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've been having this back pain that shoots down to my hands and chest. I had a TMT done on 20th February 2022, and it came out negative. But I'm worried because I'm feeling the pain again today, and my doctor advised an ECG. If my TMT was normal, do I really need to get an ECG every single time this pain hits?

Accepted Answer

If you have already undergone a TMT which was normal, and you are experiencing chest pain again, it is still important to have an ECG done to check for any acute changes in your heart's electrical activity. It is not necessary to have an ECG done every time you have pain, but if the pain is severe or persistent, it is advisable to seek medical attention and follow your doctor's recommendations.

Question 3

I've noticed my blood pressure has been rising, it's at 140100 now. My lipid profile, thyroid, ECG, and sugar levels are all normal. I'm worried about the increasing BP though. Should I consider starting medication, or would it be better to try changing my lifestyle first? What do you suggest?

Accepted Answer

Based on your blood pressure readings, even though your other health parameters are normal, it is important to address the high blood pressure. I recommend starting medication to help lower your blood pressure. In addition to medication, it is also beneficial to make lifestyle changes such as reducing salt intake, increasing physical activity, maintaining a healthy weight, and managing stress. These lifestyle modifications can further help in controlling your blood pressure.

I'm really concerned about my dad's recent medical tests. His ECG showed something about an aVF T Wave abnormality, but then he got a 2D echo, and it came back normal. I'm just trying to understand why one test would show something abnormal and the other wouldn't. Could this mean something serious?

cause is lack of electrical impulse to the heart and lack of blood supply leading to sudden collaose and dizziness.Patient needs cardioversion or a defibrilator as a immediate treatment.

More Cardiology Health Queries

I've noticed my blood pressure has been rising, it's at 140100 now. My lipid profile, thyroid, ECG, and sugar levels are all normal. I'm worried about the increasing BP though. Should I consider starting medication, or would it be better to try changing my lifestyle first? What do you suggest?

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