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Is difficulty in breathing a sign of a heart condition?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am taking medication for my heart condition, but I am now experiencing difficulty in breathing. Therefore, I have decided to see a cardiologist. Here are the findings: The study was conducted using standard transthoracic 2D echocardiographic views. The left ventricular internal diameter is normal, with a left ventricular mass index (LVMI) of 93.9 g/m² and a relative wall thickness (RWT) of 0.53. There is normal wall motion and contractility, with normal left ventricular systolic function and an ejection fraction of 59% by Simpson's method. The left atrial anteroposterior diameter is normal, with a left atrial volume index of 20.60 mL/m² and no signs of thrombosis. The right ventricular dimensions are normal, with adequate contractility. The right atrium, main pulmonary artery, and aortic root dimensions are also normal. The aortic, mitral, tricuspid, and pulmonic valves are structurally normal and show no restriction of valve opening. There is no pericardial effusion. The ECG results indicate sinus tachycardia.

I hope you can help me. Thank you.

Answered by Dr. Talapatra Ritendra Nath

Education:

MBBS

Professional Bio:

Dr. Talapatra Ritendra Nath is a Cardiologist with 15 years of clinical experience. He pursues his MBBS from Calcutta University and DNB in General Medicine at the National Board of Examinations. He deals with disorders of the heart such as congenital heart defects, coronary artery disease, heart failure, and valvular heart disease. Currently, he is working in Charnock Hospital, Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

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. You also report feeling breathless despite being on ARB (angiotensin II receptor blockers) medications.

My recommendations are as follows:

  1. Follow a salt-restricted diet.

Take the following medications:

  1. Tablet Telmisartan 80 mg: one tablet at 8 AM
  2. Tablet Chlorthalidone 12.5 mg: one tablet at 8 AM
  3. Tablet Metoprolol XL 50 mg: one tablet at 8 PM
  4. Tablet Rosuvastatin 20 mg: one tablet at 10 PM

Please consult your specialist doctor to discuss these recommendations and start taking the medications with their consent.

I hope this information is helpful. Thank you.

Medically reviewed by Dr. K. Shobana
Published At March 12, 2018
Reviewed At October 25, 2024

Education:

MBBS

Professional Bio:

Dr. Talapatra Ritendra Nath is a Cardiologist with 15 years of clinical experience. He pursues his MBBS from Calcutta University and DNB in General Medicine at the National Board of Examinations. He deals with disorders of the heart such as congenital heart defects, coronary artery disease, heart failure, and valvular heart disease. Currently, he is working in Charnock Hospital, Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Talapatra Ritendra Nath is a Cardiologist with 15 years of clinical experience. He pursues his MBBS from Calcutta University and DNB in General Medicine at the National Board of Examinations. He deals with disorders of the heart such as congenital heart defects, coronary artery disease, heart failure, and valvular heart disease. Currently, he is working in Charnock Hospital, Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

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