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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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ECG Shows Sinus Rhythm. Advise

Good morning I am 47 years old lady active at work not otherwise.My wt is 67 kg Ht is 149.5.My ECG SHOWS SINUS RHYTHEM with interventricular conduction deley and st depression in lead II,III and V3-v6. TMT is positive with st depression in II,III V4-v6 for inducible ischemia.I have no symptoms.please advise me on further.I have no thyroid problem.
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Rani
Mon, 17 Jun 2013
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Radiologist, Nuclear Medicine 's  Response
As far as the test result is concerned it shows features of Inducible Ischemia but as you say you are not having symptoms.
Are you Diabetic?(coexisting Diabetes Mellitus can mask the symptoms)
Though you donot have Thyroid disease there is high probability of Ischemic Heart Disease (the probability of which is higher at your age)
If you have Diabetes you need to consult your Treating physician as you fall in the group of silent angina
Or else please keep a watch on your risk factors eg
Obesity
Diabetis
Hypertension and Dyslipodimea
Otherwise conservative approach and Diet control besides exercise will help you lower the risk
thanks from Dr Chowhan
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ECG Shows Sinus Rhythm. Advise

As far as the test result is concerned it shows features of Inducible Ischemia but as you say you are not having symptoms. Are you Diabetic?(coexisting Diabetes Mellitus can mask the symptoms) Though you donot have Thyroid disease there is high probability of Ischemic Heart Disease (the probability of which is higher at your age) If you have Diabetes you need to consult your Treating physician as you fall in the group of silent angina Or else please keep a watch on your risk factors eg Obesity Diabetis Hypertension and Dyslipodimea Otherwise conservative approach and Diet control besides exercise will help you lower the risk thanks from Dr Chowhan