Abnormal EKG and cardiac risks

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Submitted by Dr T on November 30, 2012 – 9:59am Question:  58 year old male in good heath:EKG was recently done and the interpretation showed the following: IVCD (intraventricular conduction delay) LAHB (left anterior hemiblock) Low voltage precordial leads. Would you be kind enough to tell me in lay terms: what these mean, if they pose a danger to life, …

Angina, arrhythmias and heart disease

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Submitted by Dr T on November 28, 2012 – 9:54am Question:  I received a stress test after having radiating pain down my neck and left arm.  It showed a septal infarct of undetermined age, bigemny, arrythmias (i am recalling this from memory)and something to do with my ST.  I was unable to finish the stress test, lasting only 6min 48 …

The risk of a Long QT Syndrome

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Submitted by Dr T on November 28, 2012 – 9:37am Question:  I had an EKG yesterday as part of a pre op physical and it came back as abnormal, that I have a prolonged QT interval of QTc >490ms. My Dr is having me decrease my Trazodone by half ( I have been taking Trazodone for years and have had …

Risk of Heart Disease

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Submitted by Dr T on November 22, 2012 – 1:37pm in Cardiac Risks Question:  I have a hiatel hernia and i was told possibly an irregular heartbeat. Right in the middle of my menstrual cycle when I lay down to sleep at night my heart feels weird, my wrists, ankles, elbow, toes and shoulders will ache and arms and legs …

Coronary Artery Disease and Flying

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Submitted by Dr T on November 14, 2012 – 7:36pm Question:  I’m scheduled to fly from south Florida to San Francisco on a direct flight – 6 hours.  I have a stent, placed in 2006 in the RCA (80%) blockage and I had a 50% blockage in my LAD which was not stented. I’m into menopause and I had my …

Borderline qt results

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Submitted by Dr T on November 10, 2012 – 9:34am in Your heart rhythm Question:  Hi. I am a 30 year old fit and active female with a 5 month old baby. A few months ago i awoke in the night with a rapid heartbeat and felt dizzy. I also had the shakes. It lasted for about 20 mins and …

Skipped beats

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Submitted by Dr T on November 7, 2012 – 11:41am in Your heart rhythm Question:  I have noticed an increased pause before the compasatory beat with my PVCS. It feels like about two to three seconds before the next beat which is freaking me out! That is my heart not beating, I fear with the lengthened time waiting for the …

Cardiac tests for chest pain

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Submitted by Dr T on October 24, 2012 – 9:37am in Chest Pain Question:  I have been experiencing tightness in the chest for a couple of wks, along with pain going up the left side of my neck and down my left arm and went to the ER. I rec’d an ECG with the findings of Right atrial enlgment, Left …

Lost pulses

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Submitted by Dr T on October 23, 2012 – 8:36am in Cardiac Risks Question:  Can you tell me why my radial pulses disappear when my heart rate goes over 100 with exercise.  I can feel my carotid.  I had a cardopulmonary stress test the on bike.  My BP was 210/110 and HR 160 and my legs gave out at 7 …