apollo
  • Female
  • 28 Years
  • 22/01/2025

I've been wondering if there's any kind of link between asthma and an enlarged heart. See, I know asthma can make breathing really tough, so does that mean the heart has to work extra hard to get enough oxygen around the body? If that's the case, could it lead to the heart muscle getting bigger over time because of all the extra effort it has to put in compared to someone without asthma?

Doctor 1

Answered by 1 Apollo Doctors

While there is no definitive evidence that directly links asthma to an enlarged heart, it is plausible to consider that the increased workload on the heart due to labored breathing in asthma patients could potentially lead to the heart muscle becoming enlarged over time. This condition is known as cardiomegaly. In such cases, it is important to manage asthma effectively to reduce the strain on the heart. Medications such as inhaled corticosteroids like Fluticasone (100-250 mcg twice daily) and bronchodilators like Albuterol (2 puffs every 4-6 hours as needed) can help control asthma symptoms and potentially reduce the risk of complications such as cardiomegaly. Regular monitoring by a healthcare provider is also recommended to assess heart health and adjust treatment as needed.

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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So I had this chest pain about 2 months ago, and it wasn't related to the heart. I got my ECG and 2D echo done, and they both were normal. I also got a chest X-ray, and some other blood tests like cholesterol and thyroid, and everything was normal except for high cholesterol. The pain went away after I took some medication. But now, after 2 months, I'm experiencing the same kind of chest pain. It's more moderate to mild this time, but last time it was really severe. I couldn't even lay on the bed then. This time too, my ECG checked out normal. Should I be doing more tests to make absolutely sure it's not something heart-related, or do you think it's enough for now?

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I'm really concerned because I recently did a 24-hour Holter monitor test, and I was told I have tachycardia. All my other tests like the ECG, echo, and X-ray came back normal, which is a bit confusing. The doctor mentioned that my tachycardia might be due to anxiety since sometimes I experience palpitations and have trouble breathing. I'm wondering if it's okay to take Zapiz 0.25mg for my anxiety every other day or if there might be any side effects I should worry about. Any advice would be appreciated.

Zapiz 0.25mg is a brand name for Clonazepam, which is commonly used to treat anxiety disorders. However, it is important to note that Clonazepam is typically not recommended for daily, long-term use due to the risk of tolerance, dependence, and withdrawal symptoms. It is best to use it on an "as-needed" basis for anxiety symptoms. For your palpitations and difficulty breathing related to anxiety, your doctor may consider prescribing a different type of medication such as a selective serotonin reuptake inhibitor (SSRI) or a serotonin-norepinephrine reuptake inhibitor (SNRI) for long-term management of anxiety. These medications are less likely to cause dependence compared to Clonazepam. I recommend discussing with your doctor about alternative medications for managing your anxiety symptoms and to address any concerns about potential side effects of Zapiz 0.25mg.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.