Question 1

I'm a bit confused about the TMT and Echo results for my dad, who's 50. The Echo came back normal with an EF of 60, and the TMT showed good effort tolerance. But there were upsloping ST changes at the peak of the test. The report says it's negative for exercise-induced reversible ischemia. Is it normal to have these upsloping ST changes? Should I be worried about this?

Accepted Answer

The upsloping ST changes at the peak of the TMT test can be considered normal if the test is negative for exercise-induced reversible ischemia. It is important to correlate these findings with your father's overall clinical history and risk factors for heart disease. In this case, no further intervention may be needed based on the test results provided.

Question 2

I'm looking at my ECG results and I'm not sure if they're normal. My heart rate is at 101 BPM, P wave is 98 ms, PR interval is 128 ms, QRS is 98 ms, QT is 332 ms, QTc is 431 ms, PQRST numbers are 655747, and RV5SV1 is 1.8150.693 mV. Should I be concerned about any of these readings? What do these numbers mean?

Accepted Answer

Your ECG reading shows the following values: - Heart Rate (HR): 101 BPM - P wave duration (P): 98 ms - PR interval: 128 ms - QRS complex duration: 98 ms - QTQTc interval: 332431 ms - P wave axisQRS axisT wave axis: 655747 degrees - R wave in lead V5S wave in lead V1: 1.8150.693 mV Based on these values, your ECG reading appears to be within normal limits.

Question 3

I'm feeling some chest and back pain that seems to move around my upper body, and it's been going on for about 4-5 months now. I've done a bunch of tests like an endoscopy, throat scope, and both ECG and a 2D echo, and they all came back normal. I'm just curious, could this be related to something like variant angina? And do painkillers even help with angina pain?

Accepted Answer

based on your symptoms and normal test results, it is possible that you may be experiencing variant angina, also known as Prinzmetal's angina. Variant angina is a type of chest pain caused by coronary artery spasm, which can lead to temporary narrowing or constriction of the coronary arteries. For variant angina, painkillers like nitroglycerin can help relieve the chest pain by relaxing and dilating the coronary arteries, improving blood flow to the heart muscle. Nitroglycerin is commonly prescribed for angina and is available in various forms such as sublingual tablets or spray. The usual dosage is 0.3 to 0.6 mg sublingually as needed for chest pain. It is important to follow up with a cardiologist for further evaluation and management of your symptoms.

I'm curious about my pulse after exercising. I did a brisk walk for about 3 kilometers, which took me around 30 minutes, and when I checked my pulse rate right after, it was between 130 and 135. Is this considered normal? My resting pulse usually sits between 70 and 80. Should I be concerned?

A pulse rate of 130-135 after brisk walking is within a normal range, especially considering your resting pulse is 70-80. As long as you do not experience any symptoms such as chest pain, dizziness, or shortness of breath, this pulse rate is considered normal for your level of physical activity.

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