Dr. Muhammad Zohaib Siddiq
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 have been having chest pain, heart palpitation, increased resting heart rate, mild swelling in my legs and arms, fatigue, and mildly elevated CRP. Also, some difficulty in breathing while lying down occasionally. I want a second opinion about my echo results.
Kindly help.
Hello,
Welcome to icliniq.com.
You have a thyroidectomy, and you are taking thyroxine; I would recommend having your thyroid profile checked. Overdose of thyroxine can cause a faster heart rate. You had COVID-19. COVID-19 sometimes causes inflammation of heart muscles called myocarditis, which can also cause a fast heart rate. Other causes can be anemia, anxiety, or heart rhythm issues. I would suggest having Holter monitoring done. For hypertension, you should take anti-hypertensives. What medicines are you taking for hypertension currently? If none, start taking ACE inhibitors (contraindicated in pregnancy and breastfeeding). Triptans can also increase blood pressure. Please check daily blood pressure to see average blood pressure over 2 to 3 weeks and meanwhile have renal function and electrolyte levels done. Depending upon the results, ACE inhibitors or other medicines will be started. Beta-blockers may also be needed if your heart rate remains elevated persistently.
I hope this helps. Thank you.
Patient's Query
Hello doctor,
I recently had my thyroid medicines adjusted about a month ago so will redraw laboratory reports in 3 weeks. I am waiting on my Holter monitor results still. Thank you for the additional information. I will start recording my blood pressure as well. On the echo results, are mitral valve regurgitation and tricuspid valve regurgitation common?
Hello,
Welcome back to icliniq.com.
Yes, mild or trace mitral valve and tricuspid valve regurgitation are common. No need to worry about that. Get a fasting lipid profile done to calculate the risk of atherosclerotic cardiovascular diseases.
I hope this helps.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Cardiology
Related Questions
Transesophageal Echocardiogram - Indications, Procedure, and Risks
Chest pain immediately after sex in a patient with two stents. Kindly advice.
I get palpitations and irregular heartbeat. Is it due to hyperthyroidism?
Chest pain on taking deep breaths while sleeping on back. Please help.
Does an echocardiogram show signs of a heart attack?
I get palpitations often. Should I take Disprin for prophylaxis?
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
