- 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
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View allI'm a bit concerned about my health and would really appreciate some advice. Back in May 2017, I had an angioplasty and have been keeping up with my meds and exercises since then. Currently, I'm on cilacar for my blood pressure and crevast 7510. I used to take ecosprin 7520, but my ENT doctor suggested that it could have been causing my nasal block and sinus issues. I've had two nasal surgeries to remove polyps, and I've been on crevast for the past month. So, I'm just wondering how often I should be getting my ECG, treadmill, echo, and other tests done. I've been doing lab tests every three months and everything's come back normal. Any guidance on this would be really helpful.
it is important to monitor your heart health regularly. Since you have already been taking lab tests once every three months and they have been normal, it is recommended to continue with this frequency for now. Additionally, it is advisable to undergo an ECG, treadmill test, and echo once every 6-12 months to assess your heart function and overall cardiovascular health. However, the frequency of these tests may vary based on your individual health condition and any specific recommendations from your cardiologist.
Answered by 1 Apollo Doctors
I'm really worried about whether cardiophobia could actually lead to a heart attack. I've been dealing with this fear since last year. I did a TMT test back then, and everything came back normal, but I'm still having chest pain and feeling really fatigued. Should I be concerned about these symptoms?
"Cardiophobia, which is the fear of heart disease, can cause symptoms such as chest pain and fatigue due to anxiety and stress. It is important to manage your anxiety to alleviate these symptoms. In your case, since you have already done a TMT test last year which was normal, it is less likely that your symptoms are due to a heart attack. However, it is important to consult with your doctor for a proper evaluation and management plan. In the meantime, you can consider taking an anxiolytic medication such as lorazepam at a low dose of 0.5mg to help with your anxiety symptoms."
Answered by 1 Apollo Doctors
I've been noticing that my heart rate seems to spike all of a sudden whenever I get out of bed or even if I just switch sides while lying down. Is this something I should be worried about?
heart rate increases suddenly after changing positions may be due to a condition called postural orthostatic tachycardia syndrome (POTS). It is recommended to consult a doctor for proper diagnosis and treatment plan. In the meantime, you can try increasing your fluid and salt intake, wearing compression stockings, and doing exercises to improve blood flow such as leg raises and calf pumps. If symptoms persist, medications such as midodrine or fludrocortisone may be prescribed to help regulate your heart rate.
Answered by 1 Apollo Doctors
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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.