apollo
  • Female
  • 45 Years
  • 22/01/2025

I'm a bit worried after my recent ECG showed a sinus rhythm with an inverted T wave. What could that mean, and how might it affect my heart health?

Doctor 1

Answered by 1 Apollo Doctors

The presence of an inverted T wave on an ECG showing sinus rhythm can indicate various underlying issues. In some cases, it may be a normal variant, but it can also be a sign of cardiac ischemia, electrolyte imbalances, or other cardiac conditions. To address this issue, it is important to determine the underlying cause. Treatment may involve managing any underlying conditions, such as correcting electrolyte imbalances or addressing coronary artery disease. It is important to follow up with your healthcare provider for further evaluation and management.

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been having this odd pinching sensation on my left side, and my doctor suggested getting a 2D Echo and an ECG. They said everything came back normal, but now I'm finding it harder to breathe. I'm not really sure what's going on. Can anyone offer a second opinion on this? I've got my 2D Echo and ECG reports attached.

Based on the symptoms you are experiencing and the normal results of your 2d Echo and Ecg, it is possible that you may be dealing with a respiratory issue. I recommend trying an inhaler such as Salbutamol (Ventolin) 100mcg, 2 puffs as needed for shortness of breath. Additionally, you can consider using a steroid inhaler like Fluticasone (Flovent) 100mcg, 2 puffs twice a day to help with any underlying inflammation in the airways. It would also be beneficial to follow up with your doctor for further evaluation and possible pulmonary function tests.

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I'm really worried about this chest pain I've been having. It's been going on for about a month now, right where I can feel my heartbeat. It's been getting worse over the past few days, and it even hurts when I laugh or move my left hand. I did see a doctor when it was less painful, and they said it was muscular pain, but I'm honestly not convinced. I didn't lift anything heavy or suffer any injury, and it's just that specific spot that hurts. Could this be something more serious than muscular pain?

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. Since the pain has been increasing and is now triggered by laughing or moving your left hand, it's important to take it seriously. I recommend taking a low dose of aspirin (75-100mg) as a precautionary measure to help reduce the risk of a heart attack. Additionally, you should follow up with your doctor for further evaluation and possibly consider an ECG to rule out any heart-related issues.

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I'm 46 and worried about heart disease. What can I do to prevent it or even reverse it? My blood pressure is at 13588, HDL is 30, LDL is 80, and triglycerides are 150. I've had a CT Calcium score of 12, which isn't great for my age since it puts me in the 81 range. I'm on a BP med, 10mg statin, fish oil, garlic, Vitamin D, aspirin, CoQ10, and other stuff. There's no family history of heart disease, and I've been sticking to a low-fat diet for ages, so I was really surprised with the Calcium score. Any advice on what I could be doing differently?

To prevent and reverse heart disease, it's important to make some lifestyle changes. Despite your efforts with a low-fat diet, your CT Calcium score of 12 indicates some level of coronary artery calcification, which can be a sign of early heart disease. Here are some recommendations based on your current medications and supplements: 1. Blood Pressure Medication: Continue taking your BP medication as prescribed to keep your blood pressure under control. 2. Statin (10mg): This medication helps lower LDL cholesterol. Consider discussing with your doctor about potentially increasing the dosage based on your current LDL level of 80. 3. Fish Oil: Omega-3 fatty acids in fish oil can help lower triglycerides. Consider increasing the dosage to further improve your triglyceride levels. 4. Garlic: Garlic supplements may have some cardiovascular benefits. Continue taking it as it may help with overall heart health. 5. Vitamin D: Ensure you are getting enough Vitamin D through supplements or sunlight exposure, as Vitamin D deficiency can be linked to heart disease. 6. Aspirin: Aspirin is often recommended for its blood-thinning properties. Continue taking it as prescribed by your doctor. 7. CoQ10: Coenzyme Q10 is an antioxidant that may help improve heart health. Continue taking it for its potential benefits. In addition to your current regimen, here are some additional recommendations to consider: - Increase physical activity: Aim for at least 150 minutes of moderate-intensity exercise per week. - Improve diet: Consider a heart-healthy diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats like those found in nuts and olive oil. - Stress management: Practice stress-reducing activities like yoga, meditation, or deep breathing exercises. - Regular check-ups: Continue monitoring your cholesterol levels, blood pressure, and overall heart health with regular visits to your healthcare provider. By making these lifestyle changes and working closely with your healthcare provider, you can further reduce your risk of heart disease and potentially reverse some of the early signs of coronary artery calcification.

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