about 4 months back i went for a general medical checkup for CBP,Lipid profile, Blood urea, Serum creatinine,Blood sugar,Urine examination,X ray chest PA view, 2D-Echo Doppler study and ECG.
all the reports are normal, But I have apprehension about my 2D-echo doppler study report. the reading/findings are given below:
Mitral valve: Normal; Aortic valve: Normal; Tricuspid valve: Normal
Pulmonary valve: Normal.
IDD : 5.0 cms EF: 64% IVSD: 1.3 cms
IDS : 2.9 cms FS: 32% PWD: 1.1 cms
Aorta: 2.8 cms; Left Atrium: 2.9 cms; LV: Normal; Right Atrium: Normal
RV: Normal; Pulmonary artery: Normal; Pericardium: Normal
Others: Trivial MR/AR; No TR/PR
Doppler Study: Mitral Aortic Pulmonary
IAS: Intact E/A: 98/149cm/sec; AJV:1.8 mt/sec; PJV:1.4 mt/sec
IVS: Intact EDT: 202 m sec PAT:102 m sec
IVRT: 86 m sec
GOOD LV/RV FUNCTION
NORMAL SIZED CHAMBERS
NO LA/LV CLOT
NO PERICARDIAL EFFUSION
I consulted physician and he tells nothing to worry. advised me to keep my BP in check. generally my BP is 140/90. I am a non-smoker and non diabetic but take 2 drinks on every alternate day. I had fundal gastritis about 10 years back. Now I am OK. My pulse rate always between 60-75/min.
Pl. clear my following doubts and give me the remedy:
1. Is my 2d echo report OK?
2. What is concentric LVH? Is it mild, moderate or severe?Is it tolerable?
3. Should I go for medication for BP? Pl.suggest the medicine.
46 year old hispanic male...Had PROMUS Element stent on LAD on 27 Jul 12. In early May I was talking to someone and all of the sudden had this ache from my throat to my stomach,felt like a stitch when you run in the sun on a hot summer day. I ignored it, but felt like crap the rest of the day. I also felt burning or throbbing in my left bicep and for the first time I was short of breath and had chest cramps and stabs of pain around my heart. These symptoms would come and go. the second week I felt tingling and numbness at my jawline and neck and shoulder pain, which scared me, but not scared enough to see a doctor. Finally the third week of May, I felt awful, chest cramps, stabbing pains around my heart, dizziness. I couldnt do this to my wife and kids, I went to the emergency room and they told me it was GERD. I didnt believe the doc at first, he gave me so prilosec. The symptoms did make sense then. They still recommended I get a stress test. In July I got the blood work done high trig at 287, cholesteral was good, 176, HDl was 35 and .LDL was 84,. When I went to the ER CPK was 271 and now it was 231. When I did my stress test I was on the machine heading into 5 min when I mentioned I felt burning sensations in my arm. Doc told me he could see it on the EKG, he set me up with a CAT that same day, saw something he didnt like and scheduled an angiogram before the week was out. The procedure went well 90% blockage of LAD and he said I had to others with 30% blockage. I got and exoseal so within 4.5hrs, I got to go pee, instead of waiting the 6 to 8 hours. Blood pressure was nice and low and I have always had a low heart rate. When I got to pee the second time around 3 A.M. my BP was high and stayed high for three hours. I was previously on atenolol and HDZ for BP. After the procedure I also felt pain at the top of my left arm and my right arm. Since discharge I have felt slight sensations on my left bicep and also my right arm, which never ever gave me problems and some chest discomfor...no burning sensation or heaviness, but a warmness and some pinching. I am in the service so for the most part I am fit. I am not so alarmed knowing that I am not the only one. Yesterday just to make sure I was good, I went on 1.5 mile walk, took the wife, nitro and cell phone incase I dropped. I felt fine, worked up a good sweat and arm or chest pain. Today it has been quite disconcerting with random arm pain, heart pinches and even disorientation. Besides the BP med I am on aspirin, plavix, isosorbide dinitrate (gives me an awful headached) simvastain.
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