- male
- 50 Years
- 22/01/2025
I've been noticing something a bit worrying lately sometimes it feels like my heart just sinks for a brief moment, less than a minute, and then things feel normal again. I kind of ignored it at first, but it happened again today, and now I'm a bit concerned. This has been going on occasionally over the past 34 months, and I've counted around 56 times when this has happened. Do you think this could be a sign of a minor attack, or is it something else I should be looking into? What kind of tests would you recommend I get done?
Answered by 1 Apollo Doctors
cardiac markers and ecg are advised..
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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cardiologist opinion.
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I'm really worried about this whole ECG report thing. It showed some ST segment downslope depression during my pre-employment medical exam. Then I did an echocardiogram with a color doppler test, and it shows DRA grade 1 with this E wave A wave stuff, whatever that means. There's no RWMA but the systolic is normal. The doctor didn't give me any meds except for blood pressure medicine. Is it really okay? What does this all mean? Would love some guidance on this.
"Based on the information provided, it seems like you have a normal ECG with ST segment downslope depression and a Doppler test showing DRA grade 1 with Ewave> A wave, no RWMA, and normal systolic function. Since your doctor has only prescribed blood pressure medication, it indicates that there are no significant cardiac issues requiring specific treatment at the moment. However, to further support your heart health, you can consider taking a low-dose aspirin (75-100mg) daily for its cardioprotective benefits. Additionally, incorporating lifestyle modifications such as regular exercise, a heart-healthy diet, and stress management can also be beneficial. It's important to continue regular follow-ups with your doctor for monitoring and guidance."
Answered by 1 Apollo Doctors
I'm having some trouble with breathlessness and occasional chest pain. I got an ECG, and it came back normal, but a 2D echo showed mild concentric LVH with reduced diastolic compliance, grade 1. Everything else seemed fine. My hemoglobin is at 6.7, blood pressure at 16090, and pulse at 105. Cholesterol levels are total 149, triglycerides 94, HDL 55, and LDL 100. I also have some gastric issues, and the breathlessness feels better after I burp. Do you think this is something I should be worried about, or is it okay?
Given your symptoms of breathlessness and chest pain, the mild concentric LVH with reduced diastolic compliance noted in your 2D echo, high blood pressure of 16090, and significantly low hemoglobin level of 6.7, there are multiple areas needing attention. While your ECG and cholesterol levels are normal, the combination of LVH, hypertension, and anemia requires medical management. Addressing your anemia is crucial, as it can contribute to your breathlessness and fatigue. Managing your blood pressure through medication adjustments and lifestyle changes is also important. Since your breathlessness is relieved by burping, addressing any gastrointestinal issues such as acid reflux is necessary. Follow up with your cardiologist for ongoing monitoring and management of the LVH and reduced diastolic compliance.
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.