What does a poor R-wave mean in a 51-year-old with diabetes?
Patient's Query
Hello doctor,
I am 51 years old and I have been a diabetic for the past 10 years, taking regular medication for both blood pressure and blood sugar. Today, I had an ECG and an echocardiogram done. The ECG report shows poor R-wave progression. The echocardiogram report shows grade 1 LVDD with LVEF at 60 percent. Currently taking Tazloc CT 40 once daily in the morning and Prolomet AM 50 once daily at night. I am experiencing mild leg swelling after prolonged sitting.
Please advise.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
Poor R-wave progression on an ECG (electrocardiogram) can be caused by various factors, including pathological conditions, lead misplacement, or sometimes even normal variation.
In your case, since your echocardiogram is entirely normal, the poor R-wave progression on your ECG is likely due to normal variation or lead positioning. Sharing your ECG would have allowed for a more precise interpretation.
Your echocardiogram shows no evidence of diastolic dysfunction, as the criteria for this condition are not met.
Regarding your leg swelling, there are many potential causes, such as cardiac dysfunction (which is not present in your case), liver problems, kidney problems, venous insufficiency, and posture-related issues.
I recommend frequent posture changes to help alleviate the swelling. If the swelling persists, further investigation into your kidney and liver function should be considered.
If the leg swelling continues, you could also discuss with your physician the possibility of increasing the dose of Chlorthalidone (a component of Tazloc CT) to 25 milligrams.
I hope this information is helpful.
Please do not hesitate to contact me if you need to know anything else, and I would be happy to answer.
Regards.
Patient's Query
Hello doctor,
Thank you for your reply.
As per your advice sir I am sending ECG report Reading
Hello,
Welcome back to icliniq.com.
Thank you for sharing your ECG with me. It shows normal rhythm and heart rate. There is no evidence of any pathology and Acute Cardiac problem.
All the intervals and segments are within normal limits. Your normal echocardiogram provides further reassurance. Please continue healthy life style.
You can always contact us if you need to know anything else and we would be happy to answer.
Regards
Same symptoms don't mean you have the same problem. Consult a doctor now!
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