- 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
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More Cardiology Health Queries
View allI've been dealing with chest tightness and pain for a few months now and even after visiting a cardiologist who did an echo, ECG, blood test, and chest X-ray, they said my heart is fine but mentioned that my cholesterol is a little high and prescribed some cholesterol tablets. Can you suggest any home remedies that might help with the chest tightness and pain? I'm really curious about other ways to manage this.
Since your heart has been cleared by the cardiologist and you have been prescribed cholesterol tablets, you can try some home remedies to help relieve chest tightness and pain. 1. **Garlic**: Garlic is known to help lower cholesterol levels. You can include fresh garlic in your diet or take garlic supplements after consulting with your doctor. 2. **Omega-3 Fatty Acids**: Foods rich in omega-3 fatty acids like fatty fish (salmon, mackerel, sardines), flaxseeds, and walnuts can help reduce inflammation and improve heart health. 3. **Fiber-rich Foods**: Eating a diet high in fiber from fruits, vegetables, whole grains, and legumes can help lower cholesterol levels. 4. **Physical Activity**: Regular exercise, as recommended by your healthcare provider, can improve heart health and reduce chest tightness. 5. **Stress Management**: Practicing relaxation techniques such as deep breathing, meditation, or yoga can help reduce stress and chest tightness. 6. **Avoid Smoking and Limit Alcohol**: Smoking and excessive alcohol consumption can worsen chest pain and tightness. Please continue taking your prescribed cholesterol tablets as directed by your doctor and incorporate these home remedies for additional support. If your symptoms persist or worsen, please consult your healthcare provider for further evaluation.
Answered by 1 Apollo Doctors
I'm looking at my 2D echo report and trying to understand a couple of things. It mentions there's no regional wall motion abnormality and that my LV systolic function is good with a normal filling pattern. I'm relieved that there's no MR, AR, or precardial effusion, and no clots were found, but it says there's trivial TR and mild PAH. Could you help me understand what mild PAH means? From what you see in my report, how should I feel about these results overall?
That not a matter of concern just consume healthy diet and maintain regular physical activity follow your doctors advice
Answered by 1 Apollo Doctors
I had an AVR with a mechanical valve about 9 years ago and I'm wondering about my life expectancy now. I make sure to go for my yearly checkups, and my last echo showed an EF of 60, LVDD of 50mm, LA 36mm, with PW and IVS at 1.1cm. My INR level is 2.87. Could you give me some insights on these numbers and what they mean for my future?
With a mechanical valve replacement, it is important to maintain a stable INR to prevent complications such as thrombosis or bleeding. Your current INR of 2.87 is slightly higher than the recommended range for mechanical valves, which is usually between 2.0 to 3.0. It is good that you are going for yearly checkups to monitor your condition. To help manage your INR within the target range, you can consider using Warfarin (Coumadin) at a dosage prescribed by your healthcare provider. Regular monitoring and adjustments to your medication may be necessary to keep your INR within the desired range and reduce the risk of complications. As for life expectancy after AVR with a mechanical valve, it can vary depending on various factors including overall health, adherence to medication, lifestyle factors, and regular follow-up care. It is essential to continue with your yearly checkups and follow your healthcare provider's recommendations for optimal management of your condition.
Answered by 1 Apollo Doctors
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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.