Question 1

I'm a bit confused about the results of my TMT test. I didn't feel any chest pain during the test, and it said negative for inducible Ischaemia. But then my doctor mentioned the test was mildly positive. Does this mean I need to consider getting an angiogram?

Accepted Answer

yes as a prognostic tool you may undergo angiogram as advised.

Question 2

I'm a bit worried about my recent ECG results that show IRBBB, but my 2D echo came back normal. I don't have any family history of heart disease, so I'm wondering if my heart's in good shape. Is it okay for me to hit the gym regularly? I already walk...

Accepted Answer

based on your description of having an Incomplete Right Bundle Branch Block (IRBBB) on ECG but a normal 2D echo and no family history of heart disease, it is likely that your heart is healthy and normal. IRBBB itself may not necessarily indicate a heart abnormality, especially if the 2D echo is normal. You can continue with your daily activities like walking more than 10K steps and 5 minutes of jogging. However, if you have any concerns or symptoms like chest pain, shortness of breath, or dizziness during exercise, it is advisable to consult a cardiologist for further evaluation. As a precautionary measure, you can consider taking low-dose aspirin (75-100mg) daily to reduce the risk of cardiovascular events.

Question 3

Ive been noticing some pain in my chest that moves to my left arm and its paired with shortness of breath. It usually happens after Ive had an emotional setback and tends to go away on its own after a while. What could be causing this? Is it somethin...

Accepted Answer

Based on your symptoms, it sounds like you may be experiencing episodes of angina. Angina is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. In your case, the pain may be triggered by emotional stress. I recommend you to take Nitroglycerin sublingual tablets as needed for chest pain. The usual dose is 0.3 to 0.6 mg every 5 minutes as necessary, up to 3 doses. If the pain persists after taking the medication, please seek immediate medical attention.

Question 4

I'm experiencing this weird upper left chest pain that's been going on for the last three days, it seems to come back every few months or weeks. Thankfully it's stopped now, but I'm worried because now my left hand thumb's base has started hurting fo...

Accepted Answer

An ecg and cardiac markers are advised.

Question 5

I'm a little worried about my mom. She's been taking 3mg of warfarin, but her PTINR test just showed 1.27. Since she has heart issues, should we think about upping her dose to 5mg?

Accepted Answer

An INR of 1.27 indicates that the patient's blood is not clotting as well as it should be on the current dose of warfarin. For a heart patient, the target INR range is usually higher. In this case, it would be advisable to increase the dose of warfarin. I recommend increasing the dose to 4mg and then rechecking the INR in a week to see if it falls within the target range. Regular monitoring and adjustment of the warfarin dose is important to ensure the patient's blood is clotting within the desired range.

Question 6

I've been dealing with persistent high triglycerides for the past 1.5 years, and my levels are usually around 180 or 190. No matter what I do with my diet or how much I exercise, nothing seems to help. What could be going on, and is there something e...

Accepted Answer

I am sorry to hear about your high triglyceride levels despite efforts with diet and exercise. In this case, you may benefit from medication to help lower your triglycerides. I recommend starting with a prescription of Fenofibrate (brand name Tricor) at a dosage of 145 mg daily. This medication can effectively lower triglyceride levels and reduce the risk of cardiovascular events. It is important to continue monitoring your levels regularly and follow up with your healthcare provider for further guidance.

I'm a bit confused about the results of my TMT test. I didn't feel any chest pain during the test, and it said negative for inducible Ischaemia. But then my doctor mentioned the test was mildly positive. Does this mean I need to consider getting an angiogram?

I'm a bit confused about the results of my TMT test. I didn't feel any chest pain during the test, and it said negative for inducible Ischaemia. But then my doctor mentioned the test was mildly positive. Does this mean I need to consider getting an angiogram?

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Related Questions

I'm a bit worried about my recent ECG results that show IRBBB, but my 2D echo came back normal. I don't have any family history of heart disease, so I'm wondering if my heart's in good shape. Is it okay for me to hit the gym regularly? I already walk...

Ive been noticing some pain in my chest that moves to my left arm and its paired with shortness of breath. It usually happens after Ive had an emotional setback and tends to go away on its own after a while. What could be causing this? Is it somethin...

I'm experiencing this weird upper left chest pain that's been going on for the last three days, it seems to come back every few months or weeks. Thankfully it's stopped now, but I'm worried because now my left hand thumb's base has started hurting fo...

I'm a little worried about my mom. She's been taking 3mg of warfarin, but her PTINR test just showed 1.27. Since she has heart issues, should we think about upping her dose to 5mg?

I've been dealing with persistent high triglycerides for the past 1.5 years, and my levels are usually around 180 or 190. No matter what I do with my diet or how much I exercise, nothing seems to help. What could be going on, and is there something e...

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