Question 1

I've had several EKGs, and they keep showing I have inverted T wave lines. Ive also done a few stress tests, which were said to be normal. But then I ended up in the ER with chest pain, and the doctor there said I need a heart cath because my stress tests werent completely normal. One doctor says they're normal, and another one disagrees. I'm only 45 years old, and I'm just wondering if a heart cath is really necessary. I've got an appointment with a cardiologist in 9 days, and I'm feeling a bit nervous about all this. What do you think?

Accepted Answer

ECHO is advised for further management.

Question 2

I'm having some health anxiety these past few months, especially about my heart, like cardiophobia, I guess. Because of this, I've been experiencing pain in my left hand, from my arm down to my fingers. I'm really worried and can't help but wonder, is this just anxiety causing it, or is there something else going on?

Accepted Answer

Health anxiety, or cardiophobia, can indeed cause physical symptoms like pain in the left arm, as anxiety can manifest with muscle tension and heightened sensitivity to bodily sensations. Since you have had normal cardiac tests and evaluations, it's likely that anxiety is contributing to your symptoms. It's important to address your anxiety through appropriate methods such as cognitive-behavioral therapy (CBT), relaxation techniques, regular exercise, and possibly medication if recommended by a healthcare provider. Consulting with a mental health professional can provide you with tools to manage your anxiety and reduce the physical symptoms you're experiencing.

Question 3

I'm a bit worried about my dad. He's 61 and has been dealing with diabetes and thalassemia. He had surgery for a blockage about six years ago, and now he's been feeling really fatigued. He just got a 2D echo done, and the report says RWMALVEF 50. Should I be concerned about these results? Is it something dangerous or is this considered normal given his medical history?

Accepted Answer

Patient's 2D echo report showing impression of Regional Wall Motion Abnormality (RWMA) with Left Ventricular Ejection Fraction (LVEF) of 50% indicates a decreased heart function. This can be concerning and may require further evaluation and management. To improve heart function and address fatigue, the patient can be prescribed medications like Carvedilol 6.25 mg twice daily and Lisinopril 5 mg once daily. Additionally, the patient may benefit from Aspirin 81 mg daily for cardiovascular protection. Regular follow-up with a cardiologist is recommended to monitor the condition and adjust treatment as needed.

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