Recently Answered Questions
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Should I be worried about the side effects of diuretics on kidneys?
Query: Hi doctor, Three months ago, I had a heart attack. Then, I went through angioplasty with stenting. Post heart attack, I was diagnosed with moderate systolic HF with EF at 35%. Currently, I am on Clavix, Rozucor 10 mg, Tide 5 mg, Metocard-XL, Planep 25 mg and Telma 20 mg. I am improving well. My EF h... Read Full »
Answer: Hi, Welcome to icliniq.com. I appreciate your concerns. After thorough review of your health query, I want to answer those questions. Do not be overconscious regarding the issue of the lipid profile. It seems to be fine to go with this. Keep taking healthy diet. Your profile is not too low to worr... Read Full »
Does my mother's ECG show any heart problem?
Query: Hi doctor, My mother is under treatment for hypothyroidism, hypertension and osteoarthritis of knee joints, which is stage 2. I have attached her current medication list and ECG report. I request you to kindly have a look at the ECG and advice whether there is any indication of heart issues. Althoug... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. I have seen the attached report (attachment removed to protect patient identity). The attached electrocardiogram - ECG seems normal to me. However, there is a slight left axis deviation, making your doctor to comment on LBBB (left bundle branch bl... Read Full »
How can we improve the rate of LVEF?
Query: Hi doctor, My father had a heart attack three weeks ago. Now, he is under medication and in complete rest at home. But echocardiogram report says his LVEF rate is 29 %. Some cardiac enzymes are high. How can we improve the rate of LVEF? Can this percentage get improved by rest or diet or something? ... Read Full »
Answer: Hi, Welcome to icliniq.com. Your father had a heart attack and from his echocardiography report, (attachment removed to protect patient identity) the affected areas are thinned out and akinetic. It means that the heart muscles have lost their function in these areas. He can take drugs like beta bl... Read Full »
My wife is recovering from postpartum cardiomyopathy. How to take care of her?
Query: Hello doctor, Recently my wife survived after having an attack of postpartum cardiomyopathy. She is 26, and her EF was reduced to 20 % when she was admitted. She had an attack of repetitive convulsion, and her lungs got filled with gastric juice. Now after remaining hospitalized for more than two w... Read Full »
Answer: Hello,Welcome to icliniq.com.Regarding the diet restrictions, common salt intake should be within one teaspoon daily. Salt intake to be maintained strictly. Avoid strenuous activities. She should be on rest till she improves. It is very good that her EF (ejection fraction) improved to 55 %. That is ... Read Full »
What does my 2D echo report indicate?
Query: Hello doctor, I have thickened tip of mitral valve leaflet with prolapse of the mitral valve leaflet to the left atrium during systole producing moderate mitral regurgitation with an EF of 34% and left atrial enlargement. There are normal coronary artery sizes. There is normal pulmonary artery press... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachment removed to protect patient identity). Your echo (echocardiogram) report is showing that you have rheumatic heart disease with involvement of mitral valve. There is a leak in mitral valve termed as mitral regurgitation... Read Full »
What could be the cause of ventricular fibrillation?
Query: Hello doctor, My 29 year old brother had a pacemaker placed three years ago after survival from a sudden cardiac arrest. Doctors found the cause of the cardiac arrest to be a ventricular fibrillation. Last week was the first time he received a shock from his pacemaker, that is, exactly three years... Read Full »
Answer: Hello, Welcome to icliniq.com. Ventricular fibrillation, the commonest cause is coronary artery disease. The other causes are dilated cardiomyopathy or low heart function. What is his ejection fraction? Low ejection fraction due to any reason like coronary artery disease or others can lead to ven... Read Full »
There is a slight drop in my ejection fraction from last year. Should I be worried?
Query: Hello doctor, I am a 57-year-old male and the results of my recent annual resting echo showed the following: Tri-leaflet aortic valve with well-compensated moderate regurgitation (2-3/4) as well as mild aortic sclerosis but no stenosis. Normal size left ventricle (130 mL) and no evidence of hypertr... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Firstly, since it is a moderate regurgitation and compensated, it is not expected to damage your heart that badly and drop your ejection fraction. Also, echo is a subjective investigation and while calculating, a slight change in cursor posi... Read Full »
Will increased BNP value cause edema and dyspnea?
Query: Hello doctor, I will try to be brief. I am a 49 year old female who has been pacemaker dependent for several years. Due to cardiomyopathy EF of 30 %, BNP of 186, and a cardiac event resulting in high troponin. I eventually was switched to a biventricular pacemaker/defibrillator. I had an echo last ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Although your ejection fraction is now 50%, your BNP (brain natriuretic peptide) value is high which is the reason you are experiencing edema and dyspnea. Increased BNP causes a fluid and pressure increase in your heart, which in turn mani... Read Full »
Kindly go through my echocardiogram report and tell whether I have any issue.
Query: Hello doctor, I was wondering if I could get a detailed review regarding the attached echocardiogram report. I wish to know whether there is any issue which requires immediate medical attention. Moreover, I would also like to know about the non-pharmacological management of the abnormality, like e... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your echocardiography report (attachment removed to protect patient identity). Your EF (ejection fraction) is 76 %, which is good. But, you have a heart valve problem. You follow-up with your cardiologist, and repeat echocardiogram as suggested by him... Read Full »
Are mildly dilated aortic root and ascending aorta life-threatening?
Query: Hi doctor, I am 33 years old male and had a 2D echo of the heart done. I am just anxious about how bad these results are. How much in the danger zone am I? I have decided to make lifestyle changes upon getting these results but, I am worried I have gone too far. What does ejection fraction mildly r... Read Full »
Answer: Hi, Welcome to icliniq.com. A mildly dilated aorta is usually of no concern unless family history is positive for dilated aorta, aortic aneurysm, or aortic dissection. The ejection fraction is mid-range. Should find the cause for it. Do you have a family history of cardiac issues? Do you have dia... Read Full »