- male
- 50 Years
- 22/01/2025
I'm feeling a bit worried because I've had this pain in the middle of my chest, and when I got an ECG, it showed an abnormal Q wave in lead 3. It's the same result as a year ago when I had an ECG and then went through a TMT and an echo which both came back normal. Should I be getting another echo and TMT done now, or is it okay to hold off? Any guidance would be really helpful.
Answered by 1 Apollo Doctors
Based on your history of chest pain and abnormal q wave in lead 3 on ECG, it is important to continue monitoring your heart health. Since your previous TMT and echo were normal, it is reassuring. However, given the persistent abnormal q wave on ECG, it would be advisable to repeat the TMT and echo to ensure there have been no changes in your heart function. I recommend you to consult with your healthcare provider for further evaluation and to discuss the need for repeating the tests.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 25/07/2025
0
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It's understandable to feel anxious and concerned about your symptoms. Skipped or missed heartbeats, known as palpitations, can be distressing but are often benign, especially with normal ECG, echo, and TMT results. Hyperthyroidism can contribute to palpitations and should be managed effectively. Since you have already been prescribed ivabradine and an anxiety medication, it's important to continue following your doctor's advice and taking your medications as directed. Given your ongoing symptoms and anxiety, it might be beneficial to seek a comprehensive evaluation at a specialized center, such as a tertiary care hospital with a cardiology and endocrinology department. They can conduct further tests, such as a Holter monitor to track your heart rhythms over 24-48 hours, and refine your treatment plan. Additionally, managing anxiety through therapy, relaxation techniques, and lifestyle changes can also help alleviate your symptoms. Please consult with your healthcare provider to discuss your concerns and consider a referral to a specialist if needed.
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I'm trying to understand the results of my recent 2D echo and colour Doppler test. It mentioned things like LEFT VENTRICLE ASH, TRILEAFLETS, and an AORTIC VALVE that's thickened. It also noted some stuff about COLOUR DOPPLER and something called AV GRDT 5mmHg AR GRADE 1. They concluded I have HYPERTENSIVE HEART DISEASE and ASYMMETRICAL SEPTAL HYPERTROPHY among other things. They said I have a NORMAL LV SYSTOLIC FUNCTION with an EF of 64%, but I'm not quite sure what that means. Given this, is my condition something thats curable or can be managed? Would surgery or implants help at all? I don't have diabetes and my heart rate stays around 50-60 bpm consistently. I've been on Zabeta X for nine years, then LODOZ 2.5 for a year, and now CONCOR 2.5 for the last 15 days. Also, I've been taking Restyl 0.5 at bedtime for 9 years. What should I consider doing next?
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