Question 1

I'm really confused about my ECG results. It said there was a downslope in the ST segment and T wave inversion, and they mentioned something about infero-lateral ischaemia. When I went for a pre-employment medical exam, I had an echocardiogram and a color Doppler test, and the doctor said not to worry but didn't prescribe any medication. I'm not sure what to do next. Is there actually ischaemia, or is everything okay?

Accepted Answer

the ST segment downslope and T wave inversion indicate infero lateral Ischaemia. Since you have already undergone an ECHOCARDIOGRAM and color Doppler test, and the doctor mentioned that there is nothing to worry about, it is likely that the Ischaemia is not severe and does not require immediate medication. However, it is important to follow up with regular check-ups to monitor your heart health. If you experience any symptoms such as chest pain or shortness of breath, please consult your doctor for further evaluation and management.

Question 2

I'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?

Accepted Answer

The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.

Question 3

I've been taking Ciplar 60 LA daily for the past 34 years as part of my antidepressant therapy as advised by my psychiatrist. My ECG always shows an abnormal T wave progression. Is this something I should be worried about, or is it normal in my case?

Accepted Answer

The presence of abnormal T wave progression on your ECG may indicate various underlying conditions. It is important to consult with your healthcare provider for a thorough evaluation and interpretation of your ECG results. In the meantime, continue taking your prescribed medication as directed by your psychiatrist.

More Cardiology Health Queries

I've been taking Ciplar 60 LA daily for the past 34 years as part of my antidepressant therapy as advised by my psychiatrist. My ECG always shows an abnormal T wave progression. Is this something I should be worried about, or is it normal in my case?

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