Hello,Welcome to icliniq.com.DVT, or deep vein thrombosis, is a condition in which a blood clot accumulates in the veins of the lower limbs due to a prolonged bedridden state, reduced physical activity, or major surgery or bone fractures. These blood clots can often dislodge and travel through the right heart to block the pulmonary artery, leading to a condition known as pulmonary embolism, which can cause right ventricular dysfunction.Pulmonary embolism is a critical medical condition that requires prompt treatment with anticoagulants and diuretics. I see you are on diuretics and that you are overweight.
Hello, Welcome to icliniq.com. You are experiencing tachycardia and hypertension due to the high dosage of steroids. Once you stop taking the medication, your vital signs should normalize. There is no need to take any antihypertensive medications at this time. For the fast heart rate, I suggest you take Metoprolol Sustained Release 50 mg at 8 a.
Hello, Welcome to icliniq.com. If you have a calcium score of 2000, you will need to undergo atherectomy procedures such as rotablation, tornus, or laser atherectomy, based on your angiographic assessment. A thallium scan is recommended to determine the vitality of cardiac tissue and assess the suitability of stenting. I am not sure why you require CT (computerized tomography) angiography since invasive angiography may demonstrate coronary calcium and the necessity for a proper debulking device. I hope this helps.
Hello, Welcome to icliniq.com. I have noted your symptoms and reports (attachment removed to protect patient identity). Frankly, all of them are normal. I would like to suggest the following medications and recommend monitoring to see if the problem persists:Take a capsule of Rabeprazole and Levosulpiride once daily before meals for one month.Take a tablet of Clonazepam 0.
Hello, Welcome to icliniq.com. The interpretation you received was from a machine, which can sometimes be misleading. Your (attachments removed to protect the patient’s identity) ECG (electrocardiogram) is fine; however, it is a good idea to get another ECG for final confirmation.Regards. .
Hello, Welcome to icliniq.com. If the patient had stent surgery, then why is he only on Aspirin? He should be on dual antiplatelet therapy, a high-dose statin, an ACE (angiotensin-converting enzyme) inhibitor, and a beta-blocker. Please revise the medication chart. Consult your specialist doctor, discuss the case with him or her, and obtain their consent before starting the medications. A coronary angiogram indicates that disease is present in a specific artery but does not reveal the extent of the disease.
Hello, Welcome to icliniq.com. You are not likely to experience sudden death. You have been hypertensive for a long time, which is why you are experiencing left ventricular hypertrophy due to left ventricular remodeling. If you manage your hypertension effectively, there can be reverse remodeling of your heart, and your left ventricle (LV) will normalize over time. I suggest that you take your prescribed medications, which include an ARB (angiotensin receptor blocker) and a beta blocker, as these will help your heart return to normal in due course.
Hello, Welcome to icliniq.com. I have reviewed the attachments (attachment removed to protect patient identity). First of all, your ECG (electrocardiogram) looks normal to me. However, the symptoms you are experiencing may be due to an inherited arrhythmia syndrome or channelopathy. If your symptoms persist, please undergo 24-hour Holter monitoring and echocardiography for further evaluation.
Hello, Welcome to icliniq.com. You have a condition called sinus tachycardia, which means your heartbeat is faster than normal, but you do not have arrhythmia. The cause is sympathetic overdrive, indicating that you may be more anxious than others. I suggest taking one tablet of Metoprolol 50 mg daily at 8 AM. Please consult your specialist doctor, discuss this with them, and start taking the medication with their consent.
Hello, Welcome to icliniq.com. After reviewing your clinical symptoms and medical records (attachment removed to protect patient identity), here are the key findings with explanations. Your echocardiogram report indicates concentric left ventricular hypertrophy (LVH), which suggests that you have been hypertensive for a long time and that your current antihypertensive medications may not be adequately controlling your blood pressure. Additionally, you are experiencing sinus tachycardia despite taking 1.5 times the usual dose of Ivabradine, which is concerning.
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