Question 1

I'm Rao, 29, working in IT support in Chennai. I recently got an ECG report with some concerning results: Sinus Rhythm, Left Atrial Enlargement, RSR pattern in V1-V2, slight ST depression, and mild left axis deviation. Should I be worried about these findings? Can they be managed with mild medication or meditation, or is something more serious going on? Would really appreciate your insights.

Accepted Answer

based on the ECG report results you provided, it shows that you have Sinus Rhythm, Left Atrial Enlargement, RSR Pattern in V1V2, Slight ST Depression, and Mild Left Axis Deviation. For the Left Atrial Enlargement, you may consider taking medication such as Losartan 50mg once daily to help with the condition. For the Slight ST Depression, you can try medication like Aspirin 75mg once daily to manage it. For the Mild Left Axis Deviation, there is no specific medication needed, but regular monitoring by your healthcare provider is recommended. In addition to medication, incorporating meditation and stress-reducing techniques into your daily routine can also be beneficial for your overall heart health. It is important to follow up with your healthcare provider for further evaluation and management. Take care, and best regards.

Question 2

I'm thinking about doing a TMT in a week since I've had hyper acidity issues. I've already done tests like a thyroid profile, ECG, and echo, and everything came back normal. A friend suggested I should consider a TMT as well. Do you think there's a chance it might show something positive?

Accepted Answer

A TMT (Treadmill Test) is commonly used to assess the heart's response to stress and can help diagnose coronary artery disease. Given that your thyroid profile, ECG, and echo are normal, the chances of a positive TMT result are lower. However, it is still important to proceed with the TMT as advised. If you experience hyperacidity during the test, you can take antacids like "Ranitidine" 150mg before the test to help manage the symptoms.

Question 3

I've got a pretty long medical history with congenital heart disease, two open-heart surgeries, and a pacemaker implanted because of atrial fibrillation. My thyroid levels are low, and I'm on medications like Cordarone and beta blockers. It's been rough over the last year with this intense pounding sensation over my nose and super high blood pressure that just won't get under control. I've tried all the check-ups I can think of. What could possibly be causing this uncontrollable high blood pressure, and what can I do about it?

Accepted Answer

Uncontrollable high blood pressure can be challenging to manage, especially with your complex medical history. Since you are already on Cordarone, a Beta Blocker, and thyroid medication, one option to consider adding is an ACE inhibitor like Lisinopril. The recommended dosage for Lisinopril is usually starting at 10 mg once a day, which can be adjusted based on your blood pressure response. Additionally, a diuretic such as Hydrochlorothiazide may also be beneficial in controlling your blood pressure. It is important to monitor your blood pressure regularly and work closely with your healthcare provider to adjust your medications as needed.

Ecg and chest x -ray is advised to the patient.

More Cardiology Health Queries

I'm thinking about doing a TMT in a week since I've had hyper acidity issues. I've already done tests like a thyroid profile, ECG, and echo, and everything came back normal. A friend suggested I should consider a TMT as well. Do you think there's a chance it might show something positive?

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