Question 1

My mom, who's 50, has been taking Thyronorm 50 for her thyroid. Her doctor mentioned noticing some changes in her ECG twice during her follow-ups and suggested she should get a TMT and an Echo done. Her 2D Echo looks normal with an LVEF of 65%, but her TMT came back positive for inducible ischemia at a moderate workload level. She's mentioned having shortness of breath sometimes when she's climbing stairs, but other than that, she's fine and doesn't have any chest pain or a history of high blood pressure or diabetes. What would you suggest as the next steps for her?

Accepted Answer

A 2D Echo is advised as a diagnostic procedure for heart blocks and other pathology..

Question 2

I'm really worried about these heart palpitations I've been having for the past six months. Whenever they happen, I rush to the hospital. The ECG showed atrial fibrillation, and that's got me concerned. Is this something dangerous that I need to be really worried about? Also, my 2D Echo results were normal. Can you help me understand what's going on?

Accepted Answer

Heart palpitations can be concerning, especially when associated with atrial fibrillation on ECG. Atrial fibrillation is a type of irregular heartbeat that can increase the risk of stroke and other heart-related complications. It is important to manage atrial fibrillation to prevent these complications. For atrial fibrillation, you can take medications such as Dabigatran (Pradaxa) to prevent blood clots and Metoprolol (Lopressor) to control heart rate. In some cases, electrical cardioversion or catheter ablation may be recommended. It's good that your 2D Echo is normal, but it's still important to follow up with your healthcare provider for further evaluation and management of your atrial fibrillation. Regular monitoring and treatment are essential to reduce the risk of complications.

Question 3

I'm a bit worried because last night I had some breathing troubles and felt pain on the left side near my armpit. I went to see a doctor, and although my vitals like blood pressure and pulse were normal, he suggested an ECG, which also turned out normal. I have spondylitis, so I was wondering what tests or checkups I should consider next? Any advice would be really helpful.

Accepted Answer

Having a pain, heaviness or discomfort in your chest can be scary. It does not always mean that you are having a heart attack. There can be many other causes, including
Other heart problems, such as angina
Panic attacks
Digestive problems, such as heartburn or esophagus disorders
Sore muscles
Lung diseases, such as pneumonia, pleurisy, or pulmonary embolism
Costochondritis - an inflammation of joints in your chest
Some of these problems can be serious. Get immediate medical care if you have chest pain that does not go away, crushing pain or pressure in the chest, or chest pain along with nausea, sweating, dizziness or shortness of breath. Treatment depends on the cause of the pain.
To rule out cardiac issues. Get a ECG and 2D echocardiography done. If they are normal then get a TMT  stress echo done.. 
Meanwhile take
Tab. Flexon Mr twice a day for 5 days

More Cardiology Health Queries

Health Articles for you

After Effects Of Angioplasty

How To Take Care After Angioplasty?

Chest Trauma Explained: A Vital Guide to Recognition and First Response

Cardiac Arrest and Heart Attack Comparison

Your Guide to Surgery (CTVS): Procedures, Recovery, and Modern Care