Question 1

I've got a situation that's really been weighing on my mind. Someone close to me is having a heart artery valve operation, and I've learned that their valve is leaking blood. I've heard about a medication called Dilzem60, but I'm not sure if it's safe in this situation. Can you help me understand if taking Dilzem60 is advisable for someone dealing with a leaking heart valve? It would be great if you could shed some light on this.

Accepted Answer

Consult Your Cardiologist Immediately: If you suspect the valve is leaking or if you're experiencing symptoms like swelling, shortness of breath, or fatigue, contact your cardiologist immediately.
Monitor Your Symptoms: Keep track of any new or worsening symptoms. Let your doctor know if you experience dizziness, chest pain, irregular heartbeats, or shortness of breath.
Follow Your Doctor's Instructions: Only take the medications your cardiologist prescribes, and avoid self-adjusting the dose or stopping medications like Dilzem without their guidance.

Question 2

I've been having these palpitations for a while now, and lately, my hands start shaking with each heartbeat. If I rest something like a pen on my chest, it moves up and down. Plus, there's this visible pulsation, but I can't really pinpoint exactly w...

Accepted Answer

It sounds like you may be experiencing palpitations along with visible pulsations. This can be concerning and may require further evaluation. One possible medication that can help with palpitations is Metoprolol (brand name: Lopressor). The usual dosage for palpitations is 25-100mg twice daily. However, it is important to consult with a healthcare professional for proper evaluation and management of your symptoms.

Question 3

I'm really worried after getting my TMT test results from last month. It mentioned something about being mildly positive for provocable ischemia. Because of this, my term insurance got rejected, and I'm not sure if this is something serious. Could yo...

Accepted Answer

A mildly positive provocable ischemia test indicates temporary heart muscle reduced blood flow. Consult a cardiologist to:

Immediate Steps

1. Discuss test results and concerns.
2. Undergo additional tests (e.g., echocardiogram, stress echocardiogram) for further evaluation.
3. Address potential risk factors (e.g., hypertension, high cholesterol, smoking).

Potential Next Steps

1. Medications to manage risk factors.
2. Lifestyle changes (diet, exercise, stress management).
3. Re-evaluation after 3-6 months.

Term Insurance Options

1. Appeal the rejection with additional medical reports.
2. Consider alternative insurance providers.
3. Explore group insurance plans.

For personalized guidance, consult:

1. Cardiologist
2. Insurance expert
3. Primary care physician

Question 4

I've just found out that my bilirubin levels, including total, direct, and indirect, are all high, and my homocysteine levels are elevated too. Should I be worried about this, and what could it mean for my health? What steps should I take, or what li...

Accepted Answer

Bilirubin count total, direct, indirect are high. Homocysteine level is high. High bilirubin levels can indicate liver or bile duct issues. You can take Ursodiol 300mg to help lower bilirubin levels. For high homocysteine levels, you can take Folic Acid 1mg along with Vitamin B6 25mg and Vitamin B12 1000mcg to help lower homocysteine levels. Make sure to follow the dosage instructions provided on the medication packaging.

Question 5

I'm a bit concerned about my recent ECG results. It mentioned something like 800 sinus rhythm, and I'm not really sure what that means. Also, my blood pressure showed up as 13084. Is this considered normal?

Accepted Answer

800 sinus rhythm means that the heart is beating at a normal rate and rhythm, typically between 60-100 beats per minute. A heart rate of 800 would be abnormally high and would be a cause for concern. As for the ECG being normal, without seeing the actual ECG tracing, I cannot provide a definitive answer. However, sinus rhythm is considered normal on an ECG. Regarding your blood pressure of 13084, this is considered prehypertension. If you have no other medical conditions and are not experiencing any symptoms, it may not require immediate treatment. However, it is important to monitor your blood pressure regularly and make lifestyle changes such as a healthy diet, regular exercise, and stress management. If you are experiencing any symptoms or have concerns about your ECG or blood pressure, it is best to follow up with your healthcare provider for further evaluation and management.

Question 6

I'm really worried about my brother. He's 25 and we've just found out he's got a 20mm hole in his heart. I'm not sure how serious this is and what the next steps should be. Can you help us understand what all of this means and what we should do next?

Accepted Answer

Treatment for ASD depends on the size of the hole and the symptoms it is causing. In some cases, small ASDs may not require treatment and can close on their own. However, larger defects may require intervention. One common treatment for ASD is surgical repair, where the hole is closed with a patch. Another option is transcatheter closure, where a device is inserted through a catheter to close the hole. Medications may also be prescribed to manage symptoms or prevent complications. In this case, your brother may be prescribed medications such as aspirin to prevent blood clots or medications to manage heart failure symptoms. It is important for your brother to follow up with a cardiologist for further evaluation and to discuss the best treatment options for his specific situation.

Consult Top Cardiologists

Dr. Siddharth Bajaj

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Related Questions

I've been having these palpitations for a while now, and lately, my hands start shaking with each heartbeat. If I rest something like a pen on my chest, it moves up and down. Plus, there's this visible pulsation, but I can't really pinpoint exactly w...

I'm really worried after getting my TMT test results from last month. It mentioned something about being mildly positive for provocable ischemia. Because of this, my term insurance got rejected, and I'm not sure if this is something serious. Could yo...

I've just found out that my bilirubin levels, including total, direct, and indirect, are all high, and my homocysteine levels are elevated too. Should I be worried about this, and what could it mean for my health? What steps should I take, or what li...

I'm a bit concerned about my recent ECG results. It mentioned something like 800 sinus rhythm, and I'm not really sure what that means. Also, my blood pressure showed up as 13084. Is this considered normal?

I'm really worried about my brother. He's 25 and we've just found out he's got a 20mm hole in his heart. I'm not sure how serious this is and what the next steps should be. Can you help us understand what all of this means and what we should do next?

Cardiology

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