Question 1

I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicines I might need to help me eventually get a stress normal result. Could you give me some advice on this?

Accepted Answer

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease.

_Causes_

1. Kidney damage (nephropathy)
2. Diabetic nephropathy
3. Hypertension
4. Kidney stones
5. Urinary tract infection

_Treatment_

1. _Consult a nephrologist_: Schedule an appointment with a kidney specialist.
2. _Underlying cause treatment_: Address the underlying condition causing proteinuria.
3. _Medications_:
    - ACE inhibitors or ARBs to reduce proteinuria and blood pressure.
    - Diuretics to manage edema and blood pressure.
4. _Lifestyle modifications_:
    - Monitor and control blood pressure.
    - Manage blood sugar levels (if diabetic).
    - Reduce protein intake.
    - Increase fluid intake.
    - Exercise regularly.
    - Quit smoking.

_Follow-up tests_

1. Repeat urine tests to monitor proteinuria.
2. Blood tests to evaluate kidney function (eGFR, creatinine).
3. Imaging tests (ultrasound, CT scan) to assess kidney damage.

Question 2

I'm really worried because my ECG report says "old lateral infarct sinus rhythm." I'm not sure what that means exactly. Could you help me understand it? Should I be concerned or take any specific actions?

Accepted Answer

The ECG report indicating an old lateral infarct means that there was a previous heart attack that affected the lateral (side) part of the heart. Sinus rhythm refers to the normal heart rhythm. It is important to follow up with your healthcare provider for further evaluation and management. In the meantime, you may be prescribed medications like Aspirin and Clopidogrel to prevent blood clots, as well as a beta-blocker like Metoprolol to reduce the workload on the heart. It is also important to make lifestyle changes such as following a heart-healthy diet, exercising regularly, and avoiding smoking.

Question 3

I'm wondering if a blood pressure reading of 113 over 81 is considered normal. My diastolic seems to fluctuate between 81 and 90 and I'm noticing that my systolic always tends to stay on the lower side. Could you give me some insight into whether this is something I should be concerned about or if it's within a normal range?

Accepted Answer

Blood pressure of 11381 is considered normal. Diastolic blood pressure fluctuating between 81-90 is still within normal range. It is common for diastolic blood pressure to fluctuate slightly. As long as your systolic blood pressure remains on the lower side and within normal range, there is usually no cause for concern.

MRI of the left arm and ortho opinion is advised

More Cardiology Health Queries

I'm really worried because my ECG report says "old lateral infarct sinus rhythm." I'm not sure what that means exactly. Could you help me understand it? Should I be concerned or take any specific actions?

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