Question 1

My sister was diagnosed with an SVT problem and the doctor prescribed her calaptin 120 mg. He did an echo and an ECG and mentioned everything looked normal. But when I checked the echo report myself, it mentioned trivial MR and trivial TR. The doctor didn't mention these. Should I be concerned about them?

Accepted Answer

The presence of trivial mitral regurgitation (MR) and trivial tricuspid regurgitation (TR) in the echo report is usually not a cause for concern. These are common findings in many individuals and are often considered normal variations. Trivial MR and TR typically do not require any specific treatment and do not usually impact a person's overall health. In your sister's case, since the doctor did not mention these findings and stated that the echo was normal, it is likely that these minor regurgitations are not clinically significant. However, if you have any concerns or if your sister experiences any new or worsening symptoms, it is always best to follow up with the prescribing doctor for further clarification and guidance. As for the prescribed medication, Calaptin 120 mg is a brand name for the drug Verapamil. It is commonly used to treat certain heart conditions, including supraventricular tachycardia (SVT). The usual dosage for Calaptin 120 mg in the treatment of SVT is typically one tablet to be taken orally, once or twice daily, as directed by the doctor.

Question 2

I've been dealing with this left side chest pain for more than a year now and it's really worrying me. I've seen a couple of doctors and even a psychiatrist, and they all say my heart is fine. I've had a full body checkup, and apart from low vitamin D and some past hyperthyroid issues, everything looks normal. My thyroid levels are okay now, and the antibody tests came back fine. They say I have panic attack anxiety and hypochondriasis. I mean, all my tests like ECGs, TMT, chest X-ray, ultrasound, and endoscopy are normal, and even my cholesterol levels are fine. Still, I can't shake off this weird feeling, like I'm scared of having a heart attack because of the chest pain. I can run long distances without any problems. Oh, and I should mention that I smoke 2 to 3 cigarettes a day, and I used to drink heavily, but I've quit that. I'm just trying to figure out if this is just anxiety playing tricks on me or if there's something actually wrong with my heart. Any advice?

Accepted Answer

It sounds like you have been thoroughly evaluated for your left side chest pain and all the tests have come back normal, indicating that there is nothing wrong with your heart. Given your history of panic attacks, anxiety, and hypochondriasis, along with the normal cardiac tests, it is likely that your symptoms are related to anxiety rather than a cardiac issue. To help manage your anxiety and chest pain symptoms, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety. Additionally, you may benefit from a selective serotonin reuptake inhibitor (SSRI) such as sertraline (Zoloft) or escitalopram (Lexapro) for long-term management of anxiety. It is important to continue practicing healthy habits such as quitting smoking completely, maintaining a balanced diet, exercising regularly, and managing stress through relaxation techniques or therapy. If you continue to experience chest pain or anxiety symptoms, it would be advisable to follow up with a mental health professional for further evaluation and management. Remember, it is essential to prioritize your mental health and well-being in addition to physical health.

Question 3

I've been having these mild chest pains on my left side, and it's been going on for a while now. I've seen doctors a couple of times and even did an ECG, but everything came back normal. The pain isn't super intense or frequent, but it pops up every couple of days, and its got me a bit worried. Could this be related to my heart, or could there be something else behind it? What kind of tests should I ask for to figure out whats causing it?

Accepted Answer

consult cardiologist

continue same medications, lipid panel is advised and physician opinion..

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