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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Chest. ECG Reading Showed Abnormal T Wave. Suspected Inferior Ischemia. Further?

My ECG reading showed an abnormal T wave . I suspect inferior ischemia as I m also getting slight sharp pains in my left chest area. I m also having difficulty sleeping. I m wondering if its melatonin depletion. Do I have to see a cardiologist or will an immediate lifestyle change reverse my health. Also, I know what foods to avoid but are there foods that will be especially beneficial?
Wed, 13 Feb 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

You must be investigated for Coronary Artery Disease.

The next step is stress test – TMT (Treadmill Exercise ECG) / preferably with thallium isotope – to evaluate ischemia. This is to assess the physiology (function).

If there is a suggestion, the next step is to see the anatomy. You may need catheterisation and coronary angiography with a view for possible intervention. Coronary arteriography is invasive but it is the gold standard for this. [CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.]

Diet , exercise and life style modifications are advised on the results of these tests / as also Lipids, Sugar and so on.

Take care
Wishing speedy recovery
God bless
Good luck
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Pain In Chest. ECG Reading Showed Abnormal T Wave. Suspected Inferior Ischemia. Further?

Hi friend, Welcome to Health Care Magic You must be investigated for Coronary Artery Disease. The next step is stress test – TMT (Treadmill Exercise ECG) / preferably with thallium isotope – to evaluate ischemia. This is to assess the physiology (function). If there is a suggestion, the next step is to see the anatomy. You may need catheterisation and coronary angiography with a view for possible intervention. Coronary arteriography is invasive but it is the gold standard for this. [CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.] Diet , exercise and life style modifications are advised on the results of these tests / as also Lipids, Sugar and so on. Take care Wishing speedy recovery God bless Good luck