Question 1

I'm trying to understand how likely it is to have a heart blockage if my ECG comes back normal? Also, under what circumstances would a doctor suggest going for an angiography?

Accepted Answer

When ECG is normal no need to worry,if you have non specific chest pain,get a 2D echo done and visit Cardiologist for appropriate management

Question 2

Is it normal for my resting heart rate to sometimes drop to 55? I've been keeping an eye on it using my Apple Watch, and I've noticed this happens on about six days over the past month. I'm currently taking Ciplar LA 20 since July, and before that, I was on Petril Beta for two months. Also, when I exercise, my heart rate shoots up to between 150 and 180 but returns to normal pretty quickly after I stop. I had a stress echo test done last December and everything was fine, but I'm wondering if I need any further testing. What do you think?

Accepted Answer

Resting heart rate between 54 to 60 beats per minute is considered normal for adults. Since you have a history of taking Ciplar LA 20 and Petril beta, which are beta blockers, it is expected to have a lower resting heart rate. Your heart rate increasing to 150 to 180 beats per minute during exercise is also normal and shows that your heart is responding appropriately to physical activity. As long as your heart rate returns to normal after you stop exercising, and considering your previous normal stress echo test results, there is no immediate need for further testing. Just continue monitoring your heart rate and consult your doctor if you notice any concerning symptoms.

Question 3

I'm really worried because my ECG report says "old lateral infarct sinus rhythm." I'm not sure what that means exactly. Could you help me understand it? Should I be concerned or take any specific actions?

Accepted Answer

The ECG report indicating an old lateral infarct means that there was a previous heart attack that affected the lateral (side) part of the heart. Sinus rhythm refers to the normal heart rhythm. It is important to follow up with your healthcare provider for further evaluation and management. In the meantime, you may be prescribed medications like Aspirin and Clopidogrel to prevent blood clots, as well as a beta-blocker like Metoprolol to reduce the workload on the heart. It is also important to make lifestyle changes such as following a heart-healthy diet, exercising regularly, and avoiding smoking.

Ent opinion.

More Cardiology Health Queries

I'm trying to understand how likely it is to have a heart blockage if my ECG comes back normal? Also, under what circumstances would a doctor suggest going for an angiography?

I'm really worried because my ECG report says "old lateral infarct sinus rhythm." I'm not sure what that means exactly. Could you help me understand it? Should I be concerned or take any specific actions?

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