Question 1

I'm 22 years old and my weight is 112. I recently had an ECG done because I was feeling anxious, and it shows PACs with sinus rhythm. I'm really worried about what this means. Can you help me understand if everything's okay with my ECG?

Accepted Answer

Premature Atrial Contractions (PACs) with a sinus rhythm can be a common finding and are often benign, especially in younger individuals. They can occur due to stress, anxiety, caffeine, or other stimulants. Given that you were feeling anxiety at the time of the ECG, it is possible that this contributed to the PACs. However, it's important to discuss these findings with your healthcare provider to ensure there are no underlying issues and to get personalized advice. They may recommend further monitoring or lifestyle adjustments to help manage your symptoms.

Question 2

For how long can we rely on the CT coronary angio results? My mom is 65, diabetic, and had one done in February 2020it all looked pretty normal back then, no plaque in the main artery and a calcium score of zero. Her recent ECG also came back normal and she's not having any symptoms, but we've found that she has mild pulmonary hypertension with a systolic pressure of 34 mmHg on a 2D echo. She's not taking any blood thinners right now. Do you think we should consider repeating the CT angio?

Accepted Answer

CT coronary angiography is a non-invasive imaging test that can provide detailed information about the coronary arteries. In your mother's case, since her CT angio done in Feb 2020 showed a fairly normal result with no plaque in the main artery and a calcium score of zero, it indicates a low risk of significant coronary artery disease at that time. Given that the recent ECG is normal and your mother has no complaints, the decision to repeat the CT angio should be based on her current symptoms, risk factors, and overall clinical condition. Mild pulmonary hypertension as seen in the 2D echo with a systolic pressure of 34 mmHg may not necessarily warrant a repeat CT angio unless there are new symptoms or concerns regarding her cardiac health. It is important to continue monitoring her condition regularly with follow-up visits to her healthcare provider, who can assess the need for any further investigations or adjustments to her treatment plan.

Question 3

I'm really worried about something. I've been dealing with diabetes for about three years now and high blood pressure for over 15 years. For that, I've been taking losium and istamate regularly. But lately, I've been experiencing a dry cough and feeling gassy. When I went to the Baptist Hospital, they said I needed to be admitted to the CCU and they ran some tests like ECG and blood tests, which came back negative. They also did a TMT and an echo. During the TMT, I felt tired after the second stage when the speed increased, and they told me I might have a heart problem, suggesting an angiogram. I decided against it and got discharged instead. I'm confused and not sure what to do next. Can you give me some advice on this?

Accepted Answer

It sounds like you are experiencing some side effects from your current medications. The dry cough and gas could be related to the medications you are taking for diabetes and high blood pressure. Since you are experiencing symptoms related to your heart, it is important to follow up with a cardiologist for further evaluation. I recommend discussing with your doctor about switching from losium to a different medication for high blood pressure to see if that helps with the cough and gas. Additionally, you may benefit from a medication adjustment for your diabetes as well. For your heart condition, it is important to follow up with a cardiologist for further evaluation and to discuss the possibility of undergoing an angiogram to assess the blood flow to your heart. In the meantime, make sure to monitor your blood pressure and blood sugar levels regularly, follow a healthy diet, and engage in regular physical activity as advised by your healthcare provider.

More Cardiology Health Queries

I'm 22 years old and my weight is 112. I recently had an ECG done because I was feeling anxious, and it shows PACs with sinus rhythm. I'm really worried about what this means. Can you help me understand if everything's okay with my ECG?

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