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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This X-ray Report For Chest Pain Indicate?

Hi,My father is 66 years old with two stents placement an year ago. He had his regular quarterly checkup done fortnight ago where cardiologist said he s fine and his BP usually stays below 140/85 for the last couple of months which was not the case earlier. He experienced slight pain in the chest for the past few months (probably due to gastric problems as the cardiologist said its not related to heart and more of muscular pain). Couple of days he experienced similar pain along with a BP of 150/90. He got the chest x ray and EKH done with x-ray perfect normal with normal cardiac size and contour. The doctor said the eck was also normal. He had a heart rate of 64/pm but the report said presence of no p-wave and left axis deviation (qrs axis of -30 degree). Do we need to be worried with these results?
Tue, 30 May 2017
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Pulmonologist,  's  Response
Hello
welcome to HCM.
I have gone through your description.
To summarize your father is a hypertensive and a heart patient with two stents implanted and getting intermittent chest pain. Since the ECG and chest x ray are normal as per your cardiologist there is nothing much to worry about. A BP of 150/90 is high but is acceptable given his history of heart disease. He must continue on the blood pressure medications which over time will achieve good control over his BP. only matter that requires attention here is presence of no P waves. No P wave means the heart impulses are not coming from where they should actually arise. But since this is a machine interpretation it can be ignored, taking into consideration that your cardiologist has cleared the ECG as normal. Heart rate of 64/min is optimal. Left axis deviation may be due to long standing hypertension and does not require any attention at this point. Please continue on his regular medications.
wishing you good health.
Regards
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What Does This X-ray Report For Chest Pain Indicate?

Hello welcome to HCM. I have gone through your description. To summarize your father is a hypertensive and a heart patient with two stents implanted and getting intermittent chest pain. Since the ECG and chest x ray are normal as per your cardiologist there is nothing much to worry about. A BP of 150/90 is high but is acceptable given his history of heart disease. He must continue on the blood pressure medications which over time will achieve good control over his BP. only matter that requires attention here is presence of no P waves. No P wave means the heart impulses are not coming from where they should actually arise. But since this is a machine interpretation it can be ignored, taking into consideration that your cardiologist has cleared the ECG as normal. Heart rate of 64/min is optimal. Left axis deviation may be due to long standing hypertension and does not require any attention at this point. Please continue on his regular medications. wishing you good health. Regards