Answered by Dr. Pramod Bhanudas Narkhede

Answered by Dr. Pramod Bhanudas Narkhede

Are cardiac issues a risk for sudden cardiac death?

Hello doctor,

I have a long, complicated cardiac history and currently seeing a cardiologist. It started with chest pains, and I ended up having an episode of NSVT last year. I am now on Bisoprolol and Amlodipine. The cardiologist thinks my condition is coronary artery spasm and just an ectopic focus causing the NSVT. I have had a normal CT angiogram with no luminal narrowing and no signs of any blockages or atherosclerotic changes, and a negative stress echo. I have had a normal echo after the NSVT with everything normal and a cardiac MRI. The MRI showed a very mild dilation of left and right ventricle (the cardiologist looked up studies and said mine is not dilated and it falls within the normal range for my age). I had a normal echo just taken yesterday, which showed no dilation ventricle with normal wall thickness, size, and normal function with 66 % EF. The only finding at all on the echo was a mild tri-leaflet aortic valve, normal cusp excursion, and no regurgitation. I also noticed that every time I am stressed or anxious, my T waves in leads III and AVF on ECG flip. As my other echo did not mention this sclerosis of the aortic valve, has this always been here and because of my NSVT does this put me at risk of an SCD? Also, is it likely for me to have blockages in my arteries now even after a clear CT angiogram less than a year ago? Since the one episode of NSVT, it has not happened again although I have had on Holter, premature atrial, junctional ectopics, and ventricular trigeminy, all of which are very infrequent. One episode of trigeminywith emotional stress on three-day Holter. Total ectopic beats in 24 hour period less than 30. I am a 31 year old male, who does not smoke and. All the best.

13 May 2024 - 1 min read

Is it safe to ride on a roller coaster with myocarditis?

Hi doctor,

Do you think it is safe to ride in a roller coaster with myocarditis?

30 Apr 2024 - 1 min read

Does my thallium stress test indicate any serious block?

Hello doctor,

I am attaching my recent ECGs along with readings of aerobic capacity and VO2 max. The VO2 max and aerobic capacity are estimated low as exercise was interrupted after five minutes in the speed of 2.3 Kmph whereas I could have gone on for at least five more minutes with speed of 3.5 Kmph. I have undergone stenting two years back. There were no symptoms but thallium stress test and then angiogram indicate a blockage. I am also attaching my ECGs of six months back when I have been advised a pacemaker. I did not follow the advice as my ejection fraction was 73% and I did not have any symptoms of blackout or fainting. I am currently on Crestor 5 mg, Telma 20 mg, occasional Asenapine 2.5 mg, Oxetol 1200 mg, Lamitor 300 mg plus some nutritional supplements. Can you tell if there has been any improvement in the ECG? What would my aerobic capacity and VO2 max go up to if I was allowed 10 minutes of exercise on the treadmill reaching a speed of 3.,5? Any other observations or advice on your part.

14 Feb 2024 - 1 min read

My husband had Losar Beta H twice by mistake. Will it cause any side effect?

Hi doctor,

My husband used to have Losar Beta H for his BP in the morning and Storvas 10 mg at night. But, mistakenly, he had Losar Beta H again at night. Will it cause any side effect? Should he have Storvas now?

13 Feb 2024 - 1 min read

How to diagnose alcoholic cardiomyopathy?

Hi doctor,

I am a heavy drinker. I have been getting heart pain and fast heart rate. How to get diagnosed with alcoholic cardiomyopathy when the echo test result is normal, and 24-hour ECG test shows tachycardia?

29 Jan 2024 - 1 min read





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