- Male
- 36 Years
- 22/01/2025
I'm a bit worried after getting some tests done. I had an ECG yesterday due to some mild chest pain, and it showed abnormal inferolateral ischemia. Then I went through a TMT, and it came out borderline positive for inducible myocardial ischemia at 10.1 Mts. Can you help me understand what all of this means? Is it something I need to be really concerned about?
Answered by 1 Apollo Doctors
Based on the findings of infrolateral ischemia on the ECG and borderline positive result on the TMT for myocardial ischemia, I recommend starting treatment with Aspirin 75mg once daily to prevent blood clot formation and reduce the risk of heart attack. Additionally, you can take Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of further heart issues. It is important to follow up with a cardiologist for further evaluation and management.
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
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More Cardiology Health Queries
View allI've been seeing several cardiologists and had a bunch of echoes and TMTs, but I'm still feeling really rough. I used to get panic attacks but haven't had one in about a year. These last 3 days, I've felt off and noticed my blood pressure is on the rise, getting up to like 140104 or 13495. I saw a cardiologist who is a DM, and he said the ECG was normal but the echo showed mild TR, RSVP 45mmHg, and mild PAH. He prescribed me Dilzem 90. This morning I woke up and my heart rate was 111, and honestly, I felt like I was gonna collapse. Can you help me figure out what's going on?
I'm really sorry you're feeling this way. Given your history and current symptoms, it's understandable to be concerned. While your ECG and echo results show mild issues like mild tricuspid regurgitation and mild pulmonary hypertension, the elevated heart rate and BP need close monitoring. It's essential to follow up with your cardiologist and maybe explore further tests or adjustments to your treatment. Anxiety can also play a big role, so managing stress alongside medication might help stabilize things. Stay in touch with your doctor for tailored advice and reassurance.
Answered by 1 Apollo Doctors
I was lying down and felt some mild chest pain, so I went to the doctor. They did an ECG and echo, and everything seemed normal, but it showed something about a mild TR Pah and Tr jet at 2.8 with RVSP at 30rap. The doctor said it was fine. A year later, I had another echo, and this time it showed no TR, just PJV at 1.23 msec. I'm not really sure what that means and just want to confirm that there's no PH. The echo report says chamber size and function are normal, so should I be worried about anything?
The results of your echocardiogram show that there is no tricuspid regurgitation (TR) this time, and the pulmonary jet velocity (PJV) is 1.23 msec. This indicates that there is no significant backflow of blood through the tricuspid valve and the blood flow through the pulmonary valve is normal. The right ventricular systolic pressure (RVSP) of 30 mmHg is also within normal limits, indicating normal pressure in the right side of the heart. Overall, the echo results show normal chamber size and function of your heart. No further treatment is needed at this time based on these results.
Answered by 1 Apollo Doctors
I'm a 24-year-old woman with a weight of 37kg, and my heartbeat is constantly around 134bpm, even when I'm resting. For the last 5 years, my heart rate usually stays in the range of 120 to 130. I dont have any other health issues and havent felt any discomfort, but I'm worried this might be dangerous. Do I need surgery, or can this be treated with medicines? Does homeopathy have any solutions? I really want to avoid surgery if possible. Can you help me figure this out?
Your heart rate of 134bpm is slightly elevated, but since you have been experiencing heart rates in the range of 120 to 130 bpm at rest for the past 5 years without any other symptoms, it may not necessarily indicate a serious issue. Surgery is not typically needed for a slightly elevated heart rate. Medications can be used to help control heart rate if necessary. In your case, a beta-blocker medication such as Metoprolol can be prescribed to help lower your heart rate and manage any symptoms you may be experiencing. The usual starting dose for Metoprolol is 25mg to be taken once daily. It is important to consult with a healthcare professional to determine the most appropriate treatment plan for you.
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.