Question 1

I've been having some health issues that are making me anxious. My ECG today showed a low T wave in V4 and a slight ST depression in V6. I'm not sure what that means, and I'm a bit worried about it. I also tend to get high blood pressure sometimes, and my lipid and cortisol levels are up. What can I do about all this? Should I be getting any more tests done?

Accepted Answer

Based on your ECG findings of low T wave in V4 and slight ST depression in V6, along with your history of anxiety, high blood pressure, high lipid levels, and high cortisol levels, it is important to further evaluate your cardiac health. I recommend you to consult a cardiologist for a detailed evaluation and management plan. Further tests that may be recommended include: 1. Stress test (Treadmill test) to assess your heart's response to physical activity. 2. Echocardiogram to evaluate the structure and function of your heart. 3. Holter monitor or event monitor to monitor your heart's activity over a period of time. 4. Blood tests to assess your cholesterol levels, blood sugar levels, and other cardiac markers. In the meantime, it is important to manage your anxiety, high blood pressure, high lipid levels, and high cortisol levels. You can consider medications such as Atorvastatin for high cholesterol, Amlodipine for high blood pressure, and Alprazolam for anxiety. However, the specific dosage and duration of these medications should be determined by your healthcare provider after a thorough evaluation.

Question 2

I'm experiencing some discomfort after meals. Whenever I eat a heavy meal, I get this left-sided chest pain, and I notice my resting heart rate shoots up to around 100, even though it's usually about 70. It gets worse with any kind of light activity like walking or climbing stairs but seems to settle down after a few hours. I did have some heart tests, like an ECG, echo, and TMT about six months ago, and they all came back normal. My blood tests are fine toono anemia, high blood pressure, or sugar issues. Should I be considering any other tests or looking into something else? Its starting to worry me.

Accepted Answer

It sounds like you may be experiencing symptoms of gastroesophageal reflux disease (GERD) or acid reflux. The chest pain after eating heavy meals, along with the increased heart rate and chest discomfort with light activity, are common symptoms of GERD. Since your heart tests were normal, it is less likely to be related to a cardiac issue. I recommend trying over-the-counter antacids like Tums or Rolaids to see if they help alleviate your symptoms. You can also try avoiding heavy meals, eating smaller meals more frequently, and avoiding lying down immediately after eating. Additionally, you may benefit from medications like omeprazole (Prilosec) or ranitidine (Zantac) to reduce stomach acid production. If your symptoms persist despite these measures, you may consider undergoing an upper endoscopy to further evaluate the cause of your symptoms. This procedure can help identify any inflammation or damage in the esophagus or stomach. Overall, it is important to follow up with your healthcare provider for further evaluation and management of your symptoms.

Question 3

My wife's LVEF was measured at 50 during her pregnancy and it's still at the same level afterward. The cardiologist prescribed Ramister 1.25mg and Carnitor 500. We're a bit concerned since 50 is on the lower end of normal. Could you let us know if these medications will help improve her LVEF, or if there's anything else we should consider?

Accepted Answer

These medications can help improve cardiac function and potentially increase the LVEF. Additionally, it is important to follow a healthy lifestyle, including regular exercise and a balanced diet, to further support heart health."

Probable diagnosis is GERD .Patient is advised tab pan d,orally once daily for 14 days ,syrup sucralfate 10ml thrice daily for 14 days.Also avoid spicy and hot items is advised to the patient.

More Cardiology Health Queries

Health Articles for you

Heart Attack Triggers: Common Triggers, Signs And Management Of Heart Attack

Causes of Heart Blockage Explained

After Angioplasty Is There Chance Of Heart Attack

Understanding Ischemia: Causes and Treatments

Risk Factors for Heart Disease