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What Does My ECG Test Report Indicate?

Posted on Mon, 2 Mar 2015

Question: PLEASE EXAMINE MY RECENT E.C.G AND EXPLAIN ME MY PRESENT HEART CONDITION.IS IT NORMAL OR ABNORMAL E.C.G?IS IT LETHAL ? IF SO, HOW SHOULD I GET RID OF FROM THIS CONDITION.MY AGE IS 42 YRS AND I HAVE SINGLE VESSEL CORONARY ARTERY DISEASE. I ALSO ATTACHED MY CURRENT BLOOD TEST REPOR.

Answered by Dr. Prabhakar C Koregol (9 hours later)

Brief Answer:
ECG is normal

Detailed Answer:
Your ecg is normal. But as your angiogram shows 50% proximal lad stenosis you need to be on medicines and regular follow up.

What is clinical status like - do you any chest pain? or breathlessness? What medicines you are taking? Do you have diabetes or hypertension? since when are you having cardiac problem? When was angio done? These are some questions that need your answer to help me address concerns better.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prabhakar C Koregol (11 hours later)

I HAVE THE DISEASE FROM 06/11/2007.
ANGIO WAS DONE ON 05/11/2007.
I HAVE MILD CHEST PAIN FROM MAY'2007.
RECENTLY MILD CHEST PAIN OCCURS SOME TIMES.
PLEASE NOTICE MY HBA1C & SUGAR TEST REPORT ATTACHED 'NAMED FINAL ALL REPORT'.IF MEDICINE REQRD.PLEASE SUGGEST ME. ALSO NOTICE MY SGPT LEVEL NOW .
I AM HYPERTENSION FROM 1990 NOW BP IS NORMAL .
CURRENT MEDICATION----PROLOMET XL 50--- 1-0-0( from-05/11/2007 tillnow)
MONIT SR 30 1-0-0( from-05/11/2007 tillnow)
URSOCOL 300 1-0-1( from 7/10/2015 tillnow) please see SGPT in blood test.
DEPLATT-A 75 0-1-0( from-05/11/2007 tillnow)
DEANXIT 1-0-1( from-05/11/2007 to 5/11/2015)
FELIZ-S 20 0-1-0(from 5/11/2015 till now due to unavailability of DEANXIT
LIPICARD 160 0-0-1(during two years till now)
IS FELIZ-S 20 IS CORRECT MEDICINE INSTEAD OF DEANXIT?IF NOT PLEASE PRESCRIBE ME NEW ONE.
PLEASE CLARIFY ME ST SEGMENT CHANGES IN E.C.G.IS IT RISKY?

Answered by Dr. Prabhakar C Koregol (12 hours later)

Brief Answer:
You are on appropriate medicines

Detailed Answer:
you are on appropriate medicines and substitutes that are done are similar medicines and no issue with it. but since your reports are pretty old and there is always a possibility of progression of disease you need fresh testing. You have to have a echo and TMT done. If they are normal you have nothing to worry and can continue same medicines. if there is any issue with them you may need to repeat CAG (Coronary angiogram). When analysed in isolation your ECG doesn't look dangerous but we need consider all reports rather ECG alone.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Prabhakar C Koregol (11 hours later)

THAN YOU SIR. PLEASE KNOW ME IS THERE ANY M.I IN MY E.C.G? OUR LOCAL DOCTOR SAID AND NOTED THERE IS ANTERIOR WALL INFRACT (M.I). IS THIS CORRECT,SIR? PLEASE GIVE ME EXPLANATION HOW CAN I UNDERSTAND M.I IN E.C.G REPORT.

Answered by Dr. Prabhakar C Koregol (11 hours later)

Brief Answer:
No There is no clear cut MI

Detailed Answer:
there no MI. There are tall T waves in anterior leads which can occasionally represent MI but over all picture in your case doesn't look like MI

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Prabhakar C Koregol (15 days later)

