Question 1

My dad recently had an ECG which turned out normal, but his TMT results showed positive for exercise-induced ischemia. I'm quite worried because his hemoglobin level is really low at 8.8. Do you think he needs an angiogram? I'm not sure what the best next steps are, and would appreciate your guidance.

Accepted Answer

Correct anemia first then can think to do stress echocardiography....to confirm..but
If there are any risk facters like diabetes and hypertension or smoking or obesity or family history & inactive lifestyle...& symptoms of chest pain or breathing difficulty, angiography should be done
Anyways need insight on all these & need to see the TMT strips to suggest the next best step.

Question 2

I'm really worried because I've been having chest pain whenever I move around for about a year now. I even had a chest CT scan done, but the doctor said everything looked normal. I'm confused about what could be causing this pain, especially since it seems to be worse in the morning. Any thoughts on what might be going on?

Accepted Answer

Probable diagnosis is Gerd, patient is advised pan d ,orally.once daily for 14 days before food..Avoid spicy foods.

Question 3

I've noticed that my resting pulse rate usually hovers around 90, although it can dip slightly below that sometimes. Is this normal for me? Also, I've observed that my pulse rate spikes to around 120 after I eat and take a light walk, like after lunch. Is this something I should be concerned about? Just a month ago, I went for a health check-up, and both the ECG and 2D echo turned out normal. I'd love to get your thoughts on this.

Accepted Answer

A resting pulse rate of around 90 beats per minute can be considered within the normal range, although it is on the higher side. It is normal for the pulse rate to increase after eating or during physical activity. A pulse rate of around 120 beats per minute while walking after lunch is also within normal limits, especially if you were engaging in mild physical activity. Since your ECG and 2D echo results were normal one month back, it is reassuring that there are no underlying heart conditions causing these pulse rate variations. However, if you continue to have concerns about your pulse rate, it would be advisable to monitor it regularly and consult with your healthcare provider for further evaluation and advice on managing your pulse rate.

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