Question 1

I'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be looking into more tests or checkups to make sure everything's alright with my heart? Its just a bit unsettling not knowing what to expect.

Accepted Answer

Sinus bradycardia is a condition where the heart beats at a slower rate than normal, typically less than 60 beats per minute. It is caused by the sinus node in the heart sending electrical signals at a slower pace. Incomplete right bundle branch block (RBBB) is a condition where there is a delay in the electrical signal conduction in the right bundle branch of the heart. Symptoms of sinus bradycardia may include dizziness, fatigue, lightheadedness, confusion, shortness of breath, and chest pain. Incomplete RBBB may not cause any symptoms on its own, but it can be associated with underlying heart conditions. Further tests that may be required for sinus bradycardia and incomplete RBBB include an electrocardiogram (ECG) to confirm the diagnosis, a Holter monitor to monitor the heart's electrical activity over a period of time, an echocardiogram to assess the heart's structure and function, and possibly a stress test to evaluate the heart's response to physical activity. For sinus bradycardia, if symptoms are severe or if the heart rate drops too low, a medication like Atropine or Isoproterenol may be prescribed. In cases where bradycardia is persistent and symptomatic, a pacemaker implantation may be necessary. For incomplete RBBB, treatment is usually focused on managing any underlying heart conditions that may be causing the conduction delay. Medications like beta-blockers or calcium channel blockers may be prescribed to help regulate the heart's electrical activity. Remember, it is important to follow up with a healthcare provider for proper evaluation and management of these conditions.

Question 2

I'm really worried about my dad. His heart's ejection fraction is only 20, and the doctor mentioned that means his heart's power is at 20. He's been on medication for the last three months, but I'm curious to know what kind of treatment might be next. Also, are there any specific precautions he should be taking right now? I'm just trying to figure out how to best support him through this.

Accepted Answer

Ejection fraction of the heart is very low , causes would be heart attack,cardiomyopathy,coronary artery disease, high blood pressure,aortic stenosis, mitral regurgitatin,myocarditis,arrhythmia etc , u can continue the same medications . An echocardiogram is advised and a cardiac opinion.

Question 3

I'm a bit worried about my TMT results that showed inducible ischemia and mentioned a 1 mm ST change in certain leads during exercise. My max heart rate reached 206, with a maximum blood pressure of 18580, and I'm only 33 years old. I exercised for a total of 6 minutes and 19 seconds, reaching a workload of 7.40 METS, but the test was stopped when I hit my max heart rate. My 2D Echo came back normal. Do you think I need to get an angiogram, or is there anything else I should consider?

Accepted Answer

Given your positive TMT result showing inducible ischemia with 1 mm ST depression in multiple leads, achieving maximum heart rate during the test, and normal 2D Echo results, an angiogram may be recommended to further evaluate the extent and severity of coronary artery disease, especially considering your young age (33) and high workload achieved during the test; consult your cardiologist to discuss the risks and benefits of an angiogram and determine the best course of action.

I'm a bit confused about the difference between Prolomet XL 50mg and Prolomet XL R 50mg5mg. I don't have high blood pressure, so which one should I be considering, if at all?

IF THE PATIENT IS NOT HAVING HYPERTENSION NO NEED TO TAKE MEDICATION .And prolomet xl R is the combination medication with both medicines,, where as prolomet xl is the single medicine..

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