Question 1

I'm getting ready for my aviation medical, and I had an ECG done. The report showed ST segment elevation in the anterior, large T waves, and it said "borderline ECG." I'm 20 years old, weigh 82kg, and I'm 176cm tall. Should I be worried about any of these findings? What do they really mean, especially with my age and size?

Accepted Answer

Based on the ECG findings of ST segment elevation (anterior), large T wave, and borderline ECG, along with your age, weight, and height, it is important to further evaluate these findings. These ECG changes could indicate various conditions such as myocardial infarction, myocarditis, pericarditis, or other cardiac issues. I recommend consulting with a cardiologist for a thorough evaluation and appropriate management. In the meantime, it is important to avoid strenuous physical activity and follow a heart-healthy diet. Medications such as aspirin, nitroglycerin, and beta-blockers may be prescribed based on further evaluation by your cardiologist.

Question 2

I've been experiencing this weird sensation where I can feel my heartbeat or pulse when I'm lying down on my pillow. It usually happens in the side of my neck or at the back of my head. This has been going on for about three months now. I've had an ECG and an echo, and they were normal, except the ECG showed sinus tachycardia. I also got a thyroid test, which came back normal. My blood pressure is fine too, and I dont have any other symptoms. Its just strange that it only happens when Im lying down. I did have COVID nine months ago, but that feels like ages ago now. What should I do next?

Accepted Answer

It sounds like you may be experiencing palpitations, which can be concerning. Since your ECG and echo were normal and your thyroid test was also normal, it is good news that there are no major issues detected so far. Sinus tachycardia can sometimes cause palpitations, especially when lying down. One possible next step could be to monitor your heart rate with a Holter monitor to see if there are any irregularities in your heart rhythm over a longer period of time. In the meantime, you can try to avoid caffeine, alcohol, and stress, as these can sometimes trigger palpitations. If the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation and management.

Question 3

I've had an angioplasty with a drug-eluting stent placed back in March, and I'm currently on medication. I'm really wondering if it's okay for me to have alcohol socially. I used to enjoy whiskey about twice a week before all of this. Can you give me some advice on whether that's still safe?

Accepted Answer

After angioplasty with a drug-eluting stent, moderate social alcohol consumption is generally allowed, but consult your cardiologist first; if permitted, limit whiskey consumption to 1-2 units (30-60ml) per occasion, 1-2 times a week, and prioritize medications, healthy diet, regular exercise, and stress management for optimal heart health.

More Cardiology Health Queries

I've had an angioplasty with a drug-eluting stent placed back in March, and I'm currently on medication. I'm really wondering if it's okay for me to have alcohol socially. I used to enjoy whiskey about twice a week before all of this. Can you give me some advice on whether that's still safe?

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