Question 1

I'm really worried because a couple of months ago, I had some chest pain and when they did an ECG, it showed slight ST elevation in V3 and V4. The cardiologist I saw said it wasnt heart-related, but just to be sure, he had me do a TMT, and that turned out negative. Now, I had chest pain again and went to the hospital. They did another ECG that showed sinus rhythm with sinus arrhythmia and ST elevation, possibly early repolarization with normally inflected T wave, and called it a borderline ECG. Should I be concerned about something serious going on here?

Accepted Answer

"Based on your description, it seems like you are experiencing chest pain with some concerning ECG findings. The ST elevation in V3 and V4 from the previous ECG, along with the ST elevation and early repolarization in the recent ECG, can be worrisome. However, since your cardiologist has already ruled out any significant heart issues with a negative TMT, it is less likely to be related to your heart. The presence of sinus rhythm with sinus arrhythmia indicates normal heart rhythm variation, which is usually not concerning. Early repolarization with borderline ECG findings can sometimes be a normal variant in young, healthy individuals. To address your chest pain and ECG findings, your doctor may consider monitoring your symptoms, lifestyle modifications, and possibly medication. In case of persistent or worsening symptoms, further evaluation or consultation with a cardiologist may be necessary. For symptomatic relief of chest pain, you can consider taking over-the-counter pain relievers like acetaminophen. However, it is important to follow up with your healthcare provider for a proper evaluation and management plan."

Question 2

I've noticed that when I'm just walking at a normal pace, my pulse rate sometimes jumps to around 130. I'm not doing any brisk walking, just regular walking. Is this something I should be concerned about? My ECG came out normal, but I'm still a bit worried about this pulse range of 110-130 when I'm just walking. Any thoughts?

Accepted Answer

A pulse rate of 110-130 during normal walking can be considered normal for some individuals, especially if you are not used to regular physical activity. Since you have already undergone an ECG and it was normal, it is a good sign that your heart is functioning well. However, it is always recommended to consult with a healthcare professional for personalized advice.

Question 3

My final diagnosis shows mitral annular calcification with concentric LVH and RWMA in the LCX territory. There's mild LV dysfunction with an LVEF of 49%, trivial MR, and grade 1 diastolic dysfunction. No TR or PE was noted. Do I need surgery for this, or what treatment options should I consider? I'm 65 and a bit worried about the next steps.

Accepted Answer

Given your diagnosis of mitral annular calcification, concentric LVH, RWMA in the LCX territory, mild LV dysfunction (LVEF 49%), trivial MR, and grade 1 diastolic dysfunction, you don't necessarily need surgery for the mitral annular calcification itself. The focus should be on managing the LV dysfunction, coronary artery disease (CAD), and potential issues related to the RWMA.

I'm trying to understand the seriousness of some heart blockages that were reported. Can you explain what level of concern is typical for this kind of issue? Is there any immediate action I should be thinking about?

Patient is advised for angioplasty depending on the blockade of the coronary arteries. Cardiologist opinion is advised to the patient.

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