Question 1

I'm a 29-year-old software engineer, and I've been feeling a bit worried about my TMT test results. I'm 5.6 inches tall and weigh 76kg, and I live a normal lifestyle without any addictions. Despite other cardiac tests like X-ray, 2D Echo, and Lipid Profile coming back normal, my TMT tests have been consistently showing a "Mildly Positive" remark. This has happened three times over the past year. Should I be concerned about these TMT results, or is it something I can keep an eye on without stressing too much?

Accepted Answer

repeat ecg and tmt after 3 months  is advised.

Question 2

I'm a 25-year-old woman with a BMI of 22.5, and I've been having episodes of tachycardia from time to time. My resting heart rate is usually in the 90s to low 100s, and I don't have any personal or family history of heart disease or drug use. The most recent episode happened yesterday, and I finally got an EKG. It showed sinus tachycardia with a short PR of 100. I work in an outpatient clinic, and a coworker did the EKG for me. Should I be worried about this?

Accepted Answer

take treatment

Question 3

I'm really worried about my health. Every year I get a check-up done, and back in November 2019 at Narayana Hrudyalaya Bangalore, everything was fine  my ECG, Echo, and cholesterol were all normal. But I recently did another cholesterol test, and the results are making me anxious: Total cholesterol is 180, Triglycerides 130, HDL 15, Direct LDL 137, and Non-HDL 165. Lately, I've been feeling this discomfort in my arms and sometimes around my neck, which only lasts a few seconds, but it's got me really concerned about a possible heart attack. My blood pressure is at 12880, and I've been on BP meds for four years now. Back in 2017, both the Holter and Ambulatory tests were normal too, just like the Echo and ECG from November 2019. I'm questioning if there's something serious happening. Should I get another Echo? Is an angiogram necessary? I'm pretty scared and would appreciate any advice.

Accepted Answer

Given your normal results from previous ECG, Echo, and Holter tests, as well as your relatively controlled blood pressure and current cholesterol levels, it's reassuring to some extent. However, the discomfort in your arms and neck, although lasting only a few seconds, deserves attention, especially given your fear of a heart attack. It would be wise to discuss these new symptoms with your cardiologist. They may recommend repeating some tests, such as an ECG or an Echo, to ensure no changes have occurred since your last evaluation. Depending on their assessment, they may also consider a stress test or a coronary angiogram to rule out any significant coronary artery disease. It's important to address these concerns promptly to alleviate your fears and ensure your heart health is appropriately managed.

I'm trying to understand something about ECG readings. In a normal person, when you look at the R wave in the V3 and V4 chest leads, is it due to major ventricular depolarization or septal depolarization? I could really use some help figuring this out.

In a normal person, the R wave in V3 and V4 chest leads is primarily due to major ventricular depolarization. This is a normal electrical activity of the heart during the cardiac cycle.

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