- female
- 35 Years
- 29/01/2025
Hey there, so my wife had some trouble breathing last Sunday night. We managed to see a doctor by Tuesday, and after doing an ECG, we found out theres this change called ischemia. The doctor said it's not serious and not to worry, and we even did an echo which turned out normal. But they still prescribed ecosprin tabs, and now I'm a bit confused. Is this something I should be really worried about, or can I take it easy since the doc said it's normal? Could this become a serious issue down the line? Is it one of those things that just come and go, or might it stick around for life? She's only 35, and we have no family history of heart problems, so what's up with this? What should we do to make sure her heart stays healthy?
Answered by 1 Apollo Doctors
- The doctor's assessment that the ischemia shown on the ECG is not serious and normal is reassuring. Ecosprin (Aspirin) is commonly prescribed to prevent blood clots and reduce the risk of heart attack and stroke. It is important to follow the doctor's advice and continue taking the medication as prescribed. 2. As per the current evaluation and prescription of ecosprin, the likelihood of serious issues later should be reduced. However, it is essential to follow up with regular check-ups and adhere to any further recommendations from the doctor. 3. Ischemia can be a temporary or chronic condition depending on the underlying cause. In this case, since the echo was normal and the doctor reassured that everything is okay, it may not necessarily be a lifetime disease. However, ongoing monitoring and lifestyle modifications may be necessary. 4. The presence of ischemia at the age of 35 without a family history of cardiac issues raises the importance of evaluating other risk factors such as smoking, high blood pressure, diabetes, high cholesterol, obesity, and physical inactivity. These factors can contribute to the development of heart conditions at a younger age. 5. Since there is no known cardiac history in the family, it is crucial to focus on lifestyle modifications such as maintaining a healthy diet, regular exercise, avoiding smoking, managing stress, and attending follow-up appointments with the doctor for monitoring. 6. Precautions that can be taken include following a heart-healthy diet low in saturated fats and cholesterol, engaging in regular physical activity, maintaining a healthy weight, managing stress levels, avoiding smoking and excessive alcohol consumption,
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Understanding Ischemia and Its Implications
- Ischemia indicates reduced blood flow to the heart, which can be concerning even with a normal echocardiogram.
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Why a Normal Echocardiogram Does Not Rule Out Ischemia
- ECG can detect ischemia through electrical changes, while an echo assesses heart structure and function.
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Potential Risks and Long-Term Outlook
- Ischemia can be temporary or indicate underlying issues. Regular monitoring and management are crucial.
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Role of Ecosprin (Aspirin) in Management
- Ecosprin is prescribed to reduce clot risk and protect the heart, even if the condition isn't immediately serious.
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Steps to Maintain Heart Health
- Lifestyle Modifications: a. Exercise regularly. b. Maintain a healthy diet. c. Manage stress.
- Regular Follow-Up: a. Consult a cardiologist. b. Consider further tests if needed.
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When to Seek Immediate Medical Attention
- Urgent care is needed for symptoms like worsening chest pain or breathlessness.
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Reassurance and Importance of Adherence
- Follow medical advice and medication to prevent progression and maintain heart health.
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Consult a Cardiologist
Answered 20/08/2025
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.




