Question 1

I'm Rohit, and I'm from Delhi. Back in December, I had some chest pain and got an ECG done. The doctors thought it might be type 1 Brugada morphology. I've since done a bunch of tests like ECG, ECHO, TMT, CT Angiography, and a 24-hour holter test, all of which came back negative. The doctor said it's asymptomatic since I don't have ventricular tachycardia, ventricular fibrillation, a family history of sudden cardiac death in a close relative under 45, or anything like that.

Now, I'm planning to get married and just want to be sure about the Brugada syndrome diagnosis. Do you think it's a good idea for me to take a Flecainide or Ajmaline challenge test to confirm whether I have Brugada syndrome? Also, could you recommend any hospitals in India, especially near New Delhi, where I could get this test done? Would appreciate any info you have!

Accepted Answer

Yes, you can undergo a FlecainideAjmaline challenge test to confirm the presence of Brugada syndrome. This test is commonly used to unmask the Brugada ECG pattern in individuals suspected of having the syndrome. In India, you can consider getting this test done at reputed hospitals like AIIMS (All India Institute of Medical Sciences) in New Delhi, or at Max Super Speciality Hospital in Saket, New Delhi. It is important to undergo this test under the supervision of a cardiologist experienced in managing Brugada syndrome, as the test involves administration of a sodium channel blocker (Flecainide or Ajmaline) which can induce changes in the ECG pattern characteristic of Brugada syndrome. This test should only be performed in a hospital setting with facilities for managing any potential complications that may arise during the test. Before proceeding with the FlecainideAjmaline challenge test, it is advisable to discuss the potential risks and benefits of the test with your healthcare provider to make an informed decision.

Question 2

I'm just curious about some things regarding my health. I had a CT angio three years ago and it came back normal. Im wondering, how long are these results usually considered valid or acceptable? Also, Ive been on Lodoz 2.5 for about three months now. Before I started the medication, my blood pressure was around 120 to 130, and it's still in that range after taking the medicine. However, I've noticed my heart rate is now between 55 and 65. Is that normal, or should I be thinking about stopping the meds? By the way, I'm 5'7" and weigh 82 kg. Any advice on this would really help!

Accepted Answer

A normal CT angiography from three years ago is generally considered reliable, but its crucial to continue regular check-ups, especially if you have ongoing symptoms or risk factors for heart disease. Lodoz (which contains bisoprolol and hydrochlorothiazide) is prescribed to manage blood pressure and heart rate. Your current blood pressure of 120-130 mmHg and heart rate of 55-65 bpm are within reasonable ranges, especially if you are asymptomatic.

Do not stop your medication without consulting your healthcare provider, as they can assess your overall health, review your medication needs, and decide on the best course of action. They might also suggest lifestyle changes, such as regular exercise, a healthy diet, and weight management, to further support your heart health.

Question 3

What test shows blocked arteries in the heart?

Accepted Answer

The most accurate method to detect blocked arteries remains an invasive test called cardiac angiography, which requires a catheter to be threaded into heart vessels. But the signs of blocked arteries may also be seen on an ECG.

An echo and ecg is advised to the patient..

More Cardiology Health Queries

What test shows blocked arteries in the heart?

Health Articles for you

Overview of Congestive Heart Failure

Guide to Preparing For Bypass Surgery

The Impact of Poor Diet on Heart Health: A Guide to Prevention

Heart Attack Symptoms in Men

Reasons for Right-Side Chest Pain