Question 1

I've recently had an echo done, and it showed grade 1 diastolic dysfunction. I'm a bit concerned and wondering if this is something serious. Should I see a cardiologist about it, or is it a common finding that's usually not a big deal?

Accepted Answer

It is important to follow up with a cardiologist for further evaluation and management. Treatment may include lifestyle modifications and medications such as ACE inhibitors like Enalapril (5-20mg once daily) or ARBs like Losartan (25-100mg once daily) to help improve heart function and symptoms. Regular follow-up with a cardiologist is recommended to monitor your condition.

Question 2

It's been 4 years since my dad had an angioplasty, and he hasn't had any follow-ups. He just can't seem to quit chewing smokeless tobacco. I'm really worried if this habit could affect his heart again. He's also having some tooth pain lately but insi...

Accepted Answer

Your dad's continued smokeless tobacco chewing significantly increases his risk of another heart attack, as it raises blood pressure, heart rate, and cardiovascular stress, while also potentially leading to tooth pain, gum recession, and oral cancer; to help him manage cravings, consider consulting a doctor about prescription medications like nicotine replacement therapy (NRT), bupropion (Zyban), or varenicline (Chantix), or non-pharmacological approaches like counseling or support groups; regarding his tooth pain, insist he visits a dentist to rule out tobacco-related oral health issues.

Question 3

I've been experiencing this odd sensation lately where my heart feels like it's beating right in the middle of my chest, and sometimes it even feels like it's hitting my throat. It usually lasts just a few seconds and then goes away. Should I be worr...

Accepted Answer

This sensation could be due to heart palpitations, which are often harmless but can sometimes be a sign of an underlying heart condition. To help manage these symptoms, you can try taking a beta-blocker medication such as Metoprolol (25-50mg) as needed to help regulate your heart rate and reduce palpitations. However, it is important to consult with a healthcare professional for proper evaluation and management.

Question 4

I'm feeling a lot of pain in my left shoulder and it's been happening pretty often since yesterday. I'm really concerned it might be linked to a heart issue. What should I do?

Accepted Answer

An ecg and cardiac markers are advised.

Question 5

I'm 60 years old and dealing with severe hypertension along with diabetes. I recently did a treadmill test following the Bruce protocol, and I could exercise for about 7 minutes and 16 seconds. I reached a maximum heart rate that was 91% of whats exp...

Accepted Answer

Based on your TMT report showing 1mm ST segment depression, you may be experiencing myocardial ischemia. To manage your Severe Hypertension and Diabetes Mellitus, as well as reduce the risk of further cardiac events, I recommend starting with antiplatelet therapy such as Aspirin 75mg daily to prevent blood clot formation. Additionally, a beta-blocker like Metoprolol 25mg twice daily can help reduce your heart rate and blood pressure, thereby decreasing the workload on your heart. Lastly, a statin medication like Atorvastatin 20mg daily can be beneficial in lowering cholesterol levels and reducing the risk of atherosclerosis progression. It is important to follow up with your healthcare provider for further evaluation and management.

Question 6

I've recently found out that my total cholesterol is 240, and my LDL cholesterol is 189. Should I be worried about these levels? Is it necessary for me to start taking medication to lower them, or can I manage it through other means? I'm aware these ...

Accepted Answer

With a total cholesterol of 240 and LDL cholesterol of 189, it is considered high and can increase your risk for heart disease. In this case, medication may be necessary to help lower your cholesterol levels. I recommend starting with a statin medication such as Atorvastatin (Lipitor) at a dosage of 10-20 mg daily to help lower your cholesterol levels. It is important to follow up with your healthcare provider for monitoring and adjustments as needed.

I've recently had an echo done, and it showed grade 1 diastolic dysfunction. I'm a bit concerned and wondering if this is something serious. Should I see a cardiologist about it, or is it a common finding that's usually not a big deal?

I've recently had an echo done, and it showed grade 1 diastolic dysfunction. I'm a bit concerned and wondering if this is something serious. Should I see a cardiologist about it, or is it a common finding that's usually not a big deal?

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Related Questions

It's been 4 years since my dad had an angioplasty, and he hasn't had any follow-ups. He just can't seem to quit chewing smokeless tobacco. I'm really worried if this habit could affect his heart again. He's also having some tooth pain lately but insi...

I've been experiencing this odd sensation lately where my heart feels like it's beating right in the middle of my chest, and sometimes it even feels like it's hitting my throat. It usually lasts just a few seconds and then goes away. Should I be worr...

I'm feeling a lot of pain in my left shoulder and it's been happening pretty often since yesterday. I'm really concerned it might be linked to a heart issue. What should I do?

I'm 60 years old and dealing with severe hypertension along with diabetes. I recently did a treadmill test following the Bruce protocol, and I could exercise for about 7 minutes and 16 seconds. I reached a maximum heart rate that was 91% of whats exp...

I've recently found out that my total cholesterol is 240, and my LDL cholesterol is 189. Should I be worried about these levels? Is it necessary for me to start taking medication to lower them, or can I manage it through other means? I'm aware these ...

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