Question 1

My final diagnosis shows mitral annular calcification with concentric LVH and RWMA in the LCX territory. There's mild LV dysfunction with an LVEF of 49%, trivial MR, and grade 1 diastolic dysfunction. No TR or PE was noted. Do I need surgery for this, or what treatment options should I consider? I'm 65 and a bit worried about the next steps.

Accepted Answer

Given your diagnosis of mitral annular calcification, concentric LVH, RWMA in the LCX territory, mild LV dysfunction (LVEF 49%), trivial MR, and grade 1 diastolic dysfunction, you don't necessarily need surgery for the mitral annular calcification itself. The focus should be on managing the LV dysfunction, coronary artery disease (CAD), and potential issues related to the RWMA.

Question 2

I had a stent put in my heart, and now, two years later, its blocked again. My doctor had to place another stent inside the blocked one. Is this normal or something I should be worried about?

Accepted Answer

Placing another stent inside an existing one is known as a "stent-in-stent" procedure. It is a common approach to manage blocked stents. The new stent helps to reinforce the existing one and improve blood flow. It is important to continue with prescribed medications such as dual antiplatelet therapy to prevent blood clots. Examples of medications include Clopidogrel (Plavix) 75mg daily and Aspirin 81mg daily. Regular follow-up with your doctor is essential to monitor the stents and overall heart health.

Question 3

I've been experiencing really strong heartbeats two or three times a day for the last year and a half, especially when I'm doing anything physical. Otherwise, my blood pressure seems normal. I'm feeling pretty scared about this. Should I see a doctor?

Accepted Answer

It sounds like you may be experiencing episodes of palpitations. In such cases, it is important to rule out any underlying heart conditions. You can try taking Metoprolol (brand name: Lopressor) 25mg once a day to help control your heart rate and reduce the intensity of palpitations. However, it is advisable to consult a doctor for a proper evaluation and further management.

Is rice bad for cholesterol?

Rice as altogether is not either bad or good for cholesterol. White rice has high cholesterol and also it is easily digestible, so one tends to overeat. On the other hand, brown rice is whole grain with low glycemic index, has less cholesterol and more fiber which promotes fullness.

More Cardiology Health Queries

I had a stent put in my heart, and now, two years later, its blocked again. My doctor had to place another stent inside the blocked one. Is this normal or something I should be worried about?

I've been experiencing really strong heartbeats two or three times a day for the last year and a half, especially when I'm doing anything physical. Otherwise, my blood pressure seems normal. I'm feeling pretty scared about this. Should I see a doctor?

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