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Has problems on the right side of heart. What could be the cause?

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If someone has problems on the right side of heart where is the injury?
Posted Tue, 2 Jul 2013 in Hypertension and Heart Disease
Answered by Dr. Luchuo Engelbert Bain 2 days later
Hi and thanks for the query,

A problem in the right side of the heart could come from various areas of the heart. It might be necessary some how to have an idea about the heart. It is a chamber that pumps blood to the body. It is divided mainly into the right and left sides. The right side specifically receives deoxygenated blood from the rest of the body and pumps it to the lungs for purification (for carbondioxide to be removed and oxygen added to it).

The heart in the right as in the left is divided into three layers: The external layer called the pericardium, the middle thick muscle layer called the myodardium and the XXXXXXX layer, containing the heart valves called the endocardium. Problems with the external layer (pericarditis), the middle muscle layer (myocardium) and the XXXXXXX layer (endocardium and heart valves) could all lead to specific manifestations of heart disease.

Knowing specifically where the problem is from shall depend on a physical examination, usually with the aid of the stethoscope to listen to the heart sounds and murmurs, an electrocardiogramme to ascertain the electrical activity occuring in the heart and a cardiac ultrasound, to detect the sizes, blood flow, heart valve and heart wall integrity. Heart enzymes likeblood oxygen and carbondioxide saturation, Creatinine kinase, Tropinine and Myosine could be measured at times in case of suspected infarction or angina.
All these parameters are taken into consideration before diagnosing precisely what a particular heart problem is. Infections, malformations, intoxications, autoimmune disease, tumors, could all cause heart disease.

I strongly suggest you consult a cardiologist for a proper clinical review and relevant laboratory or paraclinical testing for appropriate diagnosis and management.

Thanks and hope this helps, as I wish you good health.

Best regards, Bain LE, MD.
Above answer was peer-reviewed by
Follow-up: Has problems on the right side of heart. What could be the cause? 17 minutes later
I am trying to talk to him,
he says his left shoulder hurts.
Answered by Dr. Luchuo Engelbert Bain 16 minutes later
Hi and thanks for the query,

It is very common to have referred pain from cardiac origin that is manifested by shoulder pain. Commonest cardiac diseases implicated in this are pericarditis, angina pectoris, both stable, unstable and printzmetal. In some cases, myocardial infarction could be implicated.

My suggestion is actually meeting a cardiologist for a review. In case the pain is too intense, taking him to the emergency room for an emergency electrocardiogramme and cardiac ultrasound with a chest X XXXXXXX would be sufficient to rule out a serious disease and put him on early and appropriate treatment.

If he can bear the pain or in case it is mild, book an appointment and XXXXXXX a cardiologist.

Thanks and hope this helps, best regards.

Bain LE, MD.
Above answer was peer-reviewed by
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