Question 1

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?

Accepted Answer

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.

Question 2

I'm worried about my heart. I've done a bunch of tests like ECG, echo, TMT, and stress echo, and everything's come back normal. But every time I have something like gastric pain or even just diarrhea, I can't shake this fear that I'm having a heart a...

Accepted Answer

It sounds like you are experiencing significant anxiety about your heart health, despite having normal cardiac test results. This type of anxiety, often referred to as cardiac anxiety or health anxiety, can cause you to worry excessively about having heart problems even when tests repeatedly show that everything is normal. Your low levels of 25-hydroxyvitamin D (13.56 ngmL) and vitamin B12 (173.8 pmolL) should be addressed, as deficiencies in these vitamins can contribute to overall feelings of fatigue and possibly anxiety.

To manage your cardiac anxiety, consider the following steps:
1. Consult a mental health professional: Cognitive-behavioral therapy (CBT) can be very effective in managing health anxiety.
2. Lifestyle changes: Regular exercise, a balanced diet, and mindfulness or relaxation techniques can help reduce anxiety.
3. Vitamin supplementation: Your healthcare provider can recommend appropriate vitamin D and B12 supplements to address your deficiencies.

Please discuss your anxiety and vitamin deficiencies with your healthcare provider to develop a comprehensive plan for managing your health and anxiety.

Question 3

I've been wondering about how long it might take for the heart to heal after getting a stent in the main artery at age 48. If the person isnt an alcoholic or diabetic, follows a vegetarian diet, eats very little fast food, but does consume dairy prod...

Accepted Answer

For most people, stent implantation recovery is fairly quick, with initial healing taking about 4 to 6 weeks and full recovery occurring over the course of 3 to 6 months. Since the person in question has a generally healthy lifestyle and no major risk factors, their recovery should be smooth, but they will still need to follow their cardiologists advice regarding diet, exercise, and medication.

Its essential to maintain a healthy diet, continue taking prescribed medications, and regularly follow up with the cardiologist. The doctor will provide personalized advice on when to resume more intense activities, based on progress.

Question 4

I'm having some discomfort on my left side, and I've already done an ECG and ECHO 2D, both of which came back normal. My SPO2 level is also above 95. Can anyone help me figure out what might be going on?

Accepted Answer

It's good that your ECG and ECHO-2D reports are normal and your SPO2 level is above 95. The discomfort on your left side could be due to musculoskeletal issues or gastrointestinal problems. You can try taking a pain reliever like acetaminophen (Tylenol) for the discomfort. If it's related to gas or indigestion, you can take an antacid like ranitidine (Zantac) before meals. Make sure to follow the recommended dosage for these medications. If the discomfort persists or worsens, it's best to follow up with your healthcare provider for further evaluation.

Question 5

I'm concerned because my blood pressure is 140, and I've been experiencing strange sensations in my heart. Sometimes it's like palpitations, and other times it feels as if my heart might stop beating. I've already done an ECG, and it came back normal...

Accepted Answer

Your BP is 140 and you are experiencing a weird feeling in your heart, sometimes palpitations, and sometimes feeling like your heart will stop beating. You have done an ECG which came out normal. Your doctor has prescribed Met XL 25 for your BP. ECG being normal indicates that your heart is functioning normally. However, your symptoms of palpitations and strange feelings in the heart should not be ignored. Considering your symptoms and BP level, it is important to follow up with your doctor. In addition to Met XL 25 for BP, you can also take a beta-blocker like Atenolol 25mg to help with palpitations and irregular heartbeats. It is important to monitor your BP regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and managing stress to improve your heart health.

Question 6

I'm really worried about my dad's health. He's been diabetic since 2003 and had a CABG in 2008. He's got moderate LVF dysfunction and was in and out of the hospital in 2015 and early 2016 because of pulmonary edema. He's also dealing with hypothyroid...

Accepted Answer

Your father's health condition is complex, but based on the symptoms described, it seems like he may be experiencing symptoms of electrolyte imbalance, which could be contributing to his weakness and altered taste sensation. In addition to the tonic for increasing potassium, I would recommend adding a potassium supplement such as Slow-K (Potassium Chloride) to help normalize his serum potassium levels. The usual dosage is 20 mEq to 40 mEq daily, but this should be adjusted based on his specific needs and blood test results. To address his shortness of breath and symptoms of heart failure, his doctor may consider adding or adjusting medications such as Lasix (Furosemide) to help reduce fluid buildup in the lungs and improve breathing. The dosage will depend on his current medication regimen and kidney function. For his thyroid condition, ensuring that he is taking his thyroid medication regularly and having regular follow-ups with his endocrinologist is important to optimize his thyroid hormone levels. Given his history of diabetes, heart issues, and kidney problems, it's crucial for his healthcare team to closely monitor his kidney function and adjust his medications as needed to prevent further complications. Overall, it's important for your father to continue following his renal diet, taking his medications as prescribed, and attending regular follow-up appointments with his healthcare providers to manage his multiple health conditions effectively.

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?

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?

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Related Questions

I'm worried about my heart. I've done a bunch of tests like ECG, echo, TMT, and stress echo, and everything's come back normal. But every time I have something like gastric pain or even just diarrhea, I can't shake this fear that I'm having a heart a...

I've been wondering about how long it might take for the heart to heal after getting a stent in the main artery at age 48. If the person isnt an alcoholic or diabetic, follows a vegetarian diet, eats very little fast food, but does consume dairy prod...

I'm having some discomfort on my left side, and I've already done an ECG and ECHO 2D, both of which came back normal. My SPO2 level is also above 95. Can anyone help me figure out what might be going on?

I'm concerned because my blood pressure is 140, and I've been experiencing strange sensations in my heart. Sometimes it's like palpitations, and other times it feels as if my heart might stop beating. I've already done an ECG, and it came back normal...

I'm really worried about my dad's health. He's been diabetic since 2003 and had a CABG in 2008. He's got moderate LVF dysfunction and was in and out of the hospital in 2015 and early 2016 because of pulmonary edema. He's also dealing with hypothyroid...

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