Patient's Query
Hi doctor,
I am very concerned about my grandmother. She has recently been diagnosed with acute myocardial infarction. Nearly one month back, she had severe chest pain and shortness of breath, and we took her to the hospital. Her ECG (electrocardiogram) showed acute myocardial infarction, and her chest X-ray revealed cardiomegaly. Due to financial conditions, we could not admit her to the hospital, so she was discharged with Metoprolol XL 25 mg. We used the medication for about ten days, and again, she had severe heart pain and shortness of breath. We took her to a government hospital where a nebulization was given, and again, she was discharged by the doctors. After that, she was okay for the next four days, but the next day she became unconscious suddenly with tongue bites. The next day she came into consciousness but could not move her limbs or talk properly. Now she is swallowing only liquids like milk and water and cannot swallow any food; if she does, she vomits immediately. She had a normal urine output but no fecal discharge. She has diabetes and hypertension. I want to know her present condition, whether she will survive or lead her life normally or be bedridden or paralyzed. Please help. Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern. But usually, in acute myocardial infarction, there is no cardiomegaly. However, cardiomegaly occurs in old heart failures. This can be because the heart has been diagnosed with troponins, increasing heart failure. In such STEMI (ST-elevation myocardial infarction), angioplasty is done immediately. But if she had a heart attack, only a tablet of Metoprolol (Metoprolol tartrate) 25 mg medicine will not work; three to four other medicines are required to treat her. Regarding the current issue, she may have had a stroke because she cannot move her limbs. For such cases, CT (computerized tomography) scans are done. And please share the ECG (electrocardiogram), CT scan, other laboratory reports, and the medicine she is taking so I can guide you accordingly. Thank you.
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Answered byDr. Muhammad Zohaib Siddiq
Medically reviewed byDr. K. Shobana
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