- 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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Is my EKG normal? Can you manually check the QTc levels because last time the machine got it wrong? Also, I'm confused about what non-specific ST depression means. From what I understand, ST depression is linked to a heart attack or ischemia. I've had ECGs before, but this is the first time I've seen this in the report. Could you help explain this?
Regarding the EKG, I cannot check the QTc levels manually through this platform. Non-specific ST depression on an EKG means that there are changes in the ST segment of the EKG that are not specifically indicative of a heart attack or ischemia. It can be caused by various factors such as electrolyte imbalances, medications, or even normal variation. If you have concerns about the findings on your EKG, it would be best to discuss them with your healthcare provider for further evaluation and interpretation.
Answered by 1 Apollo Doctors
I'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be looking into more tests or checkups to make sure everything's alright with my heart? Its just a bit unsettling not knowing what to expect.
Sinus bradycardia is a condition where the heart beats at a slower rate than normal, typically less than 60 beats per minute. It is caused by the sinus node in the heart sending electrical signals at a slower pace. Incomplete right bundle branch block (RBBB) is a condition where there is a delay in the electrical signal conduction in the right bundle branch of the heart. Symptoms of sinus bradycardia may include dizziness, fatigue, lightheadedness, confusion, shortness of breath, and chest pain. Incomplete RBBB may not cause any symptoms on its own, but it can be associated with underlying heart conditions. Further tests that may be required for sinus bradycardia and incomplete RBBB include an electrocardiogram (ECG) to confirm the diagnosis, a Holter monitor to monitor the heart's electrical activity over a period of time, an echocardiogram to assess the heart's structure and function, and possibly a stress test to evaluate the heart's response to physical activity. For sinus bradycardia, if symptoms are severe or if the heart rate drops too low, a medication like Atropine or Isoproterenol may be prescribed. In cases where bradycardia is persistent and symptomatic, a pacemaker implantation may be necessary. For incomplete RBBB, treatment is usually focused on managing any underlying heart conditions that may be causing the conduction delay. Medications like beta-blockers or calcium channel blockers may be prescribed to help regulate the heart's electrical activity. Remember, it is important to follow up with a healthcare provider for proper evaluation and management of these conditions.
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.