- female
- 60 Years
- 22/01/2025
Ive got rheumatoid arthritis, hypertension, and Hashimotos. I just had an ECG at a walk-in clinic for a pre-op check-up and it showed non-specific T wave abnormality and possible left atrial enlargement. Can you explain what that means? Should I be worried and see a cardiologist about it?
Answered by 1 Apollo Doctors
The non-specific T wave abnormality and possible left atrial enlargement on your ECG could be indicative of various conditions, including cardiac issues such as atrial fibrillation, myocardial ischemia, or structural heart disease. Given your medical history of rheumatoid arthritis, hypertension, and Hashimoto's, it is important to further evaluate these findings. I recommend consulting with a cardiologist for a more detailed assessment and appropriate management. In the meantime, it would be beneficial to monitor your blood pressure regularly and ensure that your rheumatoid arthritis and Hashimoto's are well controlled. If any symptoms such as chest pain, palpitations, or shortness of breath occur, seek immediate medical attention.
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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I've been having chest pain on my left side and pain in my left hand for about 5 months now. On top of that, I've been dealing with a headache for the past 10 days, and sometimes I feel dizzy. The doctor had me do a TMT, ECHO, and ECG, but all those tests came out normal. I'm feeling pretty confused because my blood pressure often stays high, roughly around 120-130 over 75-85. I'm really not sure what's going on or what to do next. Any ideas on what could be causing these issues?
From the symptoms you have described, along with your normal TMT, ECHO, and ECG results, it is important to consider other possible causes for your chest pain, left hand pain, headache, and dizziness. Given your elevated blood pressure readings, it is possible that your symptoms could be related to hypertension. I recommend starting with lifestyle modifications such as reducing salt intake, maintaining a healthy weight, regular exercise, and stress management. In addition, you may benefit from medication to help control your blood pressure. I suggest starting with an antihypertensive medication like Losartan 50mg once daily to help lower your blood pressure and potentially alleviate your symptoms. It is important to monitor your blood pressure regularly and follow up with your doctor for further evaluation and management. Remember to also follow a healthy diet, avoid smoking and excessive alcohol consumption, and prioritize regular physical activity to improve your overall cardiovascular health.
Answered by 1 Apollo Doctors
Why do most heart attacks occur in the morning?
Our body has Carcadian system and this rythm dips and raises throutout the day. This system sends out PA1-1 cells which blocks the blood clots from breaking down. Another reason is when we wake up, brain floods the heart with hormones which increases the load on the heart .
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.