Question 1

I'm a bit confused because I recently got a stress test done, and the results said it's negative for inducible ischemia during the TMT test. What does this really mean? Should I be worried or is this a good sign?

Accepted Answer

normal

Question 2

I'm really anxious about my severe mitral valve stenosis. I had a balloon mitral valvotomy in February 2019, and the valve size is now 1.8. Could you tell me when I might need a valve replacement and what my life expectancy might be with this condition?

Accepted Answer

Based on the information you provided, since you have severe mitral valve stenosis and have already undergone Balloon Mitral Valvuloplasty (BMV) in February 2019, with a resulting valve size of 1.8, it is important to monitor your symptoms closely. In cases of severe mitral valve stenosis, valve replacement may be necessary if symptoms persist or worsen despite previous interventions. For management of symptoms and to improve your quality of life, you can consider medications such as diuretics like Furosemide (Lasix) to help with fluid retention and Beta-blockers like Metoprolol to control heart rate. Additionally, anticoagulants like Warfarin may be prescribed to prevent blood clots. As for life expectancy with mitral valve stenosis, it can vary depending on the severity of the condition, response to treatment, and overall health of the individual. Regular follow-up with your cardiologist is crucial to monitor your condition and determine the best course of action.

Question 3

I've been smoking for the past four years and drink daily. Seven months ago, I had a stress echo, and it came back normal, even though my lipid levels, Lp(a), and triglycerides were high. Recently, I've been experiencing dizziness that comes and goes...

Accepted Answer

"Based on your symptoms and risk factors such as smoking and daily drinking, it is important to further evaluate your heart health. The dizziness, heart palpitations, ringing in ears, feeling of skipping a beat, and burping could be related to your heart. I recommend you to consult a doctor for further evaluation and consider starting on a medication like Atorvastatin (10mg) for high lipid levels and Fenofibrate (145mg) for high TG levels to manage your cardiovascular risk factors."

Question 4

I've had a 2D echo and an ECG, and both came back normal, and my TMT was negative too. But sometimes I get this pinching pain on the left side of my chest that lasts for about 9-10 seconds. It really freaks me out and makes me anxious, thinking there...

Accepted Answer

It's good that your 2D echo, ECG, and TMT results were normal. The pain you are experiencing could be due to anxiety or muscle strain. To alleviate the pain and anxiety, you can take Tab. Paracetamol 500mg as needed for pain relief. Additionally, practicing relaxation techniques such as deep breathing exercises or yoga can help reduce anxiety. If the pain persists or worsens, it's advisable to follow up with your healthcare provider for further evaluation.

Question 5

I'm feeling really dizzy and tired, and sometimes I also get chest pains. I went to the lab and had an ECG done. I've attached my ECG report herecould you check it out and let me know if everything looks okay?

Accepted Answer

I will need to see the ECG report to give you an accurate assessment of whether it is normal or not. Please attach the report so I can review it.

Question 6

I'm a bit worried about my 65-year-old relative who recently had an angiography, and it showed they have about three blockages in the 70-80% range. We're not totally sure about the accuracy of the angiography report we got, so I'm wondering if it's p...

Accepted Answer

Repeat angiography can be done if there are doubts about the initial report. The interval between two angiographies is usually around 6-12 months, depending on the patient's condition and the recommendation of the treating physician. Repeating angiography may pose some risks such as contrast-induced nephropathy or allergic reactions, but these risks are generally low and can be managed by the medical team.

I'm a bit confused because I recently got a stress test done, and the results said it's negative for inducible ischemia during the TMT test. What does this really mean? Should I be worried or is this a good sign?

I'm a bit confused because I recently got a stress test done, and the results said it's negative for inducible ischemia during the TMT test. What does this really mean? Should I be worried or is this a good sign?

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Related Questions

I'm really anxious about my severe mitral valve stenosis. I had a balloon mitral valvotomy in February 2019, and the valve size is now 1.8. Could you tell me when I might need a valve replacement and what my life expectancy might be with this condition?

I've been smoking for the past four years and drink daily. Seven months ago, I had a stress echo, and it came back normal, even though my lipid levels, Lp(a), and triglycerides were high. Recently, I've been experiencing dizziness that comes and goes...

I've had a 2D echo and an ECG, and both came back normal, and my TMT was negative too. But sometimes I get this pinching pain on the left side of my chest that lasts for about 9-10 seconds. It really freaks me out and makes me anxious, thinking there...

I'm feeling really dizzy and tired, and sometimes I also get chest pains. I went to the lab and had an ECG done. I've attached my ECG report herecould you check it out and let me know if everything looks okay?

I'm a bit worried about my 65-year-old relative who recently had an angiography, and it showed they have about three blockages in the 70-80% range. We're not totally sure about the accuracy of the angiography report we got, so I'm wondering if it's p...

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