Question 1

Hey, I've been feeling really worried lately. So, I'm a 29-year-old guy and back in December, I had this scary episode where my heart was racing like crazy and I had chest pain. I rushed to the hospital, they did an ECG, and said everything looked fine. I even saw another senior cardiologist who also checked me out and didn't find anything alarming. They gave me some meds like clonozopam and betacap tr 40, and things were okay for a while. But the past few weeks, I've been getting this weird fluttering or vibrating feeling in my heart, especially in the evenings. I don't have any chest pain or other symptoms now, but I'm really stressed about it. With the lockdown, I'm having trouble seeing a doctor again. Do you think this could just be anxiety, or is there something else going on? What should I do? I've attached the ECG from that time, if that helps.

Accepted Answer

That could be due to anxiety,if your previos medicines are avaialable with you you can take those medicines and visit psychiatrist for appropriate management

Question 2

I'm looking at my 2D echo report and trying to understand a couple of things. It mentions there's no regional wall motion abnormality and that my LV systolic function is good with a normal filling pattern. I'm relieved that there's no MR, AR, or precardial effusion, and no clots were found, but it says there's trivial TR and mild PAH. Could you help me understand what mild PAH means? From what you see in my report, how should I feel about these results overall?

Accepted Answer

That not a matter of concern just consume healthy diet and maintain regular physical activity follow your doctors advice

Question 3

Is my EKG normal? Can you manually check the QTc levels because last time the machine got it wrong? Also, I'm confused about what non-specific ST depression means. From what I understand, ST depression is linked to a heart attack or ischemia. I've had ECGs before, but this is the first time I've seen this in the report. Could you help explain this?

Accepted Answer

Regarding the EKG, I cannot check the QTc levels manually through this platform. Non-specific ST depression on an EKG means that there are changes in the ST segment of the EKG that are not specifically indicative of a heart attack or ischemia. It can be caused by various factors such as electrolyte imbalances, medications, or even normal variation. If you have concerns about the findings on your EKG, it would be best to discuss them with your healthcare provider for further evaluation and interpretation.

I've just gotten over COVID, and I've noticed some changes in my heart rate. When I'm at rest, it's okay around 70-95, but when I climb stairs, it spikes to between 160-165. Even when I'm just walking at a pace of 5 kmh, it's around 130-140. Is this normal post-COVID, or should I be concerned?

ecg and trop t are advised to the patient..

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