Question 1

Today I was feeling really breathless, so I decided to see a cardiologist. They had me do an ECG, and after looking it over, the doctor recommended getting another one in 23 days. Should I be worried about what my ECG showed? I'm also on antidepressants, and I've heard they can sometimes cause long QT syndrome. Could that be what's going on with my QTc interval? I've attached my ECG, and I'm just hoping you can let me know if there's anything abnormal.

Accepted Answer

The QTc interval on your ECG appears to be prolonged, which can be a concern as it may lead to arrhythmias. Since you are on antidepressant medication, it is important to monitor this closely as some antidepressants can indeed prolong the QT interval. I recommend discussing this with your cardiologist and considering a change in medication if necessary. In the meantime, you may benefit from taking a medication like Escitalopram at a lower dose to reduce the risk of QT prolongation.

Question 2

I'm a bit confused about the results of my TMT test. I didn't feel any chest pain during the test, and it said negative for inducible Ischaemia. But then my doctor mentioned the test was mildly positive. Does this mean I need to consider getting an angiogram?

Accepted Answer

yes as a prognostic tool you may undergo angiogram as advised.

Question 3

I'm a bit concerned because my ECG results show an inversion in lead 3 and AVF. I don't really have any pain, but I do have high blood pressure. My exercise treadmill test (ETT) came back negative, and my echocardiogram is normal too. So, what's causing these inverted T waves, and should I be worried about it?

Accepted Answer

The inversion of T waves in lead 3 and aVF on your ECG could be due to various reasons, including but not limited to hypertension. Since your exercise tolerance test (ETT) is negative and your echocardiogram is normal, it is less likely to be related to coronary artery disease. However, it is important to monitor your blood pressure closely and make sure it is well controlled. In this case, medications like Amlodipine 5mg once daily can be prescribed to help manage your high blood pressure and potentially improve the T wave inversion. Regular follow-ups with your healthcare provider are essential to monitor your condition.

Ecg and cardiac markers are advised to the patient.

More Cardiology Health Queries

I'm a bit confused about the results of my TMT test. I didn't feel any chest pain during the test, and it said negative for inducible Ischaemia. But then my doctor mentioned the test was mildly positive. Does this mean I need to consider getting an angiogram?

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