Question 1

I've been having this back pain that shoots down to my hands and chest. I had a TMT done on 20th February 2022, and it came out negative. But I'm worried because I'm feeling the pain again today, and my doctor advised an ECG. If my TMT was normal, do I really need to get an ECG every single time this pain hits?

Accepted Answer

If you have already undergone a TMT which was normal, and you are experiencing chest pain again, it is still important to have an ECG done to check for any acute changes in your heart's electrical activity. It is not necessary to have an ECG done every time you have pain, but if the pain is severe or persistent, it is advisable to seek medical attention and follow your doctor's recommendations.

Question 2

I'm dealing with chronic anemia and have been experiencing shortness of breath, and chest pain too. I got an ECG done, and it showed something called STT depression. Can you explain what that is and how worried I should be about it?

Accepted Answer

ST-T depression on an ECG can indicate myocardial ischemia, which means there may be reduced blood flow to the heart muscle. This can be serious as it may lead to a heart attack if not addressed. To help improve blood flow and manage your symptoms, you can take Aspirin 75mg once daily to prevent blood clot formation and improve blood flow to the heart. Additionally, you can take Ferrous Sulfate 325mg twice daily to help with your chronic Anemia. Remember to follow up with your healthcare provider for further evaluation and management.

Question 3

I'm a bit confused about my recent echo reports. The first one mentioned mild MR and MVP, but when I went to another hospital for a second opinion, they only found mild MR, no MVP. What should I do next? Should I be concerned about this discrepancy?

Accepted Answer

To confirm the presence of mitral valve prolapse (MVP), it is important to have a thorough evaluation by a cardiologist. In the meantime, for mild mitral regurgitation (MR), you can take medication like Losartan 50mg once daily to help manage the condition. It is also important to follow up with your cardiologist for further evaluation and management.

Question 4

I'm trying to make sense of my ECG results, which show a prolonged QT. As a diabetic patient on Metxl 25 mg for high blood pressure, I'm worried about what this means. Could this be a sign of blocked arteries?

Accepted Answer

Prolonged QT interval on an ECG can be a sign of an abnormal heart rhythm, which can increase the risk of fainting, seizures, or sudden death. In diabetic patients with high blood pressure, it is important to monitor the QT interval closely as certain medications can further prolong it. Metxl 25 mg is likely Metoprolol, which is a beta-blocker commonly used to treat high blood pressure. It is important to discuss the prolonged QT interval with your doctor, as they may consider adjusting your medication or prescribing additional treatments to manage this condition. Prolonged QT interval is not typically a direct symptom of artery blockages, but it is important to address this issue to prevent any potential complications. Regular follow-up with your healthcare provider is recommended to monitor your heart health and adjust your treatment plan accordingly.