- Female
- 46 Years
- 22/01/2025
I'm a bit concerned about my recent ECG report. It showed a result of 800 sinus rhythm and 733 suspect inferior myocardial infarction. Could you help me understand what these numbers mean and how serious this might be? Do I need to take immediate action or get more tests done?
Answered by 1 Apollo Doctors
yes it is a concern immediate cardiologist opinion is required.
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?
Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.
Answered by 1 Apollo Doctors
I'm wondering how long one Amlong 5mg tablet works to lower blood pressure. My BP levels are still low even after five days, and I'm not someone who's normally dealing with blood pressure issues. Is this normal, or should I be concerned?
one day, continue same medications for BP.
Answered by 1 Apollo Doctors
I sometimes get these palpitations and it's really concerning. I don't usually have any chest pain or trouble breathing when it happens. I got some tests done, and my thyroid levels are alright, and the echo seems fine too. But my ECG came back showing a heart rate of 104 bpm. Is this something I should be worried about? And what can I do to bring my heart rate down?
An abnormal ECG with a heart rate of 104 bpm can be concerning, especially if you are experiencing palpitations. One way to help lower your heart rate is by taking a beta-blocker medication. This medication can help regulate your heart rate and reduce palpitations. However, it is important to consult with your healthcare provider before starting any new medication. Additionally, practicing relaxation techniques such as deep breathing exercises and avoiding stimulants like caffeine can also help lower your heart rate.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.