Question 1

I'm really worried after getting my recent heart test results. It mentioned ischemic heart disease and moderate LV systolic dysfunction with an LVEF of 44. There was also something about RWMA being present and hypokinesia in the LCX territory. What does all that really mean for my heart health? How serious is this, and what should I be doing next?

Accepted Answer

Ischemic heart disease with moderate LV systolic dysfunction, LVEF 44%, and RWMA present along with hypokinesia seen in the LCX territory can be managed with medications such as: - Aspirin 75-150mg daily - Clopidogrel 75mg daily - Beta-blockers like Metoprolol 25-50mg twice daily - ACE Inhibitors like Lisinopril 2.5-5mg daily - Statins like Atorvastatin 20-40mg daily These medications can help improve heart function and reduce the risk of further complications.

Question 2

I'm a bit concerned after my recent doctor visit. I had some left shoulder pain and my hands felt a bit numb after traveling, so I went to get checked out. The doctor had me do an ECG and mentioned that the QRS interval was 119ms, along with some other abnormalities, then suggested an echo just to be sure. The echo results seemed alright, showing no PAH or RWAH, and my LV systolic and diastolic function looks fine with an EF of 68. They didn't find any clots or vegetation, and the doctor said my echo is fine, but I'm still worried about the QRS interval on my ECG. Should I be looking deeper into this, or is it nothing too concerning?

Accepted Answer

The ECG report showing a QRS interval of 119ms may indicate a slight delay in the electrical conduction through the heart's lower chambers. This could be due to various reasons such as conduction abnormalities or certain heart conditions. However, since your screening echo came back normal with no significant findings, it is less likely to be a cause for concern. To alleviate your left shoulder pain and numbness in hands, you can take over-the-counter painkillers such as ibuprofen (e.g., Advil) at a dose of 400mg every 4-6 hours as needed for pain relief. Additionally, you can also consider using topical pain relief creams such as diclofenac gel for localized relief. It is always advisable to follow up with your doctor for further evaluation and management based on your individual health condition.

Question 3

I'm a bit confused about the difference between a 2D echo and a stress 2D echo. Can you explain how they're different and in what situations each one might be used? Also, I've heard about coronary angiography but I'm not quite clear on what it is and why someone would need to have it done. I'm feeling a little anxious about all these procedures and would appreciate some clarity.

Accepted Answer

- 2D Echo (Echocardiogram): A non-invasive ultrasound test that captures images of the heart's structure and function at rest, helping diagnose conditions like valve problems or heart failure.
- Stress 2D Echo (Stress Echocardiogram): A test that combines

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