Question 1

I've been keeping an eye on my health and just found out that my blood pressure is at 14090. My ECG report shows that my right bundle branch is blocked, and now my doctor wants me to start taking CYTOGARD and MONIT GTN 2.6. To be honest, I'm a bit nervous about starting these medications since I don't really have any symptoms. Is it really necessary to take them, or should I hold off until there's something more serious going on?

Accepted Answer

for conformation do 2d echo

Question 2

I've already had my echo about three weeks ago because I was having chest pain. I'm still worried and wondering how many days I should wait before going for another test. Could you help me out with this?

Accepted Answer

It is recommended to follow up with your doctor for further evaluation of your chest pain. Depending on the underlying cause of your symptoms, your doctor may recommend additional tests or adjustments to your current treatment plan. If the chest pain persists or worsens, seek medical attention promptly.

Question 3

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of the heart, suggests normal LVH and a normal LV cavity with normal thickness, having a zero calcium score. Also, my TMT came out negative for any chest pain-related issues. I'm kind of confused here. Which result should I rely on when it comes to the left ventricular hypertrophy? Which is considered more accurate or should I be concerned about something else here?

Accepted Answer

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

ortho opinion

More Cardiology Health Queries

I've already had my echo about three weeks ago because I was having chest pain. I'm still worried and wondering how many days I should wait before going for another test. Could you help me out with this?

Health Articles for you

Understanding Homocysteine Connection with Heart Disease: Risk Factors and Preventive Measures

How to Reduce Plaque In Arteries?

Stents vs. Bypass Surgery A Guide to Heart Procedures

Heart Rate Levels Explained: Normal Vs Dangerous

Understanding Heart Attack Symptoms and Treatments