Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do These Lab Reports Indicate?
Question: The patient exercised according to the XXXXXXX Protocol for 2 m 49 s achieving a work level of XXXXXXX METS : 4.60.
Patient details :
Age 55 years, Female, Height 138 cm , Weight 50 kg, Diabetic, Having thyroid issues, allergic coughing at times.
Resting Heart rate initially 118 bpm, XXXXXXX to a XXXXXXX heart rate of 148 bpm ( 90% of Pr. MHR).
Resting blood pressure 100/60 mm Hg, XXXXXXX to a a XXXXXXX blood pressure of 140/80 mm Hg.
ST changes seen in inferior and lateral leads after exercise associated with pain in Lt arm and Jaw which was relieved after rest.
Test is positive for reversible myocardial ischemia.
NT - pro BNP using Immunofluorescence quantitative assay :1230 pg/mL.
Colour Doppler Echocardiography final impression :
Normal valves and chambers
LVEF 72±3% by 2D volume, single plane, apical 4-chamber view.
E/A = 0.6 (A > E) s/o diastolic dysfunction Grade 1.
Hs Troponin I : 84.10 ng/L
Please let me know what is the extent of risk involved in this case?
Thanks
Patient details :
Age 55 years, Female, Height 138 cm , Weight 50 kg, Diabetic, Having thyroid issues, allergic coughing at times.
Resting Heart rate initially 118 bpm, XXXXXXX to a XXXXXXX heart rate of 148 bpm ( 90% of Pr. MHR).
Resting blood pressure 100/60 mm Hg, XXXXXXX to a a XXXXXXX blood pressure of 140/80 mm Hg.
ST changes seen in inferior and lateral leads after exercise associated with pain in Lt arm and Jaw which was relieved after rest.
Test is positive for reversible myocardial ischemia.
NT - pro BNP using Immunofluorescence quantitative assay :1230 pg/mL.
Colour Doppler Echocardiography final impression :
Normal valves and chambers
LVEF 72±3% by 2D volume, single plane, apical 4-chamber view.
E/A = 0.6 (A > E) s/o diastolic dysfunction Grade 1.
Hs Troponin I : 84.10 ng/L
Please let me know what is the extent of risk involved in this case?
Thanks
Brief Answer:
She needs hospitalisation under a cardiologist
Detailed Answer:
Hello
After going through the medical details provided by you I would like to tell you that considering her previous medical issues like Diabetes and other issues and current status she need urgent hospitalisation in a cardiac center with XXXXXXX lab facility.
Her Echo test is alright but her TMT test results as well as Troponin I levels are suggestive of myocardial injury probably a heart attack.
Once she feel little better urgent Angiography is needed to she the coronary arteries disease status.
Only after an angiography proper risk assessment can be done. As of now yes there is a moderate risk considering her current reports.
I hope this information will be helpful and will guide you properly.
Kind regards
Dr Bhanu partap
She needs hospitalisation under a cardiologist
Detailed Answer:
Hello
After going through the medical details provided by you I would like to tell you that considering her previous medical issues like Diabetes and other issues and current status she need urgent hospitalisation in a cardiac center with XXXXXXX lab facility.
Her Echo test is alright but her TMT test results as well as Troponin I levels are suggestive of myocardial injury probably a heart attack.
Once she feel little better urgent Angiography is needed to she the coronary arteries disease status.
Only after an angiography proper risk assessment can be done. As of now yes there is a moderate risk considering her current reports.
I hope this information will be helpful and will guide you properly.
Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you Sir.
The doctor currently supervising her condition suggested the same once she gains more stability. Presently, she was having a difficult time even for standing properly.
She is currently admitted in a hospital in XXXXXXX in XXXXXXX Any suggestions about where it would be better to see a cardiologist ( anywhere in XXXXXXX ) and what care should be exercised while taking her there for analysis and treatment?
The doctor currently supervising her condition suggested the same once she gains more stability. Presently, she was having a difficult time even for standing properly.
She is currently admitted in a hospital in XXXXXXX in XXXXXXX Any suggestions about where it would be better to see a cardiologist ( anywhere in XXXXXXX ) and what care should be exercised while taking her there for analysis and treatment?
Brief Answer:
Hello again
Detailed Answer:
I have gone through the TMT report attached by you and there are significant ST T changes suggestive of myocardial ischeamia.
Let her stabilise first, if the hospital in which she is admitted has a cardiologist and a XXXXXXX lab then at least get an angiography done so that we can have an idea of the situation. Later you can decide to take her to any good cardiac hosp like in XXXXXXX XXXXXXX or XXXXXXX
Hope to have been helpful. Feel free to ask if you have any more doubts or else you can close the discussion and kindly rate the answer.
Kind regards
Dr Bhanu partap
Hello again
Detailed Answer:
I have gone through the TMT report attached by you and there are significant ST T changes suggestive of myocardial ischeamia.
Let her stabilise first, if the hospital in which she is admitted has a cardiologist and a XXXXXXX lab then at least get an angiography done so that we can have an idea of the situation. Later you can decide to take her to any good cardiac hosp like in XXXXXXX XXXXXXX or XXXXXXX
Hope to have been helpful. Feel free to ask if you have any more doubts or else you can close the discussion and kindly rate the answer.
Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Sir, Thanks for your advice. My mother has been now admitted to Jeevak Heart Hospital and Research Centre in XXXXXXX under a cardiologist. Angiography has not been performed but right now while I am reporting, I guess preparation for CT scan etc. is being done. She is relatively more stable now. I shall provide you with further reports if needed.
Also, The aforementioned hospital should be okay for the time being. Isn't it so? Any suggestions.
