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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Concerned For The Enlargement Of Heart Having A History Of Heart Valve Problem?

If a patient has a history of a heart valve problem and an X-ray showed an enlarged heart why would they be released from the ER ? Shouldn't a cardiologist be called in? And could medication that caused a drop in b/p of 200/110 to 94/78 within 30 mins. Cause suspicion that something is going wrong with the heart?
posted on Fri, 14 Mar 2014
Twitter Tue, 15 Apr 2014 Answered on
Twitter Tue, 15 Apr 2014 Last reviewed on
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Cardiologist,  's  Response
Dear Sir/ Madam
Thanks for writing to us.
Yes, If there is a history of valvular heart disease and x-ray shows heart enlargement, a cardiac ultrasound or ECHO is indicated. But how emergent it is , will depend upon many factors. These include presentation, symptomatology and local practices.
Yes, this is a precipitous fall in blood pressure and should be looked into carefully for the cause of same. A heart condition, misuse of drugs, patient's individual response to drug or anxiety may be one of the culprits.
Sincerely
Sukhvinder
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Should I Be Concerned For The Enlargement Of Heart Having A History Of Heart Valve Problem?

Dear Sir/ Madam Thanks for writing to us. Yes, If there is a history of valvular heart disease and x-ray shows heart enlargement, a cardiac ultrasound or ECHO is indicated. But how emergent it is , will depend upon many factors. These include presentation, symptomatology and local practices. Yes, this is a precipitous fall in blood pressure and should be looked into carefully for the cause of same. A heart condition, misuse of drugs, patient s individual response to drug or anxiety may be one of the culprits. Sincerely Sukhvinder