Question 1

I'm curious about what's happening with my heart. Sometimes my ECG shows these non-specific ST changes, and while my echo was normal, I'm still worried. I often feel chest discomfort and pains in my left arm. Is there something specific these ST changes could indicate, even though my ECG and echo seem alright? Could something be missed?

Accepted Answer

Non-specific ST changes on an ECG can be caused by various factors, including electrolyte imbalances, medications, anxiety, or even normal variation. Since your echocardiogram was normal, it is less likely to be related to a structural heart problem. However, given your symptoms of chest discomfort and left arm pains, it is important to continue monitoring and investigating further. To address your symptoms, you can try taking a medication like aspirin for chest discomfort (75-325mg once daily) and acetaminophen for pain relief in your left arm (500-1000mg every 4-6 hours as needed). Additionally, you may benefit from a medication like ranitidine for acid reflux if present (150mg twice daily). It is important to follow up with your healthcare provider for further evaluation and management of your symptoms.

Question 2

I'm really worried because my ECG report says "old lateral infarct sinus rhythm." I'm not sure what that means exactly. Could you help me understand it? Should I be concerned or take any specific actions?

Accepted Answer

The ECG report indicating an old lateral infarct means that there was a previous heart attack that affected the lateral (side) part of the heart. Sinus rhythm refers to the normal heart rhythm. It is important to follow up with your healthcare provider for further evaluation and management. In the meantime, you may be prescribed medications like Aspirin and Clopidogrel to prevent blood clots, as well as a beta-blocker like Metoprolol to reduce the workload on the heart. It is also important to make lifestyle changes such as following a heart-healthy diet, exercising regularly, and avoiding smoking.

Question 3

I'm a bit concerned because my ECG results mention something called longitudinal left axis deviation. Is this a serious issue, and do you think I need any further tests or investigations?

Accepted Answer

Your ECG showing longitudinal left axis deviation may indicate certain heart conditions. Further investigations may be needed to determine the underlying cause and severity. You may need to consult a cardiologist for a thorough evaluation. In terms of medication, there is no specific drug treatment for longitudinal left axis deviation itself.

Question 4

I'm really worried because my heart rate is usually at 100 or above. I check it by counting the pulse on my neck, and it comes out to be something like 24 to 27 pulses in 15 seconds, which is more than 100 when I calculate it for a minute. I have a h...

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety, especially given your history of panic attacks. The rapid heartbeat you are feeling could be related to anxiety and stress. To help manage your symptoms, I recommend trying relaxation techniques such as deep breathing exercises, meditation, or yoga. In terms of medication, you can consider taking a beta-blocker such as Propranolol. Start with a low dose of 10mg once daily, and you can increase it as needed under medical supervision. Beta-blockers can help reduce heart rate and physical symptoms of anxiety. However, it's important to consult with a healthcare professional for a proper evaluation and personalized treatment plan.

Question 5

I'm feeling some pain in my left chest, right where the ribs are, just under the man breast. It gets more painful when I press that spot, but I don't have any issues with breathing. My cholesterol was borderline high in my recent health check-up, but...

Accepted Answer

Normal, nothing to worry ok.

Question 6

I'm a bit worried about my cholesterol and triglyceride levels. They've been at 219 and 342 respectively, for the last 6 months. I don't have any other medical issues. Do you think I need to start taking medication for this? I'm really unsure and wou...

Accepted Answer

Your cholesterol level of 219 and triglyceride level of 342 are elevated, indicating a risk for cardiovascular disease. In this case, medication may be necessary to help lower your cholesterol and triglyceride levels to reduce the risk of heart disease. I recommend starting on a statin medication such as Atorvastatin (brand name Lipitor) at a dosage of 20mg daily to help lower your cholesterol levels. Additionally, you can consider adding Fenofibrate (brand name Tricor) at a dosage of 145mg daily to specifically target your triglyceride levels. It is important to follow up with your doctor regularly to monitor your progress and adjust your treatment plan as needed.

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Related Questions

I'm really worried because my ECG report says "old lateral infarct sinus rhythm." I'm not sure what that means exactly. Could you help me understand it? Should I be concerned or take any specific actions?

I'm a bit concerned because my ECG results mention something called longitudinal left axis deviation. Is this a serious issue, and do you think I need any further tests or investigations?

I'm really worried because my heart rate is usually at 100 or above. I check it by counting the pulse on my neck, and it comes out to be something like 24 to 27 pulses in 15 seconds, which is more than 100 when I calculate it for a minute. I have a h...

I'm feeling some pain in my left chest, right where the ribs are, just under the man breast. It gets more painful when I press that spot, but I don't have any issues with breathing. My cholesterol was borderline high in my recent health check-up, but...

I'm a bit worried about my cholesterol and triglyceride levels. They've been at 219 and 342 respectively, for the last 6 months. I don't have any other medical issues. Do you think I need to start taking medication for this? I'm really unsure and wou...

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