290386?1193630481
Mukesh Garg, MD  
Male
Kansas City, MO

Specialties: Cardiology, Internal Medicine

Truman Medical Center
816-404-7000
7900 Lee's Summit Road
Kansas City, MO
My Posts
Ask your cardiologist about monitoring with an event recorder to try and capture the heart rhythm during an episode to help decide the nature of the problem
Shunts can be intermittent at times and are best evaluated by using various manuovers to change intracardiac pressures (like Valsalva) during TEE with bubble study
If the leads are OK only the generator (Battery under the skin) needs to be replaced and is not very invasive
Bubbles seen in the left side of the heart after the 5th cardiac cycle can be from the natural passage of blood through the lung blood vessels and may not represent a residual shunt
It is reassuring that all your heart tests are normal. A non heart related cause for your symptoms seems more likely
An enlarged heart may be suggestive of poor heart function which can lead to Congestive Heart failure. An Echocardiogram would help to evaluate this
The mitral regurgitation should be closely followed with regular check up with a cardiologist and echocardiograms as needed to determine if surgery is ever needed for the leaking mitral valve
It is hard to say what exactly happened but a heart attack or abnormal heart rhythm seem more likely than internal bleeding
All drugs including Erythromycin have some side effects, particularly interaction with other drugs metabolized through the same pathway. Have your pharmacist and physician review all your medications for possible interactions
Norvasc is Amlodipine (a calcium channel blocker) and does not include a diuretic