- Male
- 37 Years
- 20/02/2025
I'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.
Answered by 1 Apollo Doctors
- Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider.
- The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH.
- A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages.
Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
Ask Apollo
AI powered Health Chatbot
-
Diastolic Relaxation Abnormality and Heart Failure
- Diastolic dysfunction can indicate early heart failure, as it affects the heart's ability to relax and fill properly.
- Symptoms like shortness of breath and fatigue may suggest progression.
- Regular monitoring and management with your cardiologist are crucial.
-
ECG vs. Echocardiogram for Identifying Left Ventricular Hypertrophy (LVH)
- An echocardiogram is generally more reliable for detecting LVH due to its detailed imaging.
- ECG can suggest LVH but may miss subtle changes.
- Discuss with your doctor which test suits your condition best.
-
Trusting CT Angiography Results
- CT angiography is effective in evaluating coronary artery disease.
- It is accurate but can be influenced by factors like heart rate.
- Consult your cardiologist to interpret results and consider further testing if needed.
Recommended next steps
Consult a Cardiologist
Answered 10/09/2025
0
0
More Cardiology Health Queries
View allI'm a bit concerned about my BP readings. It was 10866 recently, but before that, it was 9363. Should I be worried about this change, or is it normal? Do you think I need to see a doctor? Please let me know what you think!
-A blood pressure reading of 10866 is considered within the normal range, though it's slightly higher than your previous reading of 9363. It seems like a healthy change, but if you're feeling any symptoms like dizziness or weakness, its worth consult
Answered by 1 Apollo Doctors
I've been having palpitations for a year, so I went for a full body check, and they told me I have mitral valve prolapse which was supposedly causing the palpitations. I was advised to do cardio exercises, and I've been good with that. Recently though, the palpitations have become worse, especially when I lie flat, and it's been keeping me up at night. I'm also feeling anxious at bedtime, but I'm fine otherwise. It's really affecting my sleep and overall quality of life. Do you think I should see a doctor about this?
Yes, it is important to seek medical attention for your worsening symptoms. In your case, since you have a history of mitral valve prolapse and severe palpitations affecting your quality of life, it is recommended to consult a cardiologist for further evaluation and management. The doctor may prescribe medications such as Metoprolol (25-50mg) to help control your palpitations and anxiety symptoms. Additionally, they may suggest lifestyle modifications and relaxation techniques to help improve your sleep quality and overall well-being.
Answered by 1 Apollo Doctors
I'm 18 and just got my ECG results which say sinus arrhythmia but I don't really understand what that means. My heart rate is 75 bpm, P is 97 ms, PR is 117 ms, QRS is 98 ms, QTQTc is at 352395 ms, and there's something about RV5 and SV1 being at 2.7031.245 mv. They noted it's a normal ECG, but I'm still a bit worried. Should I be concerned about any of these numbers?
Your ECG report indicates a normal heart rhythm with a diagnosis of sinus arrhythmia, which is a benign condition characterized by a variation in heart rate with breathing, and all other parameters, including PR, QRS, and QT intervals, are within normal limits, suggesting no underlying cardiac abnormalities, so you can be reassured that your heart is functioning normall
Answered by 1 Apollo Doctors
Health Articles for you
View all
.webp)
Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.