INHAVE DONE ECHO IN WHOCH AML PROLAPSEDWITH TRACE TR MR - #11694
I HAVE DONE MY 2D ECHO IN WHICH RESULT IS AML PROLAPSED & TRACE TR AND MR NOW I HAVE A SYMPTOM SUCH AS CHEST PAIN ,WITH SWEATING EXCESS AND SHORTNESS OF BREATH I HAVE ALSO DONE TROPONIN I TEST THAT RESULTIS 0.10
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Doctors’ responses
Hi Mr Yash, You need not worry about the aml tear or mild tr and mr. But you getting symptoms of chest pain, sweating and positive troponins is worrisome. Since we don’t have your medical history or examinations making a decision is difficult in this situation over here. The best advice you may have is if you have these symptoms get to a cardiologist ASAP. I see that he told you not to worry so in that case I can speculate that the troponins may rise due to many other conditions such as pericarditis. Which is not an immediate life threatening condition and may have vague chest pain and sweating might be an additional symptom. If you got 2d echo cardiac Toponins then you sure would have taken an ECG and that might have been atypical of MI ( heart attack) so I might rule that out. The take home message from this is you need not worry about that right now as your cardiologist has given you a green flag. You may get a second opinion from another cardiologist for your confirmation but remember if similar symptoms develop in future you don’t wait to get to a hospital as pericarditis and MI have similarity between the symptoms that a common person is unable to differentiate. I think this may be helpful.
Your echo findings (trace MR/TR) are mild and not usually dangerous, but your symptoms + raised troponin suggest possible heart attack or ischemia. You need urgent cardiology evaluation / ER visit – do not delay. Start cardioprotective medications only under supervision.
Hello Mr. Yash,
Your troponin is positive. And keeping in mind your symptoms with a positive troponin, you need to see a cardiologist, he probably will admit you for further investigations, observation and management. Kindly do not waste time and consult.
Regards,
Dr. Nirav Jain MBBS, DNB D.Fam.Med
Hello dear See as per clinical history it seems mitral prolapse along with tricuspid regurgitation Even troponin value is very high making diagnosis towards valve issues and indirectly heart failure. Iam suggesting some additional tests. Please get them done and share results with cardiologist in person for better clarification LDH Echo Angiogram Cpk mm Tests are must. Hopefully you recover soon Regards
Sir is this any tensions
Hello dear Yes it will affect the heart efficiency. Usually the symptoms take time but may cause complications like stroke or even heart failure. So please donot delay the treatment options and get consultation with cardiologist Regards
But I have seen cardiologist he tell nothing to worry all is ok
Saying no problem in the heart why
Saying that this chest pain is muscular pain
Hello sir Serum troponin is a marker for inflammatory heart condition I suggesting the seriousness accordingly to the findings you have shared Mitral valve and tricuspid valve defect are not related with muscular pain. Kindly do confirm or repeat theses tests
Your 2D echo results indicating anterior mitral leaflet (AML) prolapse, trace tricuspid regurgitation (TR), and mitral regurgitation (MR), along with your symptoms, deserve careful attention. While trace TR and MR might not be significant on their own, mitral valve prolapse could be related to your symptoms. The chest pain, sweating, and shortness of breath you’re experiencing, coupled with the elevated troponin I level of 0.10, may also suggest cardiac involvement, potentially indicating acute coronary syndrome. It’s crucial to seek urgent medical attention as these symptoms and test results can be indicative of a condition requiring immediate intervention. Contact your healthcare provider or visit the nearest emergency department so that appropriate tests can be conducted to rule out myocardial infarction or other serious causes, and proper treatment can be initiated. In the hospital, you might undergo further testing like an ECG, stress tests, or even coronary angiography, depending on the initial findings. If myocardial infarction is ruled out, the focus will shift to managing mitral valve prolapse and associated symptoms. Treatment may involve medications such as beta-blockers to relieve symptoms or, in some cases, surgical options if valve dysfunction is severe. Meanwhile, stay calm and avoid exertion. Don’t self-medicate as specific treatments need to be prescribed based on a full assessment by specialists.
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