Also, The aforementioned hospital should be okay for the time being. Isn't it so? Any suggestions.
Brief Answer:
Hello Again
Detailed Answer:
CT scan ?? are they doing CT angio or some other CT ?
Sure you can provide me with the reports in case you need my opinion.
In future if you want me to answer just write my name first in the question as "This is for DR Bhanu Partap".
Yes the hospital is good as of now.
May God Bless
Regards
Dr Bhanu Partap
Hello Again
Detailed Answer:
CT scan ?? are they doing CT angio or some other CT ?
Sure you can provide me with the reports in case you need my opinion.
In future if you want me to answer just write my name first in the question as "This is for DR Bhanu Partap".
Yes the hospital is good as of now.
May God Bless
Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Kampana
This is for Dr. XXXXXXX XXXXXXX
HRCT Scan Thorax (Chest) only
Impression... Interstitial Lung Disease possible.
Report will soon be uploaded...
Please cross check.
The doctor here seems unwilling to proceed and has initiated procedure for discharge.
If possible, I request you to suggest genuinely good doctors and hospitals where there is a hope to counter ILD. We are not sure if the doctor has diagnosed appropriately. He seems to have given up here.
Help needed sir. Please suggest.
HRCT Scan Thorax (Chest) only
Impression... Interstitial Lung Disease possible.
Report will soon be uploaded...
Please cross check.
The doctor here seems unwilling to proceed and has initiated procedure for discharge.
If possible, I request you to suggest genuinely good doctors and hospitals where there is a hope to counter ILD. We are not sure if the doctor has diagnosed appropriately. He seems to have given up here.
Help needed sir. Please suggest.
Brief Answer:
Hello Again
Detailed Answer:
ILD is ok but what about her heart, what they said about TMT result ??
ILD was not the primary issue. Have they done echocardiography on her if yes tell me the results.
For ILD XXXXXXX heart and lung institute is good. Although I don't have any personal reference there.
Kind regards
Dr Bhanu partap
Hello Again
Detailed Answer:
ILD is ok but what about her heart, what they said about TMT result ??
ILD was not the primary issue. Have they done echocardiography on her if yes tell me the results.
For ILD XXXXXXX heart and lung institute is good. Although I don't have any personal reference there.
Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Sir CT scan files and other files... there are too many. If you can tell me where to send.
Hi, I have provided some attachments. Please review them.
Hi, I have provided some attachments. Please review them.
Brief Answer:
Hello again
Detailed Answer:
Just send me the following reports here on this site by uploading them
1. ECG fresh after TMT
2. Echo report
3. TROPONIN T or TROPONIN I (blood test for heart attack)
4. Ct scan printed report only
Kind Regards
Dr Bhanu Partap
Brief Answer:
Hello Again
Detailed Answer:
Gone through all the reports.
The strange thing for me is why they are planning or advising Angiography to a patient who was admitted with chest pain, TMT positive and breathing difficulty.
In my opinion you should take her to fortis or XXXXXXX hospital which ever is there is XXXXXXX and take a second cardiologist opinion.
Hope to have been helpful.
Kind regards.
Dr. Bhanu Partap
Hello again
Detailed Answer:
Just send me the following reports here on this site by uploading them
1. ECG fresh after TMT
2. Echo report
3. TROPONIN T or TROPONIN I (blood test for heart attack)
4. Ct scan printed report only
Kind Regards
Dr Bhanu Partap
Brief Answer:
Hello Again
Detailed Answer:
Gone through all the reports.
The strange thing for me is why they are planning or advising Angiography to a patient who was admitted with chest pain, TMT positive and breathing difficulty.
In my opinion you should take her to fortis or XXXXXXX hospital which ever is there is XXXXXXX and take a second cardiologist opinion.
Hope to have been helpful.
Kind regards.
Dr. Bhanu Partap
Above answer was peer-reviewed by :
Dr. Prasad
Sir, Hello!
We consulted a few good doctors all over XXXXXXX and let them have the reports, they all concurred that the problem is fundamentally ILD - UIP and perhaps the oxygen deficiency detected as myocardial ischemia was a consequence of Interstitial Lung Disease reducing the amount of oxygen taken in and thereby carried by the blood.
Thank you for your insights. I am very grateful to you. In case I need your advice, I shall let you know.
We consulted a few good doctors all over XXXXXXX and let them have the reports, they all concurred that the problem is fundamentally ILD - UIP and perhaps the oxygen deficiency detected as myocardial ischemia was a consequence of Interstitial Lung Disease reducing the amount of oxygen taken in and thereby carried by the blood.
Thank you for your insights. I am very grateful to you. In case I need your advice, I shall let you know.
Brief Answer:
Hello Dear
Detailed Answer:
After considering her age, diabetes and thyroid problem which all are risk factors to coronary artery disease together with such a TMT I would still like to suggest you to get an Angiography done to be 100% sure that there is no heart problem. Because that can later be a life threatening situation if left unattended.
I wish her good health. May God bless. Feel free to ask me anytime and remember to write my name in future in question. If you don't have any more doubts you can close the discussion and kindly leave a feedback.
Kind Regards
Dr Bhanu partap
Hello Dear
Detailed Answer:
After considering her age, diabetes and thyroid problem which all are risk factors to coronary artery disease together with such a TMT I would still like to suggest you to get an Angiography done to be 100% sure that there is no heart problem. Because that can later be a life threatening situation if left unattended.
I wish her good health. May God bless. Feel free to ask me anytime and remember to write my name in future in question. If you don't have any more doubts you can close the discussion and kindly leave a feedback.
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. Yogesh D
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
