Question 1

I've just turned 39 and I'm a bit concerned about some results from a pre-employment medical test I took. My blood pressure came out as 110 over 70, which I think is okay but I'm not sure. My total cholesterol is at 225, should I be worried about that? Also, the ECG report mentioned sinus bradycardia and I don't really know what that means. Is this something I should be concerned about?

Accepted Answer

You have a blood pressure of 11070, total cholesterol of 225, and sinus bradycardia on your ECG report. For your blood pressure of 11070, it falls within the normal range. A total cholesterol level of 225 is slightly above the recommended level of less than 200. You may consider lifestyle changes such as a healthy diet, regular exercise, and possibly medication like atorvastatin to lower your cholesterol levels. Sinus bradycardia is a condition where your heart rate is slower than normal. If you are not experiencing any symptoms such as dizziness, fatigue, or fainting, it may not be a cause for concern. However, if you have symptoms, you may need further evaluation by a cardiologist. Overall, it would be advisable to follow up with your healthcare provider for a more personalized assessment and management plan.

Question 2

I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicines I might need to help me eventually get a stress normal result. Could you give me some advice on this?

Accepted Answer

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease.

_Causes_

1. Kidney damage (nephropathy)
2. Diabetic nephropathy
3. Hypertension
4. Kidney stones
5. Urinary tract infection

_Treatment_

1. _Consult a nephrologist_: Schedule an appointment with a kidney specialist.
2. _Underlying cause treatment_: Address the underlying condition causing proteinuria.
3. _Medications_:
    - ACE inhibitors or ARBs to reduce proteinuria and blood pressure.
    - Diuretics to manage edema and blood pressure.
4. _Lifestyle modifications_:
    - Monitor and control blood pressure.
    - Manage blood sugar levels (if diabetic).
    - Reduce protein intake.
    - Increase fluid intake.
    - Exercise regularly.
    - Quit smoking.

_Follow-up tests_

1. Repeat urine tests to monitor proteinuria.
2. Blood tests to evaluate kidney function (eGFR, creatinine).
3. Imaging tests (ultrasound, CT scan) to assess kidney damage.

Question 3

I'm really worried because a couple of months ago, I had some chest pain and when they did an ECG, it showed slight ST elevation in V3 and V4. The cardiologist I saw said it wasnt heart-related, but just to be sure, he had me do a TMT, and that turned out negative. Now, I had chest pain again and went to the hospital. They did another ECG that showed sinus rhythm with sinus arrhythmia and ST elevation, possibly early repolarization with normally inflected T wave, and called it a borderline ECG. Should I be concerned about something serious going on here?

Accepted Answer

"Based on your description, it seems like you are experiencing chest pain with some concerning ECG findings. The ST elevation in V3 and V4 from the previous ECG, along with the ST elevation and early repolarization in the recent ECG, can be worrisome. However, since your cardiologist has already ruled out any significant heart issues with a negative TMT, it is less likely to be related to your heart. The presence of sinus rhythm with sinus arrhythmia indicates normal heart rhythm variation, which is usually not concerning. Early repolarization with borderline ECG findings can sometimes be a normal variant in young, healthy individuals. To address your chest pain and ECG findings, your doctor may consider monitoring your symptoms, lifestyle modifications, and possibly medication. In case of persistent or worsening symptoms, further evaluation or consultation with a cardiologist may be necessary. For symptomatic relief of chest pain, you can consider taking over-the-counter pain relievers like acetaminophen. However, it is important to follow up with your healthcare provider for a proper evaluation and management plan."

I sometimes get this pinching sensation in my chest and it's not on one particular side. I'm 28, keep myself pretty fit, and play football regularly. Should I be worried about this, or could it just be something else?

ecg and cardiac markers are advised..

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