Question 1

I'm Rohit, and I'm from Delhi. Back in December, I had some chest pain and got an ECG done. The doctors thought it might be type 1 Brugada morphology. I've since done a bunch of tests like ECG, ECHO, TMT, CT Angiography, and a 24-hour holter test, all of which came back negative. The doctor said it's asymptomatic since I don't have ventricular tachycardia, ventricular fibrillation, a family history of sudden cardiac death in a close relative under 45, or anything like that.

Now, I'm planning to get married and just want to be sure about the Brugada syndrome diagnosis. Do you think it's a good idea for me to take a Flecainide or Ajmaline challenge test to confirm whether I have Brugada syndrome? Also, could you recommend any hospitals in India, especially near New Delhi, where I could get this test done? Would appreciate any info you have!

Accepted Answer

Yes, you can undergo a FlecainideAjmaline challenge test to confirm the presence of Brugada syndrome. This test is commonly used to unmask the Brugada ECG pattern in individuals suspected of having the syndrome. In India, you can consider getting this test done at reputed hospitals like AIIMS (All India Institute of Medical Sciences) in New Delhi, or at Max Super Speciality Hospital in Saket, New Delhi. It is important to undergo this test under the supervision of a cardiologist experienced in managing Brugada syndrome, as the test involves administration of a sodium channel blocker (Flecainide or Ajmaline) which can induce changes in the ECG pattern characteristic of Brugada syndrome. This test should only be performed in a hospital setting with facilities for managing any potential complications that may arise during the test. Before proceeding with the FlecainideAjmaline challenge test, it is advisable to discuss the potential risks and benefits of the test with your healthcare provider to make an informed decision.

Question 2

I'm trying to understand what "borderline ECG" really means. Should I be worried about it? I've attached my ECG report. Can you help explain what it indicates?

Accepted Answer

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

Question 3

I'm a bit worried because my pulse rate is always between 95 and 120. I have high blood pressure and I'm on Olmat 20. Right now, with the digital machine, my blood pressure is reading around 130 to 145 over 85 to 100. Why is my pulse rate high, and is there any treatment I should consider?

Accepted Answer

This needs evaluation,visit Physician for the same and appropriate anagement

I've been checking my heart rate with my phone, and it usually reads between 90-100. I don't smoke, drink, or experience any stress, but sometimes my heart feels a bit heavy, even when I'm just resting. Is this normal? I'm 5.9 tall and weigh 75 kg.

An echo and ecg is advised.

More Cardiology Health Queries

I'm trying to understand what "borderline ECG" really means. Should I be worried about it? I've attached my ECG report. Can you help explain what it indicates?

I'm a bit worried because my pulse rate is always between 95 and 120. I have high blood pressure and I'm on Olmat 20. Right now, with the digital machine, my blood pressure is reading around 130 to 145 over 85 to 100. Why is my pulse rate high, and is there any treatment I should consider?

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