apollo
  • 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?

Doctor 1

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

0

0

Sick? Talk to a doctor now

More Cardiology Health Queries

View all

I'm really worried about my mother-in-law's ECho report because it mentions Grade 1 LV diastolic dysfunction. Is this something we should be concerned about? The ECG looks normal, thankfully. Could you help me understand if everything's alright?

Visit your Physician for appropriate management

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

My INR levels have been all over the place latelyone month it's at 2.5, and then the next it's down to 1.5. My doctor keeps changing my medication dose, and honestly, I'm getting worried. If this continues, could it cause problems with my mechanical valve in the aortic position? I do an echo each year, but I'm still concerned. Can you explain how this might affect me?

Fluctuating INR levels can indeed be concerning, especially for patients with a mechanical heart valve. It is important to maintain a stable INR to prevent complications such as blood clots or bleeding. To help stabilize your INR levels, your doctor may consider prescribing a medication like Warfarin. It is crucial to follow your doctor's instructions regarding dosage adjustments based on your INR levels. If your INR continues to fluctuate, it can increase the risk of blood clots forming on your mechanical heart valve. This can potentially lead to serious complications such as valve malfunction or stroke. Regular echocardiograms are essential for monitoring the function of your mechanical valve and detecting any issues early. To help stabilize your INR and protect your mechanical heart valve, it is important to adhere to your prescribed medication regimen and attend regular follow-up appointments with your healthcare provider.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really worried about my dad. He had angioplasty done on March 1st, but he's still gasping and not feeling well. We're consulting with Dr. Shirish MS Hiremath, but it doesn't seem like there's any improvement. I'm not sure what to do next. Any advice on how to help him feel better?

t's important to address his symptoms of gasping and feeling unwell. In this case, considering his recent angioplasty, it's important to ensure he is not experiencing any complications related to the procedure. One possible cause of his symptoms could be related to heart function or fluid buildup in the lungs. It's important to follow up with his current consultant, Dr. Shirish MS Hiremath, for further evaluation and management. In the meantime, medications like Furosemide (Lasix) can help with fluid retention and shortness of breath. The usual starting dose for Furosemide is 20-80 mg per day, but the actual dose will depend on his specific condition and should be determined by his healthcare provider. Additionally, medications like Ramipril (Altace) can help improve heart function post-angioplasty. The usual starting dose for Ramipril is 2.5-5 mg once a day, but again, the dose may vary based on his individual needs. It's important for your dad to continue following up with his healthcare provider for proper evaluation and management of his symptoms.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.