Question 1

I'm getting ready for my aviation medical, and I had an ECG done. The report showed ST segment elevation in the anterior, large T waves, and it said "borderline ECG." I'm 20 years old, weigh 82kg, and I'm 176cm tall. Should I be worried about any of these findings? What do they really mean, especially with my age and size?

Accepted Answer

Based on the ECG findings of ST segment elevation (anterior), large T wave, and borderline ECG, along with your age, weight, and height, it is important to further evaluate these findings. These ECG changes could indicate various conditions such as myocardial infarction, myocarditis, pericarditis, or other cardiac issues. I recommend consulting with a cardiologist for a thorough evaluation and appropriate management. In the meantime, it is important to avoid strenuous physical activity and follow a heart-healthy diet. Medications such as aspirin, nitroglycerin, and beta-blockers may be prescribed based on further evaluation by your cardiologist.

Question 2

I'm really concerned because my dad just had Angioplasty and Thrombosuction after he suffered a major heart attack last week. Now he's experiencing pain in the fingers of the hand that was used for the procedure. Has anyone seen this before, and what should we do about it?

Accepted Answer

Pain in the fingers of the hand used for angioplasty could be due to several factors, including irritation from the catheter insertion site, bruising, or local inflammation. It's important to monitor the area for signs of infection, such as increased redness, swelling, warmth, or discharge. Resting the hand and applying a cold compress can help alleviate discomfort. However, if the pain persists or worsens, or if there are signs of infection or compromised blood flow (such as color changes in the fingers or numbness), please contact your father's healthcare provider promptly for further evaluation and management.

Question 3

I was lying down and felt some mild chest pain, so I went to the doctor. They did an ECG and echo, and everything seemed normal, but it showed something about a mild TR Pah and Tr jet at 2.8 with RVSP at 30rap. The doctor said it was fine. A year later, I had another echo, and this time it showed no TR, just PJV at 1.23 msec. I'm not really sure what that means and just want to confirm that there's no PH. The echo report says chamber size and function are normal, so should I be worried about anything?

Accepted Answer

The results of your echocardiogram show that there is no tricuspid regurgitation (TR) this time, and the pulmonary jet velocity (PJV) is 1.23 msec. This indicates that there is no significant backflow of blood through the tricuspid valve and the blood flow through the pulmonary valve is normal. The right ventricular systolic pressure (RVSP) of 30 mmHg is also within normal limits, indicating normal pressure in the right side of the heart. Overall, the echo results show normal chamber size and function of your heart. No further treatment is needed at this time based on these results.

More Cardiology Health Queries

I'm really concerned because my dad just had Angioplasty and Thrombosuction after he suffered a major heart attack last week. Now he's experiencing pain in the fingers of the hand that was used for the procedure. Has anyone seen this before, and what should we do about it?

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