Question 1

Is it a big deal that my TMT showed significant ST depression of 0.1mm in leads V4-V6 at peak exercise but didn't persist in recovery? The test said mildly positive for RMI, and I reached my target heart rate. I did Bruce stage 3 for about 8.09 minutes. My blood pressure is normal resting at 12080 and after exercise, it was 14080. I'm not diabetic. My METs were 10.2. Should I be worried about this? Could it be treated at this stage? Do I need to go for an angiography, and if I do, how soon should it be done?

Accepted Answer

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Question 2

I wanted to get some clarity on my ECG results. I'm a bit concerned about terms like "sinus rhythm," "short PR interval," and "slight STT abnormality." The data mentions stuff like P duration, PR interval, and QRS durationwhat do these mean for my heart health? And should I be worried about the diagnosis info or the numbers related to things like the PQRST axis? I'd appreciate any guidance on whether my report is looking good or if there are things I need to watch out for.

Accepted Answer

Based on your ECG report, your heart rate is 97bpm which is within normal range. The P duration, PR interval, and QRS duration are all within normal limits. The QT interval is slightly prolonged, but the corrected QT interval (QTc) is within normal range. The PQRST axis values are also within normal range. The RV5SV1 and RV6SV2 amplitudes are within normal limits as well. The diagnosis information indicates sinus rhythm, a short PR interval, and slight ST-T abnormality in leads II and aVF. Sinus rhythm is a normal heart rhythm, a short PR interval can be benign in some cases, and slight ST-T abnormalities may not necessarily indicate a serious issue. Overall, based on the information provided in your ECG report, it does not appear to be a concerning report for your heart. However, it is important to follow up with your healthcare provider for further evaluation and interpretation of the results.

Question 3

So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a fever around 99-100. We told our doctor, and he suggested blood and urine cultures. The urine culture came back positive with two bacteria, and one was really resistant to antibiotics. The surgeon prescribed Linospan 600 and Furadantin 200, twice and thrice daily, but the fever didn't go away. Another culture at the hospital showed negative for infection in his urine, yet his fever continued around 99-99.5. After a week, another urine culture was still negative. We tried stopping his Combiflame, and the fever went away for a couple of days, but then it returned, and we had to start Combiflame again. Why is his fever persisting despite all these medications and negative test results? Could it be something other than an infection, or are we missing something important? Any advice on what we should do next?

Accepted Answer

It seems like your dad is experiencing recurrent fever despite antibiotic treatment for a positive urine culture. Since the urine culture has come back negative on subsequent tests, it is important to consider other possible causes for the fever. One common cause could be a post-operative infection related to the CABG surgery. In such cases, broad-spectrum antibiotics may be needed. I would recommend discussing with your doctor about the possibility of adding a different antibiotic to cover for other potential infections. In the meantime, to help manage the fever, you can continue giving Combiflam as prescribed by your doctor. Additionally, make sure your dad stays well-hydrated and gets plenty of rest. If the fever persists or worsens, further evaluation may be needed to determine the underlying cause.

I've got my ECG results, and it mentions left axis deviation and early repolarization. I'm 21 and male, and I'm really confused about what this means for my health. Should I be worried about being medically unfit? What should I do next?

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