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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can cardiomegaly and pulmonary venous hypertension occur as a result of a major car accident?

Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 1839 Questions

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Posted on Fri, 12 Oct 2018 in Hypertension and Heart Disease
Question: Hi .... on July 1st of this past year I was in a very bad car accident. I was very much out of it... Myself and a young man working with me was T-Boned ... He was killed, as the hit was on the passenger side. We were in my 1 ton pickup and was hit by another pickup pulling a trailer. We rolled 2 times and had to be extricated. I had multiple right rib fractures, large bleed on my left leg, concussion..
A few weeks ago I asked for my medical records to be sent to me from this hospital in a small town. I was surprised to see that I had a diagnosis of Cardiomegaly and pulmonary venous hypertension. Also a Hiatal hernia behind the heart. .... What does all of this mean??????? Needless to say I will never go back to that hospital or that so called Dr. PLEASE GIVE ME SOME INSIGHT.
I did have a Nurse Practitioner just a week ago, order an EKG which came back and it showed "Sinus Rhythm, Nonspecific ST Abnormalities..... ????? what is that??? The NP is out and still has not gotten back with me....
doctor
Answered by Dr. Bhanu Partap 20 minutes later
Brief Answer:

Need some information

Detailed Answer:

Hello,

After going through the medical details provided by you I understand your concern for your health and I would like to tell you that before commenting upon anything I would like to know a few things

1. Did you have any diagnosed medical issue before an accident like hypertension or diabetes or any cardiac disease?

2. Is there any family history of cardiac disease in your parent's side like your mother or father or sister or brother?

3. Kindly upload your ECG and echo reports for me to review them.

Kindly revert back with required information.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhanu Partap 1 hour later
Thank you for your attention
No I was not diagnosed with any medical issues before.
No to mother or father or family members
I don't have echo report but do have ecg.

Dr. I would really like to know what all of these things mean... What's the definitions of these diagnosis. And can they be improved by changes in diet and exercise. You should know I am 5ft. 6.5" tall and now weigh 200 lbs. I have been under a high amount of stress the last 3 years due to my sisters health and her extreme need of my care, ... my work load, and this accident. I am facing a court trial and fight to prove my innocents of the charges brought to me. ... I don't drink or smoke but I have not been very active as far as working out or walking with very little cardio exercise.
I have started on a weight loss program and a much healthier way of eating. Can my life style changes change this condition..... what ever it is....???????
Thank you
doctor
Answered by Dr. Bhanu Partap 25 minutes later
Brief Answer:

Non-specific ST T changes

Detailed Answer:

Hello,

I have reviewed your both ECG images and I can see there are some non-specific ST T changes.

By non-specific, it means that these changes don't specifically point us towards any specific cardio problem and are seen commonly in females.

Now if the patient doesn't have symptoms like chest pain or heaviness or breathing difficulty or sweating or dizziness on exertion these changes can be safely overlooked.

However, if the patient complains of any such symptoms further evaluation should be done in the form of Echo or stress test like TMT.

Regarding cardiomegaly (heart enlargement), I can't comment upon that as without echo it's not possible to tell whether the heart is enlarged or not.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhanu Partap 12 minutes later
Thank you Dr.
As to my other questions. Can this be improved upon by loosing weight to a better weight???? What should my weight be? And what foods should I eat and stay away from???? And how about exercise?????

Also .... I hope to be getting an echo done on Tuesday but an appointment with a Cardiologist is a week out after that. I haven't even met him.....
Can I you the report of the echo? Will you evaluate it for me PLEASE???
Thank you Dr.
And kind regards to you as well.

Dora
doctor
Answered by Dr. Bhanu Partap 9 minutes later
Brief Answer:

Hello Again

Detailed Answer:

Hello,

1. To tell you your ideal weight I need to know your height first.

2. Having an ideal body weight i always beneficial and prevent many disease processes.

3. Include fresh fruits and vegetables in your daily diet, eat small and frequent meals, avoid fried or canned foodstuff, reduce the amount of salt intake in your diet, fewer sugars, no smoking at all, cut down caffeine-containing drinks like coffee.

4. Start daily morning walks for at least 30 mins a day for 5 days a week and some aerobics during other two days.

Sure Ma'am it will be a pleasure to help you out and to relieve your worries. In future quires if you want my opinion just mention my name in your question and i will answer that.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Bhanu Partap 49 minutes later
Thank you again Dr. XXXXXXX Partap

My Height is 5 ft. 6.5". I did mention it earlier. I would really like your opinion on an ideal weight to be.

Thank you
Dora
doctor
Answered by Dr. Bhanu Partap 7 minutes later
Brief Answer:

Apologies on that.

Detailed Answer:

Hello,

My apology i missed on that.

The recommended body weight for your height is 140 - 160 lbs. So yes you need to work on your weight and reduce a couple of pounds.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Bhanu Partap 32 minutes later
Thank you Dr.

You are very kind

Dora
doctor
Answered by Dr. Bhanu Partap 3 minutes later
Brief Answer:

Pleasure is all mine

Detailed Answer:

Hello,

It's been a wonderful experience talking to you. Am always there in case you need any opinion. Just mention my name in your future queries.

Kindly close the discussion and rate the answer.

Hope I have answered your query.

Take care

Regards,
Dr Bhanu Partap, Cardiologist
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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