Suggest treatment for rheumatic heart disease
Patient: I have rheumatic heart disease with complications of an enlarged left atrum and atrial flutter/a fib is it safe for me to be doing heavy lifting and working 12 hour shifts,lately have been breaking out into sweats out of the blue and experienceing  brief shortness of breath. Doctor: Hello!Thank you for asking on HCM!Regarding your concern, I would explain that you are not allowed to perform straining physical activity as this may exacerbate your cardiac conditions. I would recommend performing a cardiac ultrasound in order to examine better your cardiac function and structure. You may need to optimize your actual therapy. I would also recommend considering anticoagulation therapy with warfarin as you are at an increased risk for future stroke events. Hope you will find this answer helpful!Best wishes, Dr. Iliri