- 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.
More Cardiology Health Queries
View allI'm feeling some discomfort with a bit of pain and gas on my left side. I've attached my ECG report. Could you take a look at it and let me know if everything seems normal? Also, how can I tell the difference between gas issues and heart-related pain?
To distinguish between gas pain and heart pain, gas pain is often described as a sharp, jabbing pain that may move around and is usually accompanied by bloating or burping. Heart pain, on the other hand, is typically a dull, pressure-like discomfort that may radiate to the arm, neck, or jaw, and is often associated with other symptoms like shortness of breath or sweating. If you are experiencing persistent or severe chest pain, it is important to seek medical attention for further evaluation and management. In the meantime, you can try taking an over-the-counter antacid like Tums for gas relief.
Answered by 1 Apollo Doctors
I'm trying to understand my recent ECG results better. It mentions LVH and LAE, and the report says it's moderately abnormal. Can you tell me what that means for me? The ECG also showed a normal sinus rhythm and axis, and my heart rate was 80 BPM. Should I be concerned or take any specific actions?
LVH (Left Ventricular Hypertrophy) and LAE (Left Atrial Enlargement) can appear on an ECG due to changes in the electrical activity of the heart caused by the enlargement of the left ventricle and left atrium, respectively. These changes can be detected on an ECG as alterations in the patterns of the electrical signals produced by the heart. In your case, the ECG showing LVH and LAE along with a description of "moderately abnormal ECG" indicates that there are significant changes in the electrical activity of your heart. However, it is positive that the ECG also shows normal sinus rhythm and normal axis, which means that the heart is beating normally and the electrical signals are following the correct pathways. With a heart rate of 80 beats per minute (BPM), it falls within the normal range. To further evaluate the significance of the LVH and LAE seen on the ECG, additional tests such as an echocardiogram may be needed to assess the structure and function of the heart in more detail. In terms of treatment, managing the underlying conditions that may have led to LVH and LAE, such as hypertension or valvular heart disease, is important. Medications like ACE inhibitors or ARBs may be prescribed to help reduce the workload on the heart and control blood pressure. Regular follow-up with a cardiologist is recommended to monitor your heart health and make any necessary adjustments to your treatment plan.
Answered by 1 Apollo Doctors
I'm curious about what's happening with my heart. Sometimes my ECG shows these non-specific ST changes, and while my echo was normal, I'm still worried. I often feel chest discomfort and pains in my left arm. Is there something specific these ST changes could indicate, even though my ECG and echo seem alright? Could something be missed?
Non-specific ST changes on an ECG can be caused by various factors, including electrolyte imbalances, medications, anxiety, or even normal variation. Since your echocardiogram was normal, it is less likely to be related to a structural heart problem. However, given your symptoms of chest discomfort and left arm pains, it is important to continue monitoring and investigating further. To address your symptoms, you can try taking a medication like aspirin for chest discomfort (75-325mg once daily) and acetaminophen for pain relief in your left arm (500-1000mg every 4-6 hours as needed). Additionally, you may benefit from a medication like ranitidine for acid reflux if present (150mg twice daily). It is important to follow up with your healthcare provider for further evaluation and management of your symptoms.
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.






