Question 1

I'm curious about my recent test results. My TMT came back positive for reverse myocardial ischemia, but the rest of my tests, like my lipid profile, were normal, aside from my high blood pressure. The doctor gave me meds for the BP, but seemed pretty concerned about the TMT results. Could it be possible that the TMT was a false positive since everything else seems fine, except for my blood pressure being high?

An echo is advised.Yes false positive are present in some cases ..

Last updated on 22 Jan 2025

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Accepted Answer

An echo is advised.Yes false positive are present in some cases ..

Question 2

I'm a bit worried about my recent 2D echo results. It mentions incomplete RBBB and Grade 1 LV diastolic dysfunction. Everything else seems normal, like the cardiac chamber dimensions and valve functions, with no wall motion abnormalities and a good L...

Accepted Answer

Based on the findings from your 2D echo, you have incomplete right bundle branch block (RBBB) and Grade 1 left ventricular (LV) diastolic dysfunction. The report indicates that your cardiac chamber dimensions are normal, with no wall motion abnormalities present at rest. Your LV systolic function is good, with a left ventricular ejection fraction (LVEF) of 60%. However, there is evidence of Grade 1 LV diastolic dysfunction. The cardiac valves, including the mitral, aortic, tricuspid, and pulmonary valves, are all normal. Additionally, there are no issues with the septae (IASIVS), clotvegetation, or pericardial effusion. The great arteries (aortapulmonary artery) are also normal. Based on these findings, no specific medication is typically prescribed for incomplete RBBB or Grade 1 LV diastolic dysfunction. However, it is important to continue monitoring your heart health regularly with follow-up appointments and lifestyle modifications as recommended by your healthcare provider.

Question 3

I'm a bit worried about changing my medication. I used to take Prolomet, and my doctor just switched me to Telma 40 in the morning and Prolomet 25 at night. I'm supposed to stop Prolomet completely after a week and just keep taking Telma. Could this ...

Accepted Answer

Changing from Prolomet to Telma 40 in the morning and Prolomet 25 at night, followed by stopping Prolomet and continuing with Telma alone, should not cause any issues if done under the supervision of a doctor. Telma (Telmisartan) is an angiotensin II receptor blocker that helps in lowering blood pressure. It is important to follow your doctor's instructions regarding the dosage and timing. The transition from one medication to another is commonly done to optimize treatment and minimize side effects. If you experience any unusual symptoms during this transition, such as dizziness, weakness, or changes in heart rate, please consult your doctor for further evaluation.

Question 4

My daughter is 22 and she's got a really high fever. It seems to go down a bit with Calpol 650, but her heart rate gets really fast. Her heartbeat is a lot quicker, and it's worrying me. What should I do?

Accepted Answer

It sounds like your daughter may be experiencing tachycardia (fast heart rate) as a result of the fever. In this case, you can give her Ibuprofen (Advil) 400mg to help reduce the fever and also help with any inflammation that may be causing the fast heart rate. Make sure to keep her well hydrated and monitor her temperature and heart rate closely. If the symptoms persist or worsen, please seek medical attention immediately.

Question 5

Hey, I've been dealing with this pricking sensation on just the left side of my chest for the past year. It's more like a dull, mild sensation rather than outright pain, and it disappears within seconds. I've already done an ECG, echo, TMT, chest X-r...

Accepted Answer

1) Since your ECG, echo, tmt, chest x-ray, and blood tests have all come back normal, further heart investigations may not be necessary at this point. However, if your symptoms persist or worsen, a coronary angiography may be considered by your doctor. 2) If all your tests have come back normal, it is reassuring and indicates that there may not be a serious issue with your heart. However, it is important to continue monitoring your symptoms and follow up with your healthcare provider regularly. 3) The pricking pain in your left chest could be due to various reasons such as musculoskeletal issues, nerve irritation, anxiety, or gastrointestinal problems. It is important to discuss your symptoms in detail with your doctor to determine the exact cause and appropriate treatment.

Question 6

I'm curious if it's common to have mild mitral regurgitation. Can I live a normal life with it, or do I need to limit activities like exercise or long travel?

Accepted Answer

Mild mitral regurgitation usually does not cause any symptoms and does not typically require any restrictions on exercise or travel. You can continue to live a normal life without any limitations. However, it is important to follow up with your doctor regularly to monitor the condition and ensure it does not worsen.

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Related Questions

I'm a bit worried about my recent 2D echo results. It mentions incomplete RBBB and Grade 1 LV diastolic dysfunction. Everything else seems normal, like the cardiac chamber dimensions and valve functions, with no wall motion abnormalities and a good L...

I'm a bit worried about changing my medication. I used to take Prolomet, and my doctor just switched me to Telma 40 in the morning and Prolomet 25 at night. I'm supposed to stop Prolomet completely after a week and just keep taking Telma. Could this ...

My daughter is 22 and she's got a really high fever. It seems to go down a bit with Calpol 650, but her heart rate gets really fast. Her heartbeat is a lot quicker, and it's worrying me. What should I do?

Hey, I've been dealing with this pricking sensation on just the left side of my chest for the past year. It's more like a dull, mild sensation rather than outright pain, and it disappears within seconds. I've already done an ECG, echo, TMT, chest X-r...

I'm curious if it's common to have mild mitral regurgitation. Can I live a normal life with it, or do I need to limit activities like exercise or long travel?

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