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    Worried that I sound like a hypochondriac
    LilacOutMyWindow posted:
    I am very concerned with my declining health - I have been short of breath with exercise to the point that now walking up stairs to my bedroom takes some time, near to and eventually fully passing out, and recently had chest pain with nausea.

    Luckily, lung function tests came back great!

    An echocardiogram showed trivial right to left shunting through a PFO.

    Lots of ECGs have shown that a year ago the r axis was 83, and now -1 to -7. I also have new flattening and occasional inverting of t waves in several leads.

    A regadenoson stress test (they were afraid I'd pass out) produced chest pain, inverted t waves, and tachycardia. However the imaging showed no blockages, just dome size differences between my breasts, and a brief mention of "septal wall flattening, suggestive of pulmonary hypertension".

    Most recently, during severe chest pain, a computer read showed "incomplete right bundle branch block". But I was told there was no true bundle branch block to be concerned about.

    During this hospital stay Saturday, I was looking through my lab tests (I have access online) and noticed my chloride is consistently high out of bounds, and my CO low. I asked if that had any bearing on anything.

    Shortly after that and discussing the IRBBB, the drs decided I was merely anxious. I was given zofran and Ativan. While the Ativan is helping me sleep, the chest discomfort is still present. I am to follow up with my GP and cardiologist.

    I am concerned that something is being overlooked because I am a 36 year old obese female who is otherwise healthy, but I have been mentally unstable in the past (well controlled with medications for years now).

    I fear that the more involved I try to be in my health care, the more I pay attention, the more questions I ask, the more I am seen as merely anxious. P

    I am hoping to learn how to talk with my care team in a way that we can work together, instead of this antagonism that seems yo have cropped up.
    ElizabethinLA responded:
    I think you are doing the right thing being involved in your own health care. It isn't unusual to find things that you think might be wrong just because you study more. It happens to medical students all the time! Its normal- and you wouldn't want to be less informed, anyway.

    I felt the same way and actually took advantage of some online resources for lab tests, just because I wanted to know for sure and didn't want to "bother" others about it. I'm glad I did, because I found out that my test results were within normal limits. I was anxious for no reason. I went to

    I know it doesn't always work out that way for others, but having more info is empowering! Your health care professionals work for you, and they should be happy that you are involved in thinking about the information you have!

    Good Luck!
    Anon_401 responded:
    Testing 1 2 3
    cardiostarusa1 responded:

    "I am very concerned with my declining health - I have been short of breath with exercise to the point that now......"

    "An echocardiogram showed trivial right to left shunting through a PFO."

    "I am concerned that something is being overlooked......"

    What about a stress-echocardiogram, as this may/can reveal problems (such as in the heart chambers or valves) only when the heart is put under a load, and of course, compare the difference in heart function (includes wall motion) at rest and stress.

    Lose weight sensibly and keep ALL other known modifiable risk factors for cardiovascular disease closely in-check.

    Best of luck down the road of life. Live long and prosper.

    Take care,


    WebMD member (since 8/99)



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    Heart Disease TYPES

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    Heart Disease

    Heart disease is a broad term used to describe a range of diseases that affects your heart and sometimes the blood vessels......


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    Heart info, cardiac tests i(commonly performed, mainstream types) nfo, diagnostic images

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    Heart-Healthy Foods

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    AVOID foods high in saturated fat and cholesterol. CHOOSE skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. LIMIT servings to five to seven ounces a day. TRIM visible fat. Limit egg yolks. SUBSTITUTE two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. USE LESS salt and fat. SEASON WITH herbs and spices rather than with sauces, gravies and butter

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    Good to know, for the primary and secondary prevention of heart attack and brain attack

    Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary, and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (considered as being the highest risk factor), smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).



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    "Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who and ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

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