- Female
- 45 Years
- 22/01/2025
I'm really worried about some recent health reports I've got. My TSH levels were high at 10.3, so my doctor increased my thyroid medication from 100mg to 125mg. Then after about 25 days, my TSH dropped to 0.70, and I was advised to cut down the medication to 75mg. I'm also confused because my TMT test came back positive for inducible myocardial ischemia, but my ECG and echocardiography were normal. The doctor is now suggesting I go for an angiogram. I'm really anxious about whether these thyroid level changes could be affecting my TMT results. Should I be rushing into getting the angiogram, and is there a real chance of having heart issues even though the ECG and echo were normal? Any advice would be really appreciated.
Answered by 1 Apollo Doctors
Yes its is due to fluctating tsh levels. U may repeat angio after 6 months.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0

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I'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.
1. Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider. 2. The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH. 3. A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages. Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.
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I'm really concerned because my pulse rate is consistently over 100. Could this be something serious? What kind of treatments are available, and are there specific precautions I should be taking to manage this? I'm really worried and would appreciate any advice you can give.
A pulse rate consistently above 100 beats per minute is known as tachycardia. The underlying causes of tachycardia can vary, including stress, anxiety, dehydration, anemia, thyroid disorders, heart conditions, and certain medications. To treat it, you can try relaxation techniques, stay hydrated, and avoid stimulants like caffeine. If the problem persists, you may need medication such as Metoprolol (25-50mg) to help regulate your heart rate. It is important to monitor your pulse regularly and consult with your doctor for further evaluation and management.
Answered by 1 Apollo Doctors
Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.





