- 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
0
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View allI'm a bit concerned after my recent doctor visit. I had some left shoulder pain and my hands felt a bit numb after traveling, so I went to get checked out. The doctor had me do an ECG and mentioned that the QRS interval was 119ms, along with some other abnormalities, then suggested an echo just to be sure. The echo results seemed alright, showing no PAH or RWAH, and my LV systolic and diastolic function looks fine with an EF of 68. They didn't find any clots or vegetation, and the doctor said my echo is fine, but I'm still worried about the QRS interval on my ECG. Should I be looking deeper into this, or is it nothing too concerning?
The ECG report showing a QRS interval of 119ms may indicate a slight delay in the electrical conduction through the heart's lower chambers. This could be due to various reasons such as conduction abnormalities or certain heart conditions. However, since your screening echo came back normal with no significant findings, it is less likely to be a cause for concern. To alleviate your left shoulder pain and numbness in hands, you can take over-the-counter painkillers such as ibuprofen (e.g., Advil) at a dose of 400mg every 4-6 hours as needed for pain relief. Additionally, you can also consider using topical pain relief creams such as diclofenac gel for localized relief. It is always advisable to follow up with your doctor for further evaluation and management based on your individual health condition.
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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.