Question 1

I'm kind of worried about my recent heart echo results after having a COVID infection. It says I've got mild tricuspid and mitral regurgitation and borderline concentric hypertrophy. But it also mentions that my systolic function is good with an LVEF of 66, and that my cardiac valves look normal. There's no pulmonary arterial hypertension, intracardiac shunt, or pericardial effusion. Sometimes I get this weird feeling, like something's stuck on the left side, and then when it goes down, I can breathe a lot better. Other than that, I'm feeling okay. Should I be concerned about these findings? What do you suggest I do next?

Accepted Answer

There is no immediate cause for worry. The symptoms you are experiencing on the left side may be related to the mild regurgitation, but further evaluation may be needed to determine the exact cause. To address the mild tricuspid and mitral regurgitation, you can take medication like Losartan to help reduce the regurgitation and prevent any worsening of the condition. Additionally, Metoprolol can be prescribed to help manage any symptoms related to the regurgitation. It is important to follow up with your healthcare provider for further evaluation and management based on your symptoms and the echocardiogram findings. Regular monitoring and follow-up appointments will be essential to ensure your heart health is maintained.

Question 2

I'm really stressed about my recent health issues. My blood pressure was 190100 two weeks ago, and I've been on medication since then. I've checked a couple of times after starting the meds, and my bp was 15090 and another time 17090. It's worrying me, and to top it off, I've been getting random pains in my left neck and shoulder, which makes sleeping hard. The cardiologist said my ECG and echo are normal. My cholesterol is fine, but I'm low on vitamin D and B12, so I'm taking supplements. Also just found out my blood sugar is high, so I'm on meds for that too. One doctor mentioned that the medicine might be causing the pain and that it might take weeks for my bp to stabilize. Is that true? Would love some insight into this.

Accepted Answer

It is common for blood pressure levels to take some time to stabilize after starting medication. In your case, since your initial blood pressure reading was high at 190100, it may take a few weeks for the medication to fully lower your blood pressure to a normal range. The random pains in your left neck and shoulder could be related to muscle tension or other factors, but it's good that you have already consulted a cardiologist who found your ECG and echo to be normal. Regarding your vitamin deficiencies and high blood sugar, it's important to continue taking your supplements and medication as prescribed. For high blood pressure, it's essential to follow your doctor's advice and medication regimen consistently. One commonly prescribed medication for high blood pressure is Losartan, typically starting at a dosage of 50mg once daily. It's crucial to monitor your blood pressure regularly and report any persistent symptoms or concerns to your healthcare provider for further evaluation and management.

Question 3

I'm having these ongoing pressure-like pains in my chest, neck, and shoulder. It's really making me anxious, even though I had an echo and TMT just two months ago, and they were normal. My cardiologist said its not my heart, but I cant shake off the fear of possibly having a heart attack. What might be causing this pain, and how can I deal with this anxiety?

Accepted Answer

Since your cardiologist has already ruled out any heart-related issues with a normal echo and TMT two months ago, the pain may be due to musculoskeletal issues or other non-cardiac causes. To help alleviate your symptoms, you can try taking over-the-counter pain relievers like acetaminophen or ibuprofen for pain relief. Additionally, you can use muscle relaxants like Flexeril (cyclobenzaprine) to help with any muscle tension contributing to your discomfort. It's important to follow the recommended dosage instructions on the medication packaging. If the pain persists or worsens, consider consulting with a physician for further evaluation and management.

severe heart dysfunction, pt needs cardiologist opinion .

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