cholesterol include atorvastatin (Lipitor) at a starting dose of 10-20 mg once daily or rosuvastatin (Crestor) at a starting dose of 5-10 mg once daily. As for when a bypass is needed, the decision to undergo bypass surgery is based on various factors such as the severity of blockages in the coronary arteries, symptoms, and overall health condition. Bypass surgery is usually considered when there are significant blockages in the coronary arteries that cannot be effectively managed with medications or other interventions. Remember to follow up with your doctor for personalized recommendations and monitoring of your cholesterol levels.

I've been feeling some pain in the middle of my chest, right at the top, for the last couple of months, and it seems to be getting worse every day. I've also been dealing with catarrh for a few years now. Could these be related, and should I be worried about this chest pain getting worse?

do chest xray and ecg also

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