Dr. Anshul Varshney
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My mother is under treatment for hypothyroidism, hypertension and osteoarthritis of knee joints, which is stage 2. I have attached her current medication list and ECG report. I request you to kindly have a look at the ECG and advice whether there is any indication of heart issues. Although the ECG is marked as normal, our doctor had suspected the possibility of LBBB. So, I want to get your kind opinion in this matter. I have also attached a copy of her lipid profile test reports done a few months back for your kind considerations. Thank you.
Hi,
Welcome to icliniq.com.
We are here to help you. I have seen the attached report (attachment removed to protect patient identity). The attached electrocardiogram - ECG seems normal to me. However, there is a slight left axis deviation, making your doctor to comment on LBBB (left bundle branch block). Now, this does not require any specific treatment. However, I would recommend a 2D echo to see the ejection fraction as well as the functioning of the heart. Seeing the lipid profile, I would recommend her low dose statins, which are the medicines to lower down the cholesterol. However, in her case, I would recommend low dose stations as they keep blood vessels and heart functioning well other than controlling high BP. Consult her specialist doctor, discuss with him or her and take the medicine with consent.
Patient's Query
Thank you doctor,
Do you see any possibility of previous heart attack or stroke as per the attached ECG, which might have been ignored earlier?
Hi,
Welcome back to icliniq.com.
As ECG finding cannot tell this, it cannot be commented. However, an ECHO can help you further.
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Internal Medicine
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