EKG CHANGES

[smp48]

Hi
I just wanted to know about EKG changes. I had a heart cath in Feb which showed 50% blockage, and narrowing of the left main artery, then the echo showed mild mitral regurg with leaflet thickening, and 2+ regurg on tricuspid valve, which the Dr said isn't a problem. I have been having recurring chest pain and fatigue since Feb. A recent blood test showed elevated platelets (501) and elevated red blood count, and that has not been addressed, either. I dug up my old blood work from Feb and my platelets were up then also, and they are even higher now. Isn't this dangerous if there is already blockages? My blood pressure has also been running high. I am on lisinipril, and hydrochlorathiazide, and toprol.
Today I had a stress test and echo , and the Dr. said I have had EKG changes, what could this mean? I have a follow up in two weeks with my cardio.Also, are the higher platelets and RBC anything to be concerned about?
My PB is pretty much under control right now, so I was wonder what EKG changes could mean?

[mammiejo]

A related discussion, thalium test was started.

[Runner66]

Greetings , can anyone help me , I had a medical last year , I am 56, I asked my Doc to give me a Stress test. I am extremyl fit I can run a 6 min mile lift weights  daily. Stress test showed some ekg  changes  st depressions, had Thaliun test done ,doc said good compression , however ekg changes still present , wants me to have gols standard test cardic Cath , I feel with my fitness I don't need it . please advise

[smp48]

Thank-you for your response. I did find out from my Echo that I have rheumatic heart disease, The platlets are stable but still high and I guess my Dr is just going to watch them, She said the hematologists don't want to see patients untill the platelets are 550, I have my Cardo appt tomorrow and I will ask him also if this is dangerous to have these platelets be high when there is already blockages. This is just a worrysome time, as I was very tired and short of breath all weekend, Not really short of breath but like I couldn't get that deep breath. Also the beta blocker is making me feel like I have brain fog, even tho  it is a very low dose. I used to like to sew and garden, and I just don't have any ambition . I am really in a slump!
I have had PVCs since I was young and they haven't killed me yet so, I have learned that a lot of outside factors cause those nasty things , especially stress.

[smp48]

My stress teast came back normal. Haven't heard about the echo yet. Can you have a normal stress test and still have heart problems?

[Cleveland Clinic]

smp,

Thanks for the post.

I would be less concerned about your coronary blockages and more about why your platelets and are high. In the short term, there is no immediate danger from the elevated counts, however, there may be some underlying reason they are elevated.

Generally this would fall more into the realm of a hematologist and would start with your internal medicine physician or a hematologist to pursue.  Good luck!