Question 1

I'm 25 and went for a full heart check-up. My ECG and echo were both normal, but my first TMT test came back positive even though I didn't feel any pain or issues while exercising. I decided to take the TMT test again just to be sure, and this time it came back normal or negative. Why would the first TMT show positive? Do I need to look into this more or get further tests done?

Accepted Answer

The initial positive TMT result may be attributed to factors like dehydration, anxiety, or a false positive, especially since you didn't experience any symptoms during exercise and the repeat test came back normal; however, to confirm the absence of any underlying cardiac issues, consider discussing further evaluation with your cardiologist, such as a stress echocardiogram or a cardiac MRI, to rule out any potential concerns.

Question 2

I'm 34 years old and during my routine check-up, the TMT report came back positive. But according to the echo, there's no blockage. My blood pressure before the TMT was 10060. The report also mentioned hypochromic anemia. Can you help me understand what all this means and what I should do next?

Accepted Answer

"Based on your TMT report showing a positive result and the presence of hypochromic anemia, it is important to follow up with a cardiologist for further evaluation and management. In the meantime, you can start taking a daily low dose of aspirin to help prevent blood clots. Additionally, your doctor may prescribe medications such as atorvastatin to help lower cholesterol levels and reduce the risk of heart disease. It is also important to address the hypochromic anemia by taking iron supplements such as Ferrous Sulfate 325 mg daily to help increase your red blood cell count. Make sure to follow up with your healthcare provider for a comprehensive treatment plan."

Question 3

I've been dealing with these ectopic palpitations for the last 8 months and it's really stressing me out. I went to a general physician who said it's nothing to worry about and it's just anxiety related. I have really bad cardiophobia anxiety. He put me on ciplar la 20, which helped a bit with the palpitations but they haven't completely gone away. I did a holter and an echo screening and showed them to a cardiologist. He said it's just anxiety too, but mentioned there was concentric LVH on the echo and a single ectopic on the holter. Should I be concerned about the concentric LVH and the single ectopic beat, or is it really just anxiety like everyone's saying?

Accepted Answer

Based on your symptoms and reports, I recommend continuing with Ciplar LA 20 for the ectopic palpitations. In addition, you may benefit from an anti-anxiety medication such as Escitalopram 10mg once daily to help manage your cardiophobia anxiety. It is also important to address the concentric LVH detected in the echo report. You can start taking Losartan 50mg once daily to help manage the LVH. Regular follow-up with your cardiologist is essential to monitor your condition and make any necessary adjustments to your treatment plan.

An ECG with a PR interval of 102 milliseconds is within the normal range. As for cataract surgery, it is important to assess your overall health condition before proceeding. Please consult with your ophthalmologist to determine if you are a suitable candidate for cataract surgery.

More Cardiology Health Queries

I'm 34 years old and during my routine check-up, the TMT report came back positive. But according to the echo, there's no blockage. My blood pressure before the TMT was 10060. The report also mentioned hypochromic anemia. Can you help me understand what all this means and what I should do next?

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