Question 1

I'm a bit worried because I have anemia and my ESR levels are raised. I generally do slow-paced walking covering an average of 45 km, but my resting heart rate seems to be in the range of 48 to 65. My last two ECG readings were 53 and 48. I'm not experiencing any fainting spells or dizziness, but is this okay and considered normal?

Accepted Answer

Your resting heart rate of 48-65 beats per minute is within the normal range for adults, especially for individuals who engage in regular physical activity like slow pace walking. Anemia and raised ESR (Erythrocyte Sedimentation Rate) may indicate an underlying inflammatory condition. Since you do not experience faint spells or dizziness, it is reassuring. However, it is important to further investigate the cause of anemia and raised ESR. I recommend consulting a doctor for a complete evaluation and appropriate management.

Question 2

I'm having these weird palpitations and transient jerks in my chest that last for a couple of seconds. They seem to happen randomly, and it's really unsettling because it feels like my heart stops during those moments. I exercise regularly and don't feel any chest pain, which is odd. My ECG, 2D ECHO, and HOLTER ECG came back normal, so now I'm left wondering. Could I have some kind of cardiac blockage? Are these jerks something I should worry about, like signs of a potential cardiac arrest or another serious heart issue? If it's none of those, what could possibly be causing these sensations?

Accepted Answer

Based on your normal ECG, 2D ECHO, and HOLTER ECG reports, it's unlikely that you have cardiac blockage or are at risk of cardiac arrest; the transient jerks and palpitations could be caused by benign conditions such as premature atrial contractions (PACs), premature ventricular contractions (PVCs), anxiety, stress, caffeine, or dehydration; to better understand the cause, consider consulting a cardiologist for further evaluation,

Question 3

I'm a bit confused and concerned after my angiography. It didn't show any blockages, but they did notice some areas of narrowing. Now, they've recommended a thallium stress test. What kind of results can I expect from that? Also, why exactly is it needed when I've just had an angiography? How is it different from angiography?

Accepted Answer

The thallium stress test is used to evaluate blood flow to the heart muscle. It can help determine if there are any areas of the heart that are not receiving enough blood supply, which may indicate coronary artery disease. This test is especially useful when angiography shows no blockages but some narrowness in the arteries. During the thallium stress test, a small amount of radioactive thallium is injected into the bloodstream, and a special camera is used to take images of the heart at rest and after exercise. This helps to identify areas of the heart that may not be receiving enough blood flow, even if there are no significant blockages. The thallium stress test provides complementary information to angiography by focusing on blood flow to the heart muscle rather than just the anatomy of the coronary arteries. It can help to detect areas of reduced blood flow that may not be apparent on angiography alone. In summary, the thallium stress test can provide valuable information about blood flow to the heart muscle, especially in cases where angiography shows narrowness but no blockages.

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