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I Went To Urgent Care Because My Feet Are Very
Question: I went to urgent care because my feet are very swollen and I have pinpoint red dots on my feet, ankles, legs and chest. I had extreme itching followed by diffuse itching all over. I am short of breath. I have swollen, tender lymph nodes in my chest. My urinalysis showed blood.
My ECG said:
sinus rhythm
low QRS voltage in extremity leads
Moderate high-lateral depolarization disturbance, consider ischemia or LV overload
Abnormal ECG
PR: 90/134 ms
QRS: 88 ms
QT/QTc: 402/437 me
P/QRS/T axis: - / - /153 Deg
Heart rate: 71 bpm
The doctor at urgent care I should go immediately to ER.
What does this all mean? Should I really go to ER or was the doctor over reacting?
My ECG said:
sinus rhythm
low QRS voltage in extremity leads
Moderate high-lateral depolarization disturbance, consider ischemia or LV overload
Abnormal ECG
PR: 90/134 ms
QRS: 88 ms
QT/QTc: 402/437 me
P/QRS/T axis: - / - /153 Deg
Heart rate: 71 bpm
The doctor at urgent care I should go immediately to ER.
What does this all mean? Should I really go to ER or was the doctor over reacting?
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical details provided by you I can very well understand your concern for your health and well being and before proceeding with any medical opinion I would like to get some more information from you
1. Your age and gender
2. Any other medical comorbidities like diabetes, hypertension, thyroid abnormality any kidney issues?
3. Any family history of heart disease.
4. Any symptoms which you have experienced recently like any chest discomfort giddiness palpitations feeling of loss of consciousness or fainting.
Also I would like To personally review your ECG report so I request you to kindly take a clear image of your ECG and upload it from your dashboard so that I can have a look on it and then advise you accordingly.
Kindly revert back with the required information.
Kind regards
Dr Bhanu XXXXXXX
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical details provided by you I can very well understand your concern for your health and well being and before proceeding with any medical opinion I would like to get some more information from you
1. Your age and gender
2. Any other medical comorbidities like diabetes, hypertension, thyroid abnormality any kidney issues?
3. Any family history of heart disease.
4. Any symptoms which you have experienced recently like any chest discomfort giddiness palpitations feeling of loss of consciousness or fainting.
Also I would like To personally review your ECG report so I request you to kindly take a clear image of your ECG and upload it from your dashboard so that I can have a look on it and then advise you accordingly.
Kindly revert back with the required information.
Kind regards
Dr Bhanu XXXXXXX
Above answer was peer-reviewed by :
Dr. Kampana
I have uploaded the ecg image. I am a female age 67 with pre-diabetes, normal blood pressure of 116/65, normal kidneys an thyroid. I am adopted but I’m not aware that my birth mother had any health issues. I’m feeling faint and dizzy. I keep feeling like I will pass out. I do not have chest pains or palpitations.
My cholesterol is 216. I uploaded my lipid panel.
I have intermittent high blood pressure when I have a stroke or TIA.
I just spoke to the oncall cardiologist at UCLA and he said my ecg findings are unremarkable and means my heart is thickened. He said the itchiness is unrelated to my heart, that it is an allergic reaction. He told me to take Lasix for the swelling and Benadryl for the itch. He said not to go to the ER for those symptoms. When I told him I have shortness of breath and feel faint he said to go to the ER and get checked out.
Brief Answer:
Hello again
Detailed Answer:
Yes those red dots are because of some skin allergy and are not related to heart however taking into consideration your symptoms and your ecg report it’s advisable that you should consult a cardiologist in person as echocardiogram is advisable to rule out any cardiac dysfunction which could the important possible underlying cause of your shortness of breath and swollen lower extremities.
Your cholesterol levels are slightly deranged and can very well be taken care with just lifestyle modifications.
I hope this information will guide you properly.
Kind Regards
Dr Bhanu Partap
Hello again
Detailed Answer:
Yes those red dots are because of some skin allergy and are not related to heart however taking into consideration your symptoms and your ecg report it’s advisable that you should consult a cardiologist in person as echocardiogram is advisable to rule out any cardiac dysfunction which could the important possible underlying cause of your shortness of breath and swollen lower extremities.
Your cholesterol levels are slightly deranged and can very well be taken care with just lifestyle modifications.
I hope this information will guide you properly.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Kampana
Thanks for your help.
Brief Answer:
Hello again
Detailed Answer:
It’s a pleasure guiding you and helping you out with your doubts.
Kindly close the discussion and rate the answer.
For any future medical opinions if you want my opinion then just mention my name in your query.
Kind Regards
Dr Bhanu Partap
Hello again
Detailed Answer:
It’s a pleasure guiding you and helping you out with your doubts.
Kindly close the discussion and rate the answer.
For any future medical opinions if you want my opinion then just mention my name in your query.
Kind Regards
Dr Bhanu Partap
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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