ECG stands for Electrocardiography, which is a non-invasive diagnostic test that records the electrical activity of the heart. This electrical activity, which is caused by electrical charges created by the heart as it beats, is picked up by the electrodes that are placed over the skin. It is useful to assess the heart rhythm, identify any heart disease, and for evaluation of cardiac efficiency.

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My echo results show MVP and mild MR. I am worried about this. Please help.

Query: Hi doctor, I have done my ECG, echo, TMT, and all blood tests are normal. Echo showing MVP with mild MR. I am worried about this I feel anxious and tired. Please help.  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Your echo report (attachment removed to protect the patient's identity) says moderate MVP (mitral valve prolapse), NO MR (mitral regurgitation) (there is no MR, but you wrote in your question mild MR). Anyways MVP is by birth, and we can just follow up with an echo yearl...  Read Full »

Lips turning blue, pain in calf muscles and borderline ECG are bothering me. Please help.

Query: Hi doctor,I would like you to explain the findings of my ECG. They are as follows:Normal sinus rhythm. Incomplete right bundle branch block.Borderline ECGNo previous ECG is available.  Read Full »

Dr. Prashant Valecha

Answer: Hi,Welcome to following are the explanations of your ECG (electrocardiogram) findings:Normal sinus rhythm - the normal rhythm of the heart.IRBBB (incomplete right bundle-branch block) - a partial abnormality in the ventricular conduction pathway is present. It can be usually seen in ...  Read Full »

I had pain in the chest for a whole day, followed by pain in the chest only during night. Why?

Query: Hi doctor, On Thursday, I woke up with sharp pain under my left rib. It came and went throughout the day. In the night, I got up and had stabbing pain in the chest, then was mostly fine on Friday until bedtime. I got in bed going to sleep and had pain under my left rib again and heart flutter (not ...  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome back to I hope you are doing good. To rule out the cardiac cause of your pain, you should do few tests. 1) ECG (electrocardiogram). 2. 2D echocardiography. 3. TMT (treadmill test) or stress test. If all these three are normal, then it can be muscular pain o...  Read Full »

Is it normal to have variation in the pulse rate during walking and at rest?

Query: Hi doctor, I am 28 year old. My sugar level is normal, TSH is 2.91 and cholesterol is 203. I am facing a problem with my pulse rate. It is between 115-120 when I walk or do any activity. But when I am in rest, it ranges between 80-100. I feel lightheadedness when I walk. Is it normal?  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome to Cholesterol is in upper borderline. It will come down with low cholesterol diet and exercise daily. Heart rate more than 100 while walking is fine. From your history lightheadedness is the only problem. Is this lightheadedness significant? Do you feel like falling o...  Read Full »

Do I need to stay on Metocard and Pradaxa lifelong?

Query: Hi doctor, I am a non-diabetic 52 years old male. I was diagnosed with Afib one year ago and since then I have been taking Metocard-XL 100 mg od, Pradaxa 150 mg twice daily, Valzaar SM for hypertension. I have been taking various medicines for BP over the last 10 years. After taking Metocard for abo...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to I have read your query and seen the reports (attachment removed to protect patient identity). According to Holter there is no atrial fibrillation. Your echo is normal with few hypertensive changes and TSH (thyroid stimulating hormone) is normal. Metocard - Metoprolol not ...  Read Full »

How to confirm if my heart is in good condition?

Query: Hello doctor, My problem is little strange. I am 23 year old obese guy. My father expired two years ago due to cardiac arrest. I always have the fear that I might get heart problem anytime. Even my heart rate remains 90 to 100 bpm. After consultation, my doctor said it is just because of overweight ...  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome to You have to reduce weight as you have family history of heart disease and obesity itself a risk for heart disease and diabetes. There is no problem with your cholesterol test. It is fine. To find out whether you have any heart problem at present or not, I would advise ...  Read Full »

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