HomeAnswersCardiologyecgMy 79-year-old father had a bypass in the past, and his present ECG shows mild changes. Why?

Can old cardiac events cause mild changes in ECG and echocardiogram?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sushrutha M.

Published At November 9, 2021
Reviewed AtFebruary 13, 2024

Patient's Query

Hi doctor,

My father is 79-years-old and diabetic for the past 30 years. He has had a bypass in the past and also a stroke. He is taking the following medications Mixtard Insulin 30/70 - 50 units in morning,13 units night, Glycomet GP2 one in the morning and night, Linagliptin 5 mg one in the morning, Fibator 10 mg one in the night, Telma CT 12.5 one in the morning, Dynapress 0.4 one in the night, Arreno one in the morning and one in the night, Ecosprin 75 one in the morning, Thyronorm 25 mg one tablet Monday to Thursday and two tablets Friday to Sunday, Capsule Uprise once a month. Please examine his ECG and echo report. This was done as part of a routine test. Kindly give your opinion.

Hello,

Welcome to icliniq.com.

Does he have any symptoms like chest heaviness or breathlessness on exertion? Can you share the previous echocardiogram and ECG (electrocardiogram)? Both ECG and echocardiogram (attachments removed to protect the patient's identity) show some abnormalities (not major), but these are likely related to old events rather than fresh ones, for which he had undergone bypass surgery. So these are likely old changes, and these persist on ECGor echocardiogram throughout the life. Comparison with previous reports will help us to confirm this. Also, if he does not have any symptoms, then also it probably indicates old changes. I hope his sugars are well controlled, which are necessary for a good long-term outcome. I hope this helps you, and please get back if you have any more doubts or more information to share.

Patient's Query

Hi doctor,

Thank you. Right now, he is not having any problems. I have attached the reports from last year. This was done as part of his annual checkup. Kindly give your opinion.

Hi,

Welcome back to icliniq.com.

Reports are the same as last year (attachments removed to protect the patient's identity). So these are old changes only. So he should continue with regular medications. I hope this was helpful.

Patient's Query

Thank you, doctor,

Thank you, doctor, for the response. His blood pressure has been a little high, from 150/70 mmHg to 160/70 mmHg. Right now, he is taking Telma CT 40/12.5 half a tablet once. After these readings, the doctor has added Amlong 2.5 along with Telma CT 40/12.5 half a tablet once in the morning. I hope this is fine and will not lower the diastolic much.

Hi,

Welcome back to icliniq.com.

It is better to take a whole tablet of Telma CT 40/12.5 mg first and then add Amlodipine if blood pressure remains elevated. The usual dose of Telma CT is 40 mg only. The diastolic blood pressure is not a matter of concern. It will not harm even at a very low level of less than 50 mmHg. All the best.

Patient's Query

Thank you, doctor,

Hello doctor, Should we take Telma 40/12.5 or Telma 40/6.25 as he is on a half dose? And again, I hope that there is no impact on his diastolic. Can he take Telma 40 plain? Our family doctor mentioned that up to 150 mg is acceptable to take at this age. Please let me know.

Hello,

Welcome back to icliniq.com.

It is better to be on Telma CT 40/12.5 mg (Telmisartan and Chlorthalidone) once daily. He can also try 40 mg plain, but if it is not effective, then it should be shifted to Telma H only. As I mentioned earlier, diastolic blood pressure is not a cause of concern. At this age, blood pressure readings up to 150 may be acceptable according to some guidelines. However, it is better to keep it below 140 for the best outcomes. Besides, blood pressure readings will frequently cross 150 if we keep a target of up to 150 systolic. All the best.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

bypass surgeryecg

Ask your health query to a doctor online

Cardiology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy