- Female
- 66 Years
- 22/01/2025
So my left atrium size is 5.6 cm, and my doctor says my heart is alright, but I'm not sure how that is possible. On top of it, I'm having trouble with dyspnea when I exert myself. Could someone help explain what's going on?
Answered by 1 Apollo Doctors
It is possible for your doctor to determine that your heart is functioning normally despite the enlarged left atrium (LA) size. However, experiencing dyspnea on exertion is a concerning symptom that should be further evaluated. In this case, you may benefit from medication such as a beta-blocker like Metoprolol (25-50 mg daily) to help with your symptoms. Additionally, a diuretic like Furosemide (20-40 mg daily) may be prescribed to reduce fluid buildup and alleviate the dyspnea. It is important to follow up with your doctor for further evaluation and management.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and I'm attaching it here. Now and then, I still get these episodes. While my 2D echo and blood pressure are normal, I've been dealing with random chest pains that last just a secondsometimes on the right and then on the left. My stomach feels upset too, and I get really gassy during these times. I'm confused about what might be causing these ECG changes. Curiously, I never feel chest pain when jogging or exercising, only when I'm at rest. Different doctors have told me different things; some say it's normal, and others think it might be gas. What's really going on here? Should I be worried about these ECG changes?
The symptoms you are experiencing, along with the ECG changes showing minor ST and T wave abnormality, could be indicative of a condition called Premature Ventricular Contractions (PVCs). PVCs are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). They may feel like a fluttering or a flip-flop in your chest. The sensation can be triggered by certain activities, emotions, or medications. To help manage your symptoms and reduce the occurrence of PVCs, you can try taking over-the-counter medication such as **Propranolol (Inderal)** at a dosage of 10-30 mg three to four times a day. This medication can help regulate your heart rate and reduce the frequency of PVCs. Additionally, you can try to reduce stress and anxiety through relaxation techniques such as deep breathing exercises or yoga. It is important to follow up with a cardiologist for further evaluation and management. They may recommend additional tests such as a Holter monitor or an event monitor to capture your heart's activity over an extended period. This will help determine the underlying cause of your symptoms and guide appropriate treatment. In the meantime, try to avoid triggers such as caffeine, alcohol, and tobacco, which can exacerbate PVCs. Stay hydrated, maintain a healthy diet, and get regular exercise to support your heart health. If you experience severe chest pain, dizziness, or fainting spells, seek immediate medical attention.
Answered by 1 Apollo Doctors
I'm taking Betacap TR 40 in the morning, but my BP is still high and can't be controlled. I've been feeling dizzy for a few days, and yesterday I had a root canal done. Today, my blood pressure is 150110, and I'm not sure what's going on. Can you help me figure out what to do next?
I can't know the exact reason for your high blood pressure without a proper examination, but considering your symptoms and recent dental procedure, it is possible that the pain and stress from the root canal treatment may have contributed to the elevated blood pressure. I would recommend you to continue taking Betacap TR 40 as prescribed, and also consider adding an additional medication like Telma 40 (Telmisartan) once daily to help control your blood pressure. Additionally, try to manage your stress levels, get an adequate amount of rest, and follow a healthy diet low in salt and saturated fats. It is important to monitor your blood pressure regularly and follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm really worried because my blood pressure is at an all-time high, showing readings like 152105, and my heart rate is 101. I'm not feeling well at all. Could this be something serious, and what should I do about it?
"I recommend you take Amlodipine (brand name Norvasc) 5mg once daily for high blood pressure. For your elevated heart rate, you can take Metoprolol (brand name Lopressor) 25mg twice daily. Make sure to monitor your blood pressure and heart rate regularly."
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.