Dr. Muhammad Majid Hanif
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I am 25 years old. I have palpitations for the past three months. No anemia, TFT is normal, MRI abdomen and chest are normal. Echo shows atherosclerotic aortic valve with ejection fraction 60%. Holter shows minimum HR-120 bpm and maximum HR-190 bpm. I have associated fatigue at times, tremor and difficulty in breathing. Chest pain is aching sometimes and pins and needles more often. I have seronegative arthritis. Previously I had dengue, cerebral malaria and typhoid. I am currently taking Betacap TR 40 mg bd for one month then stopped. Clonazepam 0.5 mg bd for two months but no help.
Hello doctor,
I have thoroughly gone through your case and can well understand your genuine concerns. First of all, you have a high BMI (body mass index). Try to reduce the weight as you know it is high for this age and height. Ejection fraction of 60% shows you have aortic stenosis due to sclerosed aortic valve. In this regard, we have to keep in mind that this much back pressure on the left ventricle with every heartbeat is making the ventricular walls and interventricular septum more thickened and dilated. Improper output is making your heart beat faster and it also reduces the cardiac output.
The Probable causes
Investigations to be done
Treatment plan
Preventive measures
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Cardiology
Related Questions
My ECG and echocardiogram are normal, but I have chest pain and palpitations. Why?
Is it possible to hear our blood flow in extrmely silent zero DB room?
What does my baby's echocardiogram report indicate?
I felt lightheaded and like my heart stopped. What should I do?
Please interpret echo taken for lightheadedness, chest pain, and shortness of breath.
What number of APCs are normal for a 24 year old female?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
