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What Does The Following ECG And Doppler Study Report Indicate?
Question: I am 55. My Name is XXXX, Bangladeshi, house wife (not driving).
I have undergone the stress test for heart function, the test continued only 3.43 min (stage IV).
ECG changes during stress test : "Evidence of exercise induced ischemia 1 mm ST depression in inferolateral leads". Symptoms in stress test: "No chest pain, Fatigue"
Conclusion of stress test: "Borderline test for myocardial ischemia"
Echocardiography & doppler study: "everything within normal limits"
My lipid profile as tested 3 months back is with limit, satisfactory.
Present Pressure : 84 / 130, pulse rate: 90(average)
mentally & physically little weak, emotional, no clear physical symptom.
I am taking medicines : Natrilix SR 1.5mg (1+0+0), BISOCOR 2.5mg (1+0+0), CO-DISYS 160/5 mg (1+0+1); Vitamin D3 (50000 IU)-taken one so far, suggested by doctor once in 15 days;
Esomoprazole 40/20 mg(1+0+1)
Would you advise me how I shall prceed to recover the problems in natural way & treatment or by more test ?
I have undergone the stress test for heart function, the test continued only 3.43 min (stage IV).
ECG changes during stress test : "Evidence of exercise induced ischemia 1 mm ST depression in inferolateral leads". Symptoms in stress test: "No chest pain, Fatigue"
Conclusion of stress test: "Borderline test for myocardial ischemia"
Echocardiography & doppler study: "everything within normal limits"
My lipid profile as tested 3 months back is with limit, satisfactory.
Present Pressure : 84 / 130, pulse rate: 90(average)
mentally & physically little weak, emotional, no clear physical symptom.
I am taking medicines : Natrilix SR 1.5mg (1+0+0), BISOCOR 2.5mg (1+0+0), CO-DISYS 160/5 mg (1+0+1); Vitamin D3 (50000 IU)-taken one so far, suggested by doctor once in 15 days;
Esomoprazole 40/20 mg(1+0+1)
Would you advise me how I shall prceed to recover the problems in natural way & treatment or by more test ?
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello XXXX!
Welcome on HCM!
I passed carefully through your question and reviewed all your uploaded tests and would explain that they are suggestive for possible coronary artery disease.
For this reason, I would agree with your doctor on recommending to perform further test to examine the blood flow in the coronary arteries. I would advice performing a nuclear perfusion cardiac stress test (Persantin thallium test) or a coronary angio CT scan.
A coronary angiogram may be needed based on the above test results.
I would also advise you to closely monitor your blood pressure, because a better control of high blood pressure can stop the progression of coronary artery disease.
I would also recommend avoiding straining physical activity.
A periodic control of your blood lipid profile is also necessary because dyslipidemia is a known cardio-vascular risk factor. But for the moment, your blood lipid profile is excellent and you do not need any treatment for this purpose.
Hope to have been helpful!
Feel free to ask me again whenever you need!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello XXXX!
Welcome on HCM!
I passed carefully through your question and reviewed all your uploaded tests and would explain that they are suggestive for possible coronary artery disease.
For this reason, I would agree with your doctor on recommending to perform further test to examine the blood flow in the coronary arteries. I would advice performing a nuclear perfusion cardiac stress test (Persantin thallium test) or a coronary angio CT scan.
A coronary angiogram may be needed based on the above test results.
I would also advise you to closely monitor your blood pressure, because a better control of high blood pressure can stop the progression of coronary artery disease.
I would also recommend avoiding straining physical activity.
A periodic control of your blood lipid profile is also necessary because dyslipidemia is a known cardio-vascular risk factor. But for the moment, your blood lipid profile is excellent and you do not need any treatment for this purpose.
Hope to have been helpful!
Feel free to ask me again whenever you need!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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