DEAR DOCTOR- I HAVE GIVEN YOU DETAILS OF MY MEDICINES AND REPORTS IN PREVIOUS CONSULTAION. KINDLY GO THROUGH THAT AGAIN .
ON 27/01/15 I TOOK NORFLOX- TZ AT NIGHT, CIFRAN-CT IN MORNING(NEXT DAY)-NOON BECAUSE I ATE CHICKEN IN A VILLAGE MARRIAGE CEREMONY AND DISENTRY OCCURED IN MANY PEOPLE INCLUDING ME AND THAT NIGHT I TOOK A LITTLE SLEEP ABOUT 01 HOUR.. THEN NEXT DAY (28/01/15) AT NOON AFTER TAKING SIMPLE FOOD ( RICE,DAL,FISH)WHEN I WASHED MY MOUTH I NOTICED BLEEDING FROM MY MOUTH WITH WATER. I CAUGHED NORMALLY TWO TIMES TO SEE THE RESULT AND NOTICED BLOOD COMES OUT FROM MY MOUTH ,I STOPPED TO CAUGH THEN. AT THAT TIME A HEAVY PAIN OCCURED IN MY LOWER ABDOMEN PORTIONS AND WHOLE BODY ( UPPER PORTION ) I ALSO TRY TO URINE AFTER SOME TIME BUT THERE WAS NO TRACE OF BLOOD IN MY URINE. I WENT IMMEDIATELY TO THE DOCTOR AND IT TOOK ABOUT ONE HOUR .HE PRESCRIBED SOME MEDICINES,GAVE THE TEST (I ATTACHED THE REPORTS) & TOLD TO STOP (HOLD) DEPLATT-A-75, AND PRESCRIBED THE FOLLWING MEDICINES---ON 28/01/15.
1.PAUSE-500 FOR 5 DAYS
2.ROXID-300 FOR 7 DAYS
3.LONAPAM .5 ???
AND TO CONTINUE OTHER MEDICINES WHICH I ALREADY GAVE YOU PREVIOUS.
PLEASE NOTE I TEST ALL BUT NOT VISIT THE DOCTOR THEN TILL NOW.
AFTER FIRST TIME NO BLEEDING OCCURED TILL NOW.I QUIT SMOKING TILL THEN.
DURING 02 DAYS I AM FEELING SHIVER IN BRAIN WHEN STANDIND AND WALKING .
SO, I AM EAGER TO KNOW THE DETAILS FOLLOWING QUESTIONS WHICH COMES OUT FROM MY MIND.PLEASE GIVE ME DETAILS OF THESE AND OBLIGE.
1.POSSIBLE CAUSE OF BLEEDING
2. POSSIBLE CAUSE OF BRAIN SHIVERING AND SLIGHT HEADACHE WHICH IS GOING ON DURING 2 MONTHS.
3.HOW LONG SHOULD I STOP DEPLATT-A-75?
4.I STOPPED FELIZ-S-20 DURING 20 DAYS TILL NOW BECAUSE I AM LIVING NOW WITHOUT TENSION AND ALSO TRY TO AVOID TENSION AND ANY TYPE OF PHOBIA BECAUSE I AM IRON DETERMINE TO LIVE FREELY IN ANY TYPE OF SITUATION. NOW LITTLE SLEEP ABNORMALITY OCCURS SOMETIMES BUT NOT GREAT. PLEASE SUGGEST ME –SHOULD I TAKE LONAPAM .5 REGULARLY OR NOT. AND ALSO FELIZ –S 20 . CURRENT MEDICINES ARE
1. PROLOMET-XL-50
2.MONIT SR 30
3.DEPLATT-A 75 ????? HOLD
4.LIPCICARD-160
5.LONAPAM .5
6.FELIZ-S 20 ------STOPPED
7. URSOCOL-300
PLEASE SUGGEST ME WHAT MEDICINES SHOULD I TAKE REGARDING MY ABOVE CONDITIONS AND ADD MEDICINES OR ANY CHANGE IF REQURIED.
I ATTACHED THE REPORTS ALSO WHICH WAS DONE ON 28/01/15.

Answered by Dr. Prabhakar C Koregol (31 hours later)

Brief Answer:
Consult a Gastroenterologist

Detailed Answer:
Hi,

Thanks for writing back.

Bleeding from mouth you have could be related to upper Gastrointestinal tract problems or injury in pharynx.

The reports you attached are within range and need no intervention based on them.

You may have to consult a gastroenterologist for detailed examination and management.

Yes, you can continue Lonapam if you are not on Deanxit right now.

Hope, I answered your query.

Wish you good health.

Regards,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prabhakar C Koregol (2 hours later)

thank you sir for your advice,
please tell me, is lonapam really necessary to take regulary?
when should i take lonapam and what dose? is it .5 or 2.5 OR other, please give me correct suggestion.
is it necessary to take feliz-s 20 this time..I STOPPED FELIZ-S-20 DURING 20 DAYS TILL NOW BECAUSE I AM LIVING NOW WITHOUT TENSION AND ALSO TRY TO AVOID TENSION AND ANY TYPE OF PHOBIA BECAUSE I AM IRON DETERMINE TO LIVE FREELY IN ANY TYPE OF SITUATION. i am in confusion now.please help me to take right decission.i will abige by your suggestion.
should i continue now DEPLATT-A-75 .
i will follow your answer and will go to gastro doctor.
waiting for your valuable answer.

Answered by Dr. Prabhakar C Koregol (25 hours later)

Brief Answer:
Discuss with Psychiatrist

Detailed Answer:
Detailed answer.
Hi,

Feliz S (escilatopram) and lonapam (clonazepam) is probably prescribed for other non cardiac condition; perhaps anxiety related disorder. The drugs have ranges of action/side effect which is individualized and not constant to all. Therefore it is not wise to stop drugs without advice of your treating doctor.

Therefore without a clear back ground and regular personal follow ups, I recommend you revist your prescribing doctor/psychiatrist and discuss about lonapam as well as feliz.

As far as deplatt A is concerned, at the moment you should not stop it unless instructed by your treating doctor. Since you have history of coronary vessel disease, the benefits of deplatt A are realistic.

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju