Dr. Muhammad Zohaib Siddiq
Cardiology
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Patient's Query
Hello doctor,
I was evaluated for chest pain. I have a question about electrocardiogram (ECG) result. My lead one at rest value was -0.1 mm and -0.4 mV/s. My lead two at rest value was 0.0 mm and 0.0 mV/s. Is this a cause of concern? I am currently taking medications tablet Duloxetine and tablet Famotidine. Thank you.
Hi,
Welcome to icliniq.com.
Your exercise tolerance test (ETT) is normal. Please let me know if you had chest pain during exertion? Why test was stopped? Do you have any family history of cardiac issues? Any sudden death in the family? Do you have hypertension or diabetes? Thank you.
Patient's Query
Hi doctor,
Thanks for your response. I do not have hypertension or diabetes. My maternal grandmother died from myocardial infarction while asleep. Both my parents are in good health. The test parameters were to continue until I reached the target heart rate. So they terminated at nine minutes. I did experience chest pain, but I believe it to be muscular as I have felt the same pain at rest when doing nothing. It seems to come from the left side of my back and spreads to the opposite side in the front. Thank you.
Hi,
Welcome back to icliniq.com.
The treadmill test is normal. So there is nothing to worry about. Just follow the preventive measures. One abnormality in the treadmill test (TMT) and electrocardiogram (ECG) is that there is a suspected brugada pattern. It has to be confirmed by provocative measures. One is by applying chest leads v1 and v2 at higher places, such as in 2nd intercostal spaces instead of the usual 4th intercostal spaces. Another one is done in a hospital where an injection of Ajmaline is given, and then an electrocardiogram (ECG) is recorded. Brugada syndrome is a genetic cardiac disorder. Therefore, some medicines should be taken with caution, and fever should be treated early. Even if a provocation brugada is confirmed, it will be categorized as low risk. Thank you.
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Cardiology
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