chest pain relieved by alpha blocker

[ill13632]

I've been having chest pain on the left side relieved by this alpha blocker tamulosin.  my R axis is really high 119 degrees and all the other axes are high on EKG with enlarged right atrium/ventricle

isn't enlargement mean permanent damage to my heart?  do I have some fibrosis as a result?

thanks!

[ill13632]

nauseous and vomitting after weird tracheotomy, my legs feel like cement blocks when I try to walk fast... I really need an xray catheterization to be sure?  

[CCFHeartMD24]

The right axis does not definitely mean an enlarged right atrium/ventricle; there are many reasons for a right axis, including normal variants (such as a heart that sits in the chest cavity at a different rotation than most people). An echocardiogram would help elucidate the cause further.

Fibrosis is something that cannot generally be determined by EKG or electrocardiogram.

[ill13632]

I just have this poking chest pain in the left side relieved by tamsulosin.  does the r axis mean definitely I have enlarged right atrium or ventricle?  so I could have some fibrosis?  I wish this pain and prostate infection would just die

I've begun to distrust test ranges, I think I may have some hypertension and the ranges are off.  

[CCFHeartMD24]

It's unusual that tamsulosin should relieve your chest pain. While tamsulosin is used primarily as a prostate medication, it can also lower blood pressure in some individuals. This may be a sign that your blood pressure is high (which may lead to chest pain in some), which is then being reduced by the tamsulosin.

Enlargement can occur due to a number of reasons. Right atrium and ventricle enlargement can sometimes happen in the setting of underlying pulmonary disease, or severe disease of the left side of the heart.

You should discuss the chest pain further with your internist and/or cardiologist. You should also discuss with them whether further work-up of the enlarged heart heart is necessary (ie with an echocardiogram). An ace-inhibitor is beneficial in a subset of patients with weak hearts (and works to reduce blood pressure).

[ill13632]

I really need to be on lisinopril or an ace inhibitor?  I take 325mg of aspirin