Question 1

I'm a bit concerned because my ECG showed something called IRBBB, but my 2D echo results came out normal. Does this mean everything's okay with my heart, or should I be worried about any issues? Is it safe for me to continue going to the gym and doing exercises? Would appreciate your insight on whether there's anything to be concerned about.

Accepted Answer

IRBBB (Incomplete Right Bundle Branch Block) is a condition where the electrical impulses in the heart are delayed or blocked in the right bundle branch. In your case, since your 2D echo is normal, it indicates that the structure and function of your heart are normal despite the IRBBB on ECG. You can continue with your gym and exercise routine. However, it is always recommended to start with moderate intensity and gradually increase it while monitoring your symptoms. If you experience any chest pain, palpitations, dizziness, or shortness of breath during exercise, stop immediately and consult a healthcare professional. No specific medication is required for IRBBB if there are no other underlying heart conditions.

Question 2

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of t...

Accepted Answer

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

Question 3

I'm really stressed about my recent health issues. My blood pressure was 190100 two weeks ago, and I've been on medication since then. I've checked a couple of times after starting the meds, and my bp was 15090 and another time 17090. It's worrying m...

Accepted Answer

It is common for blood pressure levels to take some time to stabilize after starting medication. In your case, since your initial blood pressure reading was high at 190100, it may take a few weeks for the medication to fully lower your blood pressure to a normal range. The random pains in your left neck and shoulder could be related to muscle tension or other factors, but it's good that you have already consulted a cardiologist who found your ECG and echo to be normal. Regarding your vitamin deficiencies and high blood sugar, it's important to continue taking your supplements and medication as prescribed. For high blood pressure, it's essential to follow your doctor's advice and medication regimen consistently. One commonly prescribed medication for high blood pressure is Losartan, typically starting at a dosage of 50mg once daily. It's crucial to monitor your blood pressure regularly and report any persistent symptoms or concerns to your healthcare provider for further evaluation and management.

Question 4

I'm seeing my BP as 124 over 80, and my pulse rate is 108. Is this pulse rate normal? I'm also 73 kg and having some neck pain. Should I be concerned about any of this?

Accepted Answer

Pulse rate of 108 is  higher than the normal,Heart beat above 140 and below 60 is considered a dangerous sign. High heart rate with fainting , or giddiness or with any chest pain is considered to be ubnormal and you need to visit an emergency room.

Question 5

I'm experiencing some tenderness when I press on my rib just below the nipple, and it started yesterday evening. It's only tender when touched. Should I be concerned about this?

Accepted Answer

if pain persists on right side of the chest would be due to gastritis, gastroesophageal reflux disease .If the pain persists on the left chest it would be due to heart related issues like myocardial infarction , pericardial effusion ,taponade etc ,.better an ecg,cardiac markers is advised

Question 6

I've been having this weird feeling where my heart skips a beat, and it's making me uneasy. I recently saw a cardiologist, and he checked my echo test report and said everything looked fine. The sensation goes away when I sleep and feels okay in the ...

mostly no need to fear since echo is normal consult psychiatist if it stil persists

Last updated on 29 Jan 2025

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Accepted Answer

mostly no need to fear since echo is normal consult psychiatist if it stil persists

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Related Questions

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of t...

I'm really stressed about my recent health issues. My blood pressure was 190100 two weeks ago, and I've been on medication since then. I've checked a couple of times after starting the meds, and my bp was 15090 and another time 17090. It's worrying m...

I'm seeing my BP as 124 over 80, and my pulse rate is 108. Is this pulse rate normal? I'm also 73 kg and having some neck pain. Should I be concerned about any of this?

I'm experiencing some tenderness when I press on my rib just below the nipple, and it started yesterday evening. It's only tender when touched. Should I be concerned about this?

I've been having this weird feeling where my heart skips a beat, and it's making me uneasy. I recently saw a cardiologist, and he checked my echo test report and said everything looked fine. The sensation goes away when I sleep and feels okay in the ...

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