I'm really concerned about something and wanted to get your advice. I'm 61 and just had some tests done. They said my LV function is normal with an EF of 60 and no RWMA, but I have trivial MR and Grade 1 LV diastolic dysfunction with concentric LVH. The valves check out fine and there are no clots, vegetation, or pericardial effusion. My chamber dimensions are normal too. But when I did a stress TMT, it showed some significant ST changes in leads II, III, AVf, V4, V6, although I had no arrhythmia or chest pain, and my heart rate and blood pressure responded normally. Should I be worried about these ST changes? What does this all mean for my heart health?

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Dr Mubarak Parveez B

General Practitioner

MBBS
2+ Yrs

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Based on the information provided, it seems like the patient may be experiencing some significant ST changes in specific ECG leads without chest pain. In this case, the patient may benefit from medication to help manage their condition. The patient can be prescribed Aspirin 75mg daily to help reduce the risk of cardiovascular events. Additionally, Atorvastatin 20mg can be prescribed to help lower cholesterol levels and reduce the risk of further cardiac issues. In addition to these medications, Metoprolol 25mg can be prescribed to help manage the patient's blood pressure and heart rate, especially in the presence of significant ST changes on ECG. It is important for the patient to follow up with their healthcare provider regularly to monitor their condition and adjust their treatment plan as needed.

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Answered 04/07/2025

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