Question 1

My dad is 59 and he's been having occasional chest pain, especially when he exercises. He had an echo cardiography and an ECG, and the reports say something about a regional wall motion abnormality with mild left ventricular systolic dysfunction. Can you explain what that means? What should we do next for treatment? Ive attached the reports.

Accepted Answer

Based on the reports of echo cardiography and ECG showing regional wall motion abnormality with mild left ventricular systolic dysfunction, it indicates that there is a problem with the contraction of the heart muscle in a specific region, leading to reduced pumping function of the left ventricle. The next steps for treatment may include medication to improve heart function and reduce the workload on the heart. A specialist consult will be required to assess and work out a suitable medication regimen. It is important to closely monitor his condition with regular follow-up visits and additional tests as advised by the cardiologist. Additionally, lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also important for overall heart health. If he experiences any worsening symptoms or new symptoms, such as increased chest pain, shortness of breath, or swelling, seek medical attention immediately. Regular follow-up with the cardiologist is essential to adjust the treatment plan as needed.

Question 2

I'm a bit worried about my ECG results from a recent preventive health checkup. It mentioned "T inversion in III and aVF" and I'm not sure what that means. My heart rate was 75 bpm, PR interval at 126 ms, and QRS duration at 112 ms. Then, there's the QT interval at 358 ms and QTC interval at 402 ms. The axis angles were noted as P Wave 27 degrees, QRS Wave 4 degrees, and T Wave 6 degrees. Could you please help me understand what all this means and if I should be concerned?

Accepted Answer

You have mentioned that you received an ECG impression showing T inversion in lead III and aVF. Your heart rate is 75 bpm, PR interval is 126 ms, QRS duration is 112 ms, QT interval is 358 ms, QTC interval is 402 ms, and the axis values for P wave, QRS wave, and T wave. Based on the information provided, you may need to consult a cardiologist for further evaluation and management.

Question 3

I'm really worried about something I came across in my medical report  it mentions 'abnormal BR wave progression.' Is this something serious or dangerous? What steps should I consider taking to address or monitor this?

Accepted Answer

Abnormal ECG findings like abnormal R wave progression can indicate underlying heart conditions. It is important to further evaluate the cause of this abnormality. Treatment may involve medications such as beta blockers like Metoprolol or calcium channel blockers like Amlodipine. Dosage and duration of treatment should be determined by a healthcare professional after a thorough evaluation. Regular follow-up with a cardiologist is recommended to monitor the condition.

Can hypertension be cured?

Hypertension cannot be cured but can be kept under control.

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I'm really worried about something I came across in my medical report it mentions 'abnormal BR wave progression.' Is this something serious or dangerous? What steps should I consider taking to address or monitor this?

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