- male
- 60 Years
- 22/01/2025
My dad recently had an ECG which turned out normal, but his TMT results showed positive for exercise-induced ischemia. I'm quite worried because his hemoglobin level is really low at 8.8. Do you think he needs an angiogram? I'm not sure what the best next steps are, and would appreciate your guidance.
Answered by 1 Apollo Doctors
Correct anemia first then can think to do stress echocardiography....to confirm..but If there are any risk facters like diabetes and hypertension or smoking or obesity or family history & inactive lifestyle...& symptoms of chest pain or breathing difficulty, angiography should be done Anyways need insight on all these & need to see the TMT strips to suggest the next best step.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0

More Cardiology Health Queries
View allMy body's been acting up ever since I tried using minoxidilI started feeling heart palpitations and headaches, so I had to stop. I got an ECG done, and it showed 99 bpm, which my doctor said is sinus tachycardia. To manage it, I've been taking a beta blocker called Metoprolol, 25 mg split between morning and night for a month. But now I'm dealing with side effects like dehydration, a dry mouth, and feeling nauseous with no appetite. My sleep's all messed up too, waking up at 5:30 am just dying for some water. I stopped the medication on April 2nd, but it seems like the side effects multipliedstill facing palpitations, anxiety, stress, and all those other issues. But when I talked to my cardiologist, its like he wasn't even listening, just dismissed everything I said. Honestly, I can't focus, eat, or sleep right. Plus, my standing heart rate is hitting over 110 bpm. What should I do about this?
The side effects of minoxidil would have settled down by now .Metoprolol is for the associated anxiety only and tachycardia if any.Kindly share further details
Answered by 1 Apollo Doctors
I'm really worried about my husband. He's been waking up in the middle of the night sweating and struggling to breathe, and this has happened twice in just three days. We checked his blood pressure both times he woke up, and it was 148110 with a pulse of 75 the first time, and 140100 with a pulse of 85 the second time. He usually takes TeldayH every day for his high blood pressure, which generally keeps it under control. His blood sugar levels were also normal when we checked them yesterday, and his ECG was fine in January. He did have a gout attack around the same time, and his uric acid levels were 8.7 then, and he's also dealing with high cholesterol. Right now, he's on Febuxostat and Jupiros. I'm just trying to figure out why he's having these night sweats and breathing problems. Could it be related to his medication or something else?
Ecg and cardiac markers are advised to the patient. Rest contine all the medications.Also tablet levocetrizine 10 mg at bedtime,orally for 5 days is advised . Steam inhalation and saline gargles is also advised to the patient.
Answered by 1 Apollo Doctors
I'm dealing with high blood pressure, and it's sometimes reaching 160110. I also recently tested positive for inducible ischemia, and I'm really worried about what this means for my health. Could you please advise what steps I should take next?
It's important to manage your blood pressure to reduce the risk of complications. I recommend starting with lifestyle changes such as reducing salt intake, exercising regularly, and maintaining a healthy weight. In terms of medication, you may benefit from taking an ACE inhibitor like Lisinopril at a starting dose of 10 mg once daily. Additionally, a beta-blocker such as Metoprolol at a starting dose of 25 mg once daily can help with both high blood pressure and ischemia. Please follow up with your healthcare provider for further evaluation and management.
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.





