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 need some advice on my mom's ECG report. It says she's got a sinus rhythm and something called enlarged PtfV1. What does that mean? Should we be concerned about it?

Accepted Answer

The ECG report showing sinus rhythm and a large P wave in lead V1 indicates a possible right atrial enlargement. This could be due to various reasons such as pulmonary hypertension, tricuspid valve disease, or chronic lung disease. It is important to correlate this finding with your mother's clinical symptoms and history. There is no need to worry, but it would be advisable to consult a cardiologist for a detailed evaluation and further management. In the meantime, your mother may benefit from medications like Furosemide to reduce fluid retention and workload on the heart, as well as medications like Digoxin to help regulate the heart rate.

Question 3

My brother-in-law had a heart attack yesterday morning and was rushed to the hospital. The doctors said he had multiple strokes at home and in the hospital. They also mentioned that one of his arteries was previously blocked and now it's burst. He's been on a ventilator since yesterday morning, but now the doctors are saying he is no more and are asking us to remove the ventilator. What should we do in this situation? Is there anything else we can try?

Accepted Answer

I am sorry to hear about your brother-in-law's condition. It sounds like he experienced a severe medical emergency. In this situation, the focus is on providing comfort and support to the patient and their loved ones. It is important to trust the medical team's expertise and decision-making. In such cases, the medical team may use medications like Morphine to help manage pain and provide comfort to the patient during their final moments. Additionally, medications like Midazolam may be used to help reduce anxiety and promote relaxation. These medications can be administered intravenously at appropriate doses as needed. It is important to have open communication with the medical team and express any concerns or questions you may have during this difficult time.

for conformation do 2d echo

More Cardiology Health Queries

I need some advice on my mom's ECG report. It says she's got a sinus rhythm and something called enlarged PtfV1. What does that mean? Should we be concerned about it?

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