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Is difficulty in breathing a sign of a heart condition?

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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

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.

Answered byDr. Talapatra Ritendra Nath

Medically reviewed byDr. K. Shobana

Published At March 12, 2018
Reviewed AtOctober 25, 2024

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

Dr. Talapatra Ritendra Nath
Dr. Talapatra Ritendra Nath

Cardiology

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