Question 1

Is my EKG normal? Can you manually check the QTc levels because last time the machine got it wrong? Also, I'm confused about what non-specific ST depression means. From what I understand, ST depression is linked to a heart attack or ischemia. I've had ECGs before, but this is the first time I've seen this in the report. Could you help explain this?

Accepted Answer

Regarding the EKG, I cannot check the QTc levels manually through this platform. Non-specific ST depression on an EKG means that there are changes in the ST segment of the EKG that are not specifically indicative of a heart attack or ischemia. It can be caused by various factors such as electrolyte imbalances, medications, or even normal variation. If you have concerns about the findings on your EKG, it would be best to discuss them with your healthcare provider for further evaluation and interpretation.

Question 2

I'm really concerned about my blood pressure shooting up to 14090 all of a sudden. I've had high BP since I was 33, and now I'm 38. My weight is around 110 kg and I'm 5 feet 7 inches tall, so I know I'm quite obese. I stress out easily and can get pretty angry. There's been times I've broken stuff at home when my family doesnt listen to me. I had my heart checked by a cardiologist 1.5 years ago with an Echo and a TMT, and everything seemed fine, but my BP still spikes. I was initially prescribed Telma 40 mg, and now Im on Stamlo 5 mg daily. My heart rate jumps to 130 if I walk fast for just a kilometer. Is this normal? I'm also an asthma patient, and I find myself taking deep breaths a lot. Why do these sudden BP spikes and high heart rates happen to me?

Accepted Answer

Based on your description, it seems like you are experiencing episodes of sudden high blood pressure due to various factors such as obesity, stress, and possibly uncontrolled anger. The combination of these factors can contribute to spikes in blood pressure. It's good that you have been evaluated by a Cardiologist and have undergone tests to rule out any underlying heart issues. To help manage your blood pressure, you are currently taking Stamlo 5mg, which is a brand name for Amlodipine. This medication helps to relax the blood vessels, allowing blood to flow more easily and lowering blood pressure. In addition to this, it is important to make lifestyle changes such as maintaining a healthy weight, reducing stress through relaxation techniques or counseling, and addressing anger management. Regarding your heart rate reaching 130 beats per minute during physical activity, it can be considered normal for some individuals, especially if you are not used to regular exercise. However, since you are also an Asthma patient, it is important to monitor your heart rate during physical activity and consult with your healthcare provider if you experience any concerning symptoms. Overall, it is essential to continue taking your medication as prescribed, make necessary lifestyle modifications, and keep track of your blood pressure regularly. If you have any further concerns or if your symptoms persist, please consult with your healthcare provider for a personalized treatment plan.

Question 3

Is it a big issue if I have cardiac conduction defects like PVC and PVAs? My May 2d echo came back normal, but the ECG still shows PVCs. Should I be worried about this?

Accepted Answer

Having cardiac conduction defects such as PVCs (Premature Ventricular Contractions) and PVAs (Premature Atrial Contractions) can sometimes indicate an underlying heart issue. While PVCs and PVAs are common and can be benign in many cases, they can also be associated with certain heart conditions. Since your 2D echo is normal, it is a good sign that the structure of your heart is normal. However, the presence of PVCs on ECG warrants further evaluation to determine the underlying cause and assess the overall heart function. In terms of medication, if your PVCs are symptomatic or concerning, your doctor may prescribe antiarrhythmic medications such as Flecainide or Propafenone to help regulate your heart rhythm. The dosage and duration of treatment will depend on your individual case and should be determined by your healthcare provider. Regular follow-up with a cardiologist is important to monitor your heart health and make any necessary adjustments to your treatment plan.

Thats unusual,get your cholesterol checked and make changes in your lifestyle like food habits,sleep patter,weight,physical activity and follow your doctors advice

More Cardiology Health Queries

Is it a big issue if I have cardiac conduction defects like PVC and PVAs? My May 2d echo came back normal, but the ECG still shows PVCs. Should I be worried about this?

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