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46yrs/Male/H/o ECG Changes:- Underwent Angiography:- Normal Coronaries. CTMT And Eco

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Posted on Wed, 29 May 2019
Question: 46yrs/Male/H/o ECG changes:- underwent Angiography:- Normal coronaries. CTMT and Eco conducted in Sept 2018:- Normal.

attached are latest reports. please review and provide opinion whether any treatment is needed. currently not on any treatment
doctor
Answered by Dr. Sagar Makode (1 hour later)
Brief Answer:
Reports are fine

Detailed Answer:
Hello,
I have gone through his reports and from cardiac point of view, they are fine.
Firstly, regarding his ecg. There are changes, but these changes could be related to hypertension or even obesity. Also, his normal stress echo and angiography rules out significant cardiac disease. So, he should focus on healthy lifestyle, regular bp check, Low salt, calorie and oily diet, weight loss etc.
Also, his cholesterol is mildly elevated. So, along with healthy lifestyle, he should also be on statin like Atorvastatin or rosuvastatin for short period. So, from cardiac point of view, he should just be on statin and monitor bp.
Also, his MCV is low in hemogram which is suggestive of iron deficiency so he should get iron profile done to confirm. There is osteopenia in bone densitometry report, for which he should consult orthopedician.
Hope this helps you and get back if you have any doubts.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Sagar Makode

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Practicing since :2013

Answered : 1867 Questions

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46yrs/Male/H/o ECG Changes:- Underwent Angiography:- Normal Coronaries. CTMT And Eco

Brief Answer: Reports are fine Detailed Answer: Hello, I have gone through his reports and from cardiac point of view, they are fine. Firstly, regarding his ecg. There are changes, but these changes could be related to hypertension or even obesity. Also, his normal stress echo and angiography rules out significant cardiac disease. So, he should focus on healthy lifestyle, regular bp check, Low salt, calorie and oily diet, weight loss etc. Also, his cholesterol is mildly elevated. So, along with healthy lifestyle, he should also be on statin like Atorvastatin or rosuvastatin for short period. So, from cardiac point of view, he should just be on statin and monitor bp. Also, his MCV is low in hemogram which is suggestive of iron deficiency so he should get iron profile done to confirm. There is osteopenia in bone densitometry report, for which he should consult orthopedician. Hope this helps you and get back if you have any doubts.