Question 1

I'm a little worried because my Perfusion Index (PI) is consistently over 20, sometimes hitting 21, when I check my oxygen saturation with my oximeter. My saturation level is normal, between 95 and 99, and so is my heart rate. But I'm not sure if a high PI is indicative of any serious health conditions, or if it's a sign that the oximeter might be inaccurate. Could you provide some guidance on whether a high PI should be a concern, or if it's something I shouldn't worry too much about?

Accepted Answer

Normal

Question 2

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?

Accepted Answer

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.

Question 3

I'm experiencing this dull pain on the left side of my chest, kind of between the center of my left chest rib and going up towards my left shoulder. It's been happening for about 3 days now, and it gets worse when I lean forward or round my shoulders, but sometimes when I stretch my left shoulder back, it feels a bit better for a while. I dont think its acidity because I dont have issues with that, and Ive never had high blood pressure or heart problems. What could be causing this pain?

Accepted Answer

Based on your description, the dull pain you are experiencing on the left side of your chest that worsens with certain movements could be musculoskeletal in nature. It may be due to muscle strain or inflammation in the chest wall or shoulder muscles. I recommend taking a muscle relaxant such as **Cyclobenzaprine** 10mg twice a day for a few days to help relieve the pain and discomfort. Additionally, applying a topical pain relief gel containing **Diclofenac** to the affected area can also provide relief. Remember to avoid activities that worsen the pain and try to maintain good posture to prevent further strain. If the pain persists or worsens, it is advisable to consult a healthcare professional for further evaluation and management.

Ive got rheumatoid arthritis, hypertension, and Hashimotos. I just had an ECG at a walk-in clinic for a pre-op check-up and it showed non-specific T wave abnormality and possible left atrial enlargement. Can you explain what that means? Should I be worried and see a cardiologist about it?

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