apollo
  • Female
  • 34 Years
  • 29/01/2025

I'm trying to understand what the results from my ECG mean. It shows an incomplete right bundle branch block, but my echocardiogram came back normal. Do I need to be worried about anything, or is there something specific I should be doing next?

Doctor 1

Answered by 1 Apollo Doctors

See a specialist for accurate diagnosis and targeted treatment.

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've got a situation with my aunty that's worrying me a bit. She's been having chest pain and even though the doctor said her ECG and 2D echo are normal, the TMT showed some changes. She's 46, and I'm just wondering what this could mean? Should we be concerned about the TMT results despite the other normal tests? Any insight you could give would be really appreciated.

Hello, based on the information provided, it seems like your aunt is experiencing chest pain despite normal ECG and 2D echo results. In this case, the doctor may consider prescribing anti-anginal medications to help with the chest pain. One common medication that can be prescribed is "Nitroglycerin" sublingual tablets, to be taken as needed for chest pain. The usual dosage is 0.3 to 0.6 mg sublingually every 5 minutes as necessary, up to 3 doses. Additionally, the doctor may also consider prescribing medications like "Beta-blockers" such as Metoprolol, starting at a low dose of 25 mg once daily and titrating up as needed. These medications can help manage chest pain and improve symptoms.

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Doctor 1Doctor 2

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I'm having trouble with a high heart rate. Sometimes it spikes over 100, and if I walk for just 5 minutes, it quickly jumps to around 120-130. Doing even a little bit of exercise can push it to 150. I've already had a 2D echo and TMT, but my doctor said everything looks normal. I'm really confused about what's causing this and wondering if there are other tests that might help diagnose the issue. How can I prevent these spikes from happening?

Given that your 2D echo and TMT results are normal, the elevated heart rate could be due to factors such as anxiety, deconditioning, thyroid issues, or other non-cardiac causes. It might be helpful to check your thyroid function with blood tests like TSH, Free T4, and Free T3, as hyperthyroidism can elevate heart rate. Monitoring for conditions like anemia with a complete blood count (CBC) and checking electrolyte levels might also be beneficial. To manage and prevent a high heart rate, consider stress-reduction techniques like mindfulness or yoga, ensure adequate hydration, and gradually increase your physical activity to improve cardiovascular fitness. Consult your healthcare provider to discuss these potential tests and management strategies further.

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Doctor 1Doctor 2

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What can I eat to lower my blood pressure immediately?

You cannot lower yout BP immediately. Follow a healthy life style and eat food rich in fibre and protein, exercise for 30-40 mins and reduce stress

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