Question 1

My dad just got a health check-up, and his TMT test came out positive. The doctor suggested we go for an angiogram, and I'm curious if we're on the right path here. Is there a possibility that the angiogram might show no blockages at all? Also, are there any risks we should be aware of when getting an angiogram?

Accepted Answer

Yes, you're on the right track. A positive TMT (Treadmill Test) suggests that there may be reduced blood flow to the heart, and an angiogram is a standard follow-up to check for any blockages. It is possible that an angiogram might show no significant blockages; sometimes TMT results are positive due to other factors. Angiograms are generally safe, but they do carry minimal risks, such as bleeding, infection, or, rarely, an allergic reaction to the dye used.

Question 2

I'm concerned after seeing something on my dad's ECG report that mentioned diastolic dysfunction. He had a heart attack back in 2006 but hasn't had any problems for 11 years. Should we be worried about this diastolic dysfunction showing up now? What does it really mean for his heart health moving forward, especially given his heart history?

Accepted Answer

The ECG report indicating diastolic dysfunction in a patient with a history of a heart attack in 2006 is concerning, despite the absence of recent issues. Diastolic dysfunction refers to abnormalities in the heart's relaxation phase, which can lead to impaired filling of the heart chambers. To address this, it is important to manage the underlying heart condition effectively. In this case, prescribing medications such as ACE inhibitors like Lisinopril or ARBs like Losartan can help improve diastolic function and reduce the risk of further complications. Additionally, beta-blockers such as Metoprolol can be beneficial in managing heart conditions and improving overall heart function. Regular follow-ups with a cardiologist are essential to monitor the heart's health and adjust the treatment plan as needed.

Question 3

I've been feeling this odd sensation in my chest for the past 23 days, almost like there's a light weight sitting there. When I stand up after sitting for a bit, it gets worse, and I feel a bit breathless with fear running through my mind. What could be causing this, and who should I see about it? It's pretty scary for me, especially since I just had tests like an ECG done last year for insurance. What do you think?

Accepted Answer

I understand that this feeling can be quite distressing. It could be related to anxiety, acid reflux, or even a cardiac issue, though your previous tests were normal. I recommend consulting a cardiologist for a thorough check-up and possibly an updated ECG, as well as discussing any anxiety or stress you might be experiencing. Take care!

I'm experiencing this weird vibration-like sensation in the upper left side of my chest that's been going on for a couple of days. Initially, I thought it was just acidity, but its been almost 45 days now. Any idea whats causing this and how I can fix it quickly?

Ecg and x-ray chest pa view is advised to the patient.

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