Question 1

I'm a bit worried about my TMT results that showed inducible ischemia and mentioned a 1 mm ST change in certain leads during exercise. My max heart rate reached 206, with a maximum blood pressure of 18580, and I'm only 33 years old. I exercised for a total of 6 minutes and 19 seconds, reaching a workload of 7.40 METS, but the test was stopped when I hit my max heart rate. My 2D Echo came back normal. Do you think I need to get an angiogram, or is there anything else I should consider?

Accepted Answer

Given your positive TMT result showing inducible ischemia with 1 mm ST depression in multiple leads, achieving maximum heart rate during the test, and normal 2D Echo results, an angiogram may be recommended to further evaluate the extent and severity of coronary artery disease, especially considering your young age (33) and high workload achieved during the test; consult your cardiologist to discuss the risks and benefits of an angiogram and determine the best course of action.

Question 2

I've been having episodes of shortness of breath without any pain, and I'm really worried after my visit to the emergency at Medanta. They did a couple of troponin T tests; one came out negative, but the other was positiveshould I be worried about that? Then they did a coronary angiography, which came back normal, thank goodness, but they also did a CT coronary angiography, and the results are attached. Could you help me understand what's going on in the report and what my next steps should be in terms of treatment?

Accepted Answer

I see that you have undergone various tests for shortness of breath and have received conflicting results on troponin T tests. The normal coronary angiography results are reassuring. As for the CT coronary angiography report, without seeing the specific details, I cannot provide a detailed explanation. However, based on the information provided, it seems like further evaluation and monitoring may be needed to determine the underlying cause of your symptoms. In terms of treatment, it would be best to follow up with your healthcare provider for a comprehensive assessment and to discuss the next steps.

Question 3

Can a young person really die from hypertension? I'm super anxious because whenever I get anxious, my heart starts racing and I worry it might lead to a sudden cardiac arrest. Is that something I should be concerned about?

Accepted Answer

Hypertension can lead to serious health complications if left untreated, including an increased risk of heart disease, stroke, and kidney damage. While it is rare for a young person to die directly from hypertension, it is important to manage and control high blood pressure to prevent long-term complications. Anxiety itself does not directly cause hypertension, but it can contribute to temporary spikes in blood pressure. It is important to address and manage anxiety to prevent these spikes and reduce the risk of complications. In your case, managing anxiety may help reduce your heart palpitations and lower the risk of sudden cardiac arrest. To help manage your anxiety and reduce the risk of complications, you can consider speaking with a healthcare provider about potential treatment options. Additionally, practicing relaxation techniques, regular exercise, and maintaining a healthy lifestyle can also help improve your overall well-being.

Ecg and cardiac markers are advised to the patient.

More Cardiology Health Queries

Can a young person really die from hypertension? I'm super anxious because whenever I get anxious, my heart starts racing and I worry it might lead to a sudden cardiac arrest. Is that something I should be concerned about?

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