My husband is obese with a weight of 127 kilograms. His blood pressure was 140/80 mmHg. He sweats a lot and feels hot when I do not feel it. He seems to be extremely nervous. I have some questions regarding my husband's ECG report. It takes time to get an appointment with a cardiologist and so I am using this one. Is there anything dangerous in his report?
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Your husband has a clinical profile with a body mass index of 35.9 kg/m2 and blood pressure around 140/80 mmHg. You have not mentioned the medications taken. He is a 40-year-old male with a history of frequent sweating. He has a history of chest pain and shortness of breath. His ECG (electrocardiography) does not show any signs of an imminent problem. ECG show changes and it is good to consult a cardiologist to do further investigations. It is necessary to rule out structural heart disease and any disease of arteries supplying the heart muscles.
ECG seems to be benign. Please mention the reason for doing an ECG for your husband. Please mention whether your husband has symptoms of blockout or loss of consciousness along with chest pain, shortness of breath, dizziness, or feeling extra heartbeats or racing of the heart. If yes, then mention the duration of these symptoms and mention whether it happens at rest. Please mention whether you have done complete blood count, serum creatinine, HbA1c (hemoglobin A1C), D-dimer, thyroid profile, troponin-T, NTProBNP (N-terminal pro-b-type natriuretic peptide), and lipid profile.
2D echo (echocardiography) helps to rule out any structural heart disease. Stress MPI helps to rule out ischemic heart disease. Both echocardiography and MPI (myocardial perfusion imaging) are done by the cardiologist. Holter monitoring helps to rule out subclinical atrial fibrillation. Have a diary for recording the blood pressure. Having a sleep study helps to rule out sleep apnea. Please do the above-mentioned blood works. These symptoms are primary drivers of urgency. If your husband has frequent symptoms, then it is necessary to consult a family physician for an urgent referral.
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