An echocardiogram is an ultrasound scan of the heart. It uses sound waves to produce images of your heart. It can spot blood clots in the heart, the presence of fluid around the heart, cardiomyopathies, and problems in the aorta.

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My BP increased rapidly, and I was admitted to a hospital where I underwent a few tests, and all reports were normal. What is the cause?

Query: Hi doctor, I am a 40-year-old male who developed left knee pain four years ago. I visited a doctor for the same and underwent an MRI of my left leg and hip joint. But the reports were normal. So, the doctor said the pain was due to a psychological problem. So, he referred me to a psychiatrist, and I...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to I went through your query and understood your concern. You have had depression in the past, and you are on antidepressants. In addition, you are on tablet D-Veniz 50 mg, which has hypertension as one of the side effects of long-term usage. Or you may have developed hyp...  Read Full »

What could be the cause of ventricular fibrillation?

Query: Hello doctor, My 29 year old brother had a pacemaker placed three years ago after survival from a sudden cardiac arrest. Doctors found the cause of the cardiac arrest to be a ventricular fibrillation. Last week was the first time he received a shock from his pacemaker, that is, exactly three years...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Ventricular fibrillation, the commonest cause is coronary artery disease. The other causes are dilated cardiomyopathy or low heart function. What is his ejection fraction? Low ejection fraction due to any reason like coronary artery disease or others can lead to ven...  Read Full »

Please explain the echocardiogram taken for a couple of near syncopal episodes.

Query: Hello doctor, The patient is a 17-year-old male with 6'1" in height and 185 pounds weight. The primary doctor ordered an ECG and an echocardiogram because of a couple of episodes of near syncope recently. The episodes occur after sudden standing, and we were told it might be due to dehydration and ...  Read Full »

Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome to 1) Hypertrophic cardiomyopathy (HCM) is a condition in which there is asymmetrical septal hypertrophy. LVOT (left ventricular outflow velocity) velocity is 1.97m/s, so there is no LVOT obstruction. For the long term, we need to do a follow-up echo to see for any incr...  Read Full »

Will hypertension cause early death?

Query: Hello doctor, I am a 40-year-old male with a weight of 98 kg and a height of 185 cm. I felt choking last month and I rushed to the hospital. It was there I got to know that my blood pressure was very high. In fact, I have been hypertensive for some time now. I did a series of tests including lipid, ...  Read Full »

Dr. Ritendra Nath Talapatra

Answer: Hello, Welcome to You are not likely to drop dead. You are hypertensive for a long time and that is why you are having left ventricular hypertrophy due to left ventricular remodeling. If you control your hypertension there can be reverse remodeling of your heart and your LV (left ve...  Read Full »

Can machine-generated report of EKG be completely relied upon?

Query: Hello doctor, I am a 41-year-old male. I have been elected for an EKG because I am a pilot and need a medical certificate. I have hypertension that is controlled easily with 10 mg of Propranolol daily and 10 mg of Lisinopril daily. My BP is 117/70 with 66 BPM. There are no symptoms of chest pain or...  Read Full »

Dr. Ritendra Nath Talapatra

Answer: Hello, Welcome to The interpretation you saw was a machine interpretation, and they sometimes drive us crazy. Your ECG (electrocardiogram) is fine. However, get an ECG for final confirmation.   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 The 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 see...  Read Full »

What could be the cause of chest tightness and pressure in an older patient?

Query: Hello doctor, A patient of age 64 has been experiencing symptoms of squeezing breathlessness or pressure in the chest for the past year in the sitting position. The patient works in an environmentment that is more prone to cotton dust issues. The patient did : (1) Echocardiogram before a year (as pe...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to Thanks for the query. I can understand your concern. According to your statement, your patient has been suffering from squeezing breathlessness or pressure in the chest during sitting position for the past year. According to the echo report, pulmonary arterial...  Read Full »

I have high blood pressure. Can I work out at a gym?

Query: Hello doctor, I am checking my blood pressure for a week now and it is mostly about 134/94. A physician asked me not to work out at the gym. Can you please advise if I can join a gym? My parents and a few other relatives had high BP. I have done an ECG and chest X-ray last year and both were normal....  Read Full »

Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome to Your BP readings are definitely on the higher side. Initially, you should get evaluated for high BP (blood pressure). You need to have other investigations like ABPM (ambulatory blood pressure monitoring), echocardiography, serum creatinine, serum electrolytes, and...  Read Full »

Can you interpret these notes on the ECG for me?

Query: Hello doctor, I am a 24-year-old female. I have a resting heart rate in the 70's when sitting, but it jumps to 120 to 130 when I stand. Doing dishes gets me to 160's. I tend to black out when I stand up for a few seconds. I have fainted five or more times. My doctor performed an electrocardiogram, a...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to Your ECG (electrocardiogram) shows that your heart has enlarged and has signs of SVT (supraventricular tachycardia). SVT is caused by a defect in transmitting electrical activity from the top of your heart to the bottom. When your heart beats fast, it does not have e...  Read Full »

Why am I diagnosed with concentric LVH without any symptoms?

Query: Hi doctor, As a part of the annual health check-up, we went for an ECG (electrocardiogram), blood tests, and 2D (2 dimensional) Echo (Echocardiography) and were diagnosed with Concentric LVH (left ventricular hypertrophy). We hence consulted the local doctor who prescribed the below medicines: Myo...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to How are your blood pressure readings in general? It was truly a fasting sample because if not fasting, then results may not be accurately interpretable. Your ECHO shows concentric LVH, and the usual reason for it is hypertension. So you need to monitor your blood p...  Read Full »

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