Question 1

My wife's TMT came back positive, but her echocardiogram and ECG results were normal. Her doctor suggested she get an angiogram. I'm trying to understand if this is the right step at her age, which is 46. Is it usual to go for an angiogram in such cases, or are there other things we should consider first?

Accepted Answer

The advice for angiogram given by the doctor seems appropriate considering your wife's TMT test being positive. An angiogram can provide detailed information about the blood flow to the heart and help in identifying any blockages in the arteries. Given her age of 46 years and the positive TMT result, it is important to further investigate to ensure proper diagnosis and treatment. I would recommend following the doctor's advice and proceeding with the angiogram to assess the heart's condition accurately.

Question 2

I'm really worried about my aunt who's dealing with hypertension. Her blood pressure was really high at 190110 during her echo testing. The echo report mentioned things like AO 30mm, LA 40mm, EF 60%, and LVIDd 40mm, among others. She was diagnosed with CVH and grade 1 LVDD. I've heard CVH can be reversible with long-term control of blood pressure. The doctor has prescribed meds, and now her BP is down to 13185. I'm just trying to understand if her condition is mild, moderate, or severe. Can you help me make sense of all this?

Accepted Answer

Based on the information provided, your aunt's CVH (Cardiovascular Hypertension) condition is concerning due to her high blood pressure of 190110. However, with proper management and the prescribed blood pressure tablets, her current blood pressure of 13185 is within a better range. To help control her blood pressure and potentially improve her CVH, the doctor may have prescribed medications such as Amlodipine (5mg) and Lisinopril (10mg) to be taken daily. These medications can help lower blood pressure and reduce the strain on the heart. In terms of the severity of her CVH, it is considered mild at this stage with grade 1 LVDD (Left Ventricular Diastolic Dysfunction). With continued management of her blood pressure and overall health, there is a possibility that the CVH can be reversible over time. Remember to monitor her blood pressure regularly, take the prescribed medications as directed, follow a healthy lifestyle, and attend follow-up appointments with her doctor for further evaluation and management of her condition.

Question 3

I recently did a master health check-up and found my LDL cholesterol is at 120. The ECG shows "sinus rhythm incomplete right bundle branch block." The doctor prescribed Arvast 10 mg and suggested I start walking. I noticed my MCV is at 54, lymphocytes at 45, ALT in the liver function test is 51, and serum urea is 15. Does everything look normal in the report, especially with the ECG?

Accepted Answer

may not necessarily indicate a serious issue. As for your medication, ARVAST 10 Mg is a common medication used to lower LDL cholesterol levels. Additionally, maintaining a regular walking routine as advised by your doctor can also help improve your overall cardiovascular health. Regarding your other test results, a MCV of 54 is within the normal range. A lymphocyte count of 45 is also within normal limits. An ALT level of 51 is slightly elevated, which may indicate some liver inflammation or damage. For this, you may consider taking medication to improve liver function.

ecg and cardiac markers are advised to the pt.

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