Question 1

I've been getting chest pain and started to feel it in the center below my chest, like where the stomach is, even though I've done ECG more than 20 times and everything seemed normal. I just had a TMT on May 31st, 2022, and I'm wondering how long the reports from that are actually valid. My LDL and HDL levels are normal, but my triglycerides are quite higharound 400. Could this high level of triglycerides be causing a blockage? Is this something heart-related that I should be worried about?

Accepted Answer

Chest pain can have various causes, including heart-related issues. Since your TMT ECG and other tests have shown normal results, it is less likely to be related to your heart. However, it is essential to consider other factors such as gastrointestinal issues or musculoskeletal pain. It would be best to consult a doctor for a proper evaluation and diagnosis. TMT ECG reports are typically valid for a few months, but it is recommended to consult your healthcare provider for specific guidance. High triglyceride levels, especially above 400, can increase the risk of developing blockages in the arteries over time. It is crucial to manage your triglyceride levels through lifestyle changes and, if necessary, medications prescribed by a healthcare professional.

Question 2

I'm really concerned about something and wanted to get your advice. I'm 61 and just had some tests done. They said my LV function is normal with an EF of 60 and no RWMA, but I have trivial MR and Grade 1 LV diastolic dysfunction with concentric LVH. The valves check out fine and there are no clots, vegetation, or pericardial effusion. My chamber dimensions are normal too. But when I did a stress TMT, it showed some significant ST changes in leads II, III, AVf, V4, V6, although I had no arrhythmia or chest pain, and my heart rate and blood pressure responded normally. Should I be worried about these ST changes? What does this all mean for my heart health?

Accepted Answer

Based on the information provided, it seems like the patient may be experiencing some significant ST changes in specific ECG leads without chest pain. In this case, the patient may benefit from medication to help manage their condition. The patient can be prescribed **Aspirin** 75mg daily to help reduce the risk of cardiovascular events. Additionally, **Atorvastatin** 20mg can be prescribed to help lower cholesterol levels and reduce the risk of further cardiac issues. In addition to these medications, **Metoprolol** 25mg can be prescribed to help manage the patient's blood pressure and heart rate, especially in the presence of significant ST changes on ECG. It is important for the patient to follow up with their healthcare provider regularly to monitor their condition and adjust their treatment plan as needed.

Question 3

I've been having this pain on the left side of my chest, and I found out that my ESR is 25. My vitamin D3 level is really low at 3.75. I got a CT scan of my lungs, and everything came back normal. I'm curious if taking vitamin D3 supplements will help with this chest pain, or do you think I should see a cardiologist about it?

Accepted Answer

do ECG and proceed

I've been using my Fitbit for a few weeks and noticed my heart rate usually tops out at 120 BPM. But today, while just walking, it spiked to 162 BPM in the afternoon. What might be causing this? Is this something I should be worried about?

Probable diagnosis is ventricular fibrillation. Advised an ecg,cardiac markers and echo for evaluation..

More Cardiology Health Queries

Health Articles for you

How to Prevent Heart Disease: A Complete Guide to a Healthy Heart

World Hypertension Day 2025 and Life-Saving Diagnostics

Symptoms of Heart Disease to Be Aware of

After Angioplasty Heart Rate

Internal Bleeding After Angioplasty