Myocardial ischemia is a heart disease in which the myocardial muscles of the heart are obstructed by complete or partial obstruction caused by plaque buildup in a coronary artery. It can lead to severe complications such as cardiac failure.
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Should I worry about a flat T-wave in V2 to V4 leads?
Query: Hello doctor, Should the flattened T-wave in V2 - V4 be of concern? I have the following complaints such as chest pain, left jaw pain, sternal tightness, and pressure in the left chest radiating to the left arm and shoulder. Currently, I am taking Metoprolol Tartrate 25 mg and Omeprazole 10 mg. I ha... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for reaching out to us. Sorry about your health challenges. Please stay strong and you will be fine. Generally in ECG (electrocardiogram), a flattened T wave in leads V2- V4 could be due to myocardial ischemia. Meaning there is a narrowing in one of the heart ... Read Full »
I have the myocardial bridge, and TMT was positive for myocardial ischemia. Please help.
Query: Hi doctor, I went through coronary angiography two years ago. It was completely normal, with no blockage. But I have a myocardial bridge. Two days before, I went for a body check-up where my TMT was positive with the exercise of eight minutes and 106 beats per minute heart rate with no pain or breat... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. The test can be positive due to myocardial bridging. I suggest you take a tablet of Aspirin 75 mg once a day and a tablet of Metoprolol tartrate 25 mg twice daily, and a keep tablet Glyceryl trinitrate in your pocket. Put one tab of 0.5 mg und... Read Full »
Can you please help me understand my 73-year-old father's ECG report?
Query: Hello doctor, My 73-year-old father had his ECG today. The report shows PR 160, QRSD 91, QT 298, QTc 377, P axis 53, QRS 20, T 45, and heartbeat 96 BPM. He has had diabetes for 20 years and has no previous heart problems. Currently, he is using tablet Telmisartan 40 mg for blood pressure and tablet ... Read Full »
Dr. Gulati Ranjitsingh Awtarsingh
Answer: Hello, Welcome to icliniq.com. I understand your concern. I have read your father's reports, including ECG (attachments removed to protect the patient's identity). What is the reason for him to get an ECG (electrocardiogram) done? The ECG shows mild heart changes that indicate ischemia. I suggest ... Read Full »