apollo
  • male
  • 25 Years
  • 20/02/2025

I'm 25 and recently had a pre-employment medical check-up where they did an ECG. The person doing the test said it was abnormal, but after doing it again, they mentioned it's not a big deal. I've never had any health issues or needed to see a doctor before, so I'm not sure how to feel about this. Is this something I should be worried about?

Doctor 1

Answered by 1 Apollo Doctors

Having an abnormal ECG at a young age like 25 can be concerning, but it doesn't always indicate a serious problem. It's important to follow up with a healthcare professional for further evaluation. In the meantime, you can consider taking low-dose aspirin (75-100mg) daily to help reduce the risk of any potential cardiovascular issues.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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  1. Initial Assessment
    a. If the repeat ECG was deemed not a big deal, it may indicate a benign variation.
    b. Consider any symptoms like chest pain, palpitations, or shortness of breath.

  2. Next Steps
    a. Schedule a follow-up with a healthcare provider for a detailed review.
    b. Discuss any family history of heart disease or personal lifestyle factors.

  3. Monitoring
    a. Maintain a healthy lifestyle: balanced diet, regular exercise, and avoid smoking.
    b. Monitor for any new symptoms and seek medical advice if they occur.

Answered 10/09/2025

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I'm trying to understand my echo report and I'm a bit concerned. It says my cardiac size is normal with some terms like Lvdd being 5.4 cm, La at 3.8 cm, and mild lvh. Then it mentions good lv systolic function and an EF range of 55 to 60. Plus, normal right systolic function and no abnormal wall motion. Should I be worried about anything here? Just looking for some clarity on what all this means for my heart health.

Your echo report indicates that you have Cardiac Hypertrophy with normal left ventricular size (LVDD 5.4 cm) and mild left ventricular hypertrophy (LVH). Your left atrium is also within normal size (LA 3.8 cm). The report shows good left ventricular systolic function with an ejection fraction (EF) of 55-60%. Additionally, your right ventricular systolic function is normal with no abnormal wall motion. Based on the information provided, you may consider medications such as: - ACE Inhibitors like Lisinopril 10mg once daily to help reduce the workload on the heart and manage blood pressure. - Beta-blockers like Metoprolol 25mg twice daily to help lower blood pressure and reduce the heart's workload. - Diuretics like Furosemide 40mg once daily to help reduce fluid buildup in the body and manage symptoms of heart failure. It is important to follow up with your healthcare provider for further evaluation and management.

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I'm really worried about my health. I've been dealing with chest discomfort, gastric issues, and health anxiety for the last two years. Last year, I went through several tests like ECG, echo, TMT, blood tests, and even checked troponin levels twice, but everything came back normal. I also had deficiencies in vitamin D and B12, for which I took injections and tablets. Now, for the past two weeks, I've been feeling that high gastric indigestion and chest discomfort again. Yesterday, I did another ECG, and it showed a slight ST depression in V5, but I was really anxious at the time. Could this be just anxiety, or is there something serious going on? I'm really concerned about this.

It's good to know that your previous cardiac tests and blood work have come back normal. Based on the symptoms you have described and the slight ST Depression in V5 on your recent ECG, it is important to consider both physical and psychological factors. The chest discomfort and gastric indigestion could be related to your anxiety, but it is also important to rule out any potential cardiac issues. I would recommend starting with a medication like omeprazole 20mg once daily for your gastric issues. Additionally, for anxiety, you can try taking a medication like escitalopram 10mg once daily. However, it is crucial to follow up with a cardiologist for a thorough evaluation and to discuss the ECG findings. They may recommend further tests or adjustments to your treatment plan. It's also important to continue managing your anxiety through relaxation techniques, regular exercise, and counseling support. Please continue to monitor your symptoms and seek medical attention if they worsen or if you experience any new concerning symptoms

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I was wondering if it's safe to reach maximum heart rate during running or other workouts, like getting up to 180 to 190 bpm. Is that okay, or should I be careful about something?

Exercising at a heart rate of 180 to 190 bpm can be safe for some individuals, especially those who are well-trained athletes. However, it is important to listen to your body and not push yourself too hard, especially if you are not used to exercising at such high intensities. It is recommended to gradually build up your exercise intensity to avoid any potential risks. If you are healthy and have no underlying heart conditions, reaching a heart rate of 180 to 190 bpm during exercise may be acceptable. Just make sure to stay hydrated, wear appropriate clothing, and stop exercising if you experience any unusual symptoms such as dizziness, chest pain, or shortness of breath. If you are looking to improve your cardiovascular fitness, you can consider using beta-blockers like Metoprolol at a low dose to help control your heart rate during exercise. It is important to consult with your doctor before starting any new medication regimen.

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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.