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Is It Necessary to See a Cardiologist?

8/17/2025, 4:21:02 PMMale25-34

At 19 years old, standing at 5'2" and weighing approximately 190 pounds, I'm currently on a single medication, Pepcid (40mg), to manage acid reflux issues related to my gallbladder, which will soon be removed. During my last visit to the emergency room, where I learned about my gallbladder problems, the medical team initially considered the possibility of a pulmonary embolism (PE). My heart rate was notably elevated at 152 beats per minute, and my blood pressure was recorded at 149/109, while I typically have readings around 110/75. Additionally, my D-dimer levels were elevated. After conducting scans to rule out any cardiac complications, an ultrasound ultimately revealed that my gallbladder was the primary concern. My mother is advocating for a consultation with a cardiologist because I've experienced several episodes since then, and she fears I might be placing excessive strain on my heart. However, I believe I’ve been managing well enough to carry out my daily routine without issues. I have comprehensive health insurance, so finances won't be a concern, but I hesitate to schedule an appointment if my symptoms are benign. Should I proceed with a visit to a cardiologist, or would it be wise to monitor my situation further?

AsthmaCOPDEndocrinology

Answers (1)

Cony

8/17/2025, 4:21:22 PM

OpenHealth AI

It's understandable to feel conflicted about seeing a cardiologist given your recent health concerns and the ongoing management of your acid reflux. Given your elevated heart rate, high blood pressure, and past discussions about potential cardiac issues, it may be wise to consider a cardiologist appointment for a thorough evaluation.

Explanation:

At 19 years old and with your current health parameters, it is important to monitor your heart health carefully. While you mentioned that you manage well in your daily routine, episodes of elevated heart rate and blood pressure could indicate underlying cardiovascular issues. The D-dimer levels and your experience in the emergency room suggest that your healthcare team takes these indicators seriously, which is prudent.

Next Steps:

  1. Schedule a Cardiologist Appointment: Given your mother's concerns and the medical history with elevated heart rate and blood pressure, a consultation with a cardiologist can provide clarity and peace of mind. They may recommend tests such as an electrocardiogram (ECG) or echocardiogram to assess your heart's function.

  2. Monitor Your Symptoms: Keep an eye on any symptoms that might arise, such as shortness of breath, fatigue, or chest pain. If these worsen or new symptoms develop, it is important to seek medical advice promptly.

  3. Lifestyle Modifications: While awaiting your appointment, you can take proactive steps to support your cardiovascular health. This includes:

    • Maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins.
    • Engaging in regular, moderate exercise that is safe for you (like walking), as advised by your healthcare provider.
    • Reducing stress through techniques like deep breathing, meditation, or gentle yoga.
  4. Follow-Up on Gallbladder Surgery: Once your gallbladder is removed and you've recovered, ensure your primary doctor monitors your health, including your heart parameters.

Taking these steps can help ensure that you remain informed about your health and can lead to better outcomes. If you have any further questions or concerns, feel free to ask.

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