- Male
- 40 Years
- 22/01/2025
I've been having chest pain for the last 10 days and I'm really concerned because both my ECG and 2D Echo results came back normal. They mentioned something about PAH and mild TR. Could you please suggest what kind of medication or next steps I should consider?
Answered by 1 Apollo Doctors
Echo suggestive of tricuspid regurgitation , hence cardiologist opinion is advised for further management of the patient.
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be looking into more tests or checkups to make sure everything's alright with my heart? Its just a bit unsettling not knowing what to expect.
Sinus bradycardia is a condition where the heart beats at a slower rate than normal, typically less than 60 beats per minute. It is caused by the sinus node in the heart sending electrical signals at a slower pace. Incomplete right bundle branch block (RBBB) is a condition where there is a delay in the electrical signal conduction in the right bundle branch of the heart. Symptoms of sinus bradycardia may include dizziness, fatigue, lightheadedness, confusion, shortness of breath, and chest pain. Incomplete RBBB may not cause any symptoms on its own, but it can be associated with underlying heart conditions. Further tests that may be required for sinus bradycardia and incomplete RBBB include an electrocardiogram (ECG) to confirm the diagnosis, a Holter monitor to monitor the heart's electrical activity over a period of time, an echocardiogram to assess the heart's structure and function, and possibly a stress test to evaluate the heart's response to physical activity. For sinus bradycardia, if symptoms are severe or if the heart rate drops too low, a medication like Atropine or Isoproterenol may be prescribed. In cases where bradycardia is persistent and symptomatic, a pacemaker implantation may be necessary. For incomplete RBBB, treatment is usually focused on managing any underlying heart conditions that may be causing the conduction delay. Medications like beta-blockers or calcium channel blockers may be prescribed to help regulate the heart's electrical activity. Remember, it is important to follow up with a healthcare provider for proper evaluation and management of these conditions.
Answered by 1 Apollo Doctors
I'm feeling healthy overall, but I've been experiencing this needle-like poking sensation in my heart a few times a day, and it's starting to worry me. I'm curious if there's something I can do naturally to stop it. Any advice?
Advised an ecg and cardiac markers.
Answered by 1 Apollo Doctors
Should I consider getting a CT angiogram even though my ECG, ECHO, TMT, and chest X-ray have all come back normal? I'm experiencing some chest tightness and occasional shortness of breath, though its just for a moment. My cholesterol levels are a bit high, with LDL at 154 and HDL at 36. I weigh 108 kg, and my blood pressure is at 13075. My dad had bypass surgery back in 2018, so I'm wondering if having a CT angiogram is something I should look into given my symptoms and family history.
Considering your symptoms of chest tightness, shortness of breath, high LDL cholesterol levels, and family history of bypass surgery in your father, it may be prudent to further investigate the possibility of coronary artery disease. A CT ANGIOGRAM can provide detailed imaging of the blood vessels in your heart and help assess for any blockages or narrowing that may not be detected by the tests you have already undergone. In your case, a CT ANGIOGRAM may be recommended to rule out any significant coronary artery disease.
Answered by 1 Apollo Doctors
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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.