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question about Echo and EKG tests

 
sonic fungus
User ID: 182969
United Kingdom
01/16/2007 05:17 PM
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question about Echo and EKG tests
Ok, so i got my echo results back... and it was after the doc sent me
for one after finding possible LVH strains in my EKG's and having tachycardia..
of anywhere between 120-158 bpm's, and palpitations.. shortness of
breath, flushing, etc.

the echo came back negative for LVH though. now, on some of it, they
couldnt get a "good visualization" of certain parts of the heart. could
this mean a possible ling issue causing problems seeing? or my body
itself? it makes no sense tho, because the other things they could see
okay.. but not these other ones? huh?

hey did blood tests.. and im not anemic.. nor do i have any
thyroid problem. they tested me after i had the echo done to make sure.
just got these results given to me today, actually.

they want me to see an electrophysiologist... due to the holter
readings i had, found 117 skipped beats.
and the tachycardia. she seems to think my hearts just hypersensitive
to.. adrenaline, or stress.. or hormones... because i have some
hormonal disorders. otherwise.. at times.. when feeling okay.. and
calm, my BPM will actually be normal. anywhere between 80 and 90.

they wanna try me on toprol for a while, too. 25mg.

i'm a 25 year old female, with a history of hormonal problems (polycystic ovarian syndrome, hyperinsulinemia, and a connective tissue disorder with high ANA, non-specific diagnosis, borderline for Lupus though)

used to be pretty active, but not so much the last few years.

i'm 118 pounds and 5 foot 2.. and of a very small build.


heres some of the results i typed up:

*******echo test

echo results:

M-Mode results:
LV Diameter (Diastole) (3.7 - 5.4 cm) = 4.3
LV Diameter (systole) = 2.1
Septal Thickness (Diastole) (0.1 - 1.1cm) = 0.4
LV Posterior Wall (Diastole) (0.7cm - 1.1 cm) = 0.4
LA Diameter (Systole) (0.9 - 4.0 cm) = 2.4
Aortic Root Diameter (2.0 - 3.7 cm) = 2.4
Visualized ascending aorta diameter = 2.1
RV Diamater (Diastole) (0.5 - 2.5 cm) = 1.8
Aortic Cusp Separation = 1.6

Echo summary:

Echo summary:
Overall left ventricular function is hyperdynamic. No significant
valvular stenosis or insufficiencies. Technically difficult study due
to patients body habitus.

Left Atrium:
The left astrium is normal.

Mitral valve:
The Mitral valve is normal. Mitral valve prolapse is not noted. By
color/pulse wave/continuous wave doppler mitral regurgitation is trace.
There is no mitral stenosis.

Right atrium:
The right atrium is normal.

Tricuspid Valve:
The tricuspid valve is normal. By color/continuous wave doppler
tricuspid regurgitation is physiologic. There is no evidence of
pulmonary hypertension.

Pulmonic Valve:
The pulmonic valve is not well visualized. By continuous wave doppler
significant pulmonic valve stenosis is not demonstrated.

Pulmonary trunk and Arteries:
The pulmonary trunk and arteries are not well visualized.

Aorta:
The aortic root dimension is normal. The ascending proximal thoracic
aorta is normal in dimension. The aortic valve is not well visualized.
By continuous/pulse wave doppler no aortic stenosis is present. By
color/continuous wave doppler no aortic regurgitation is present.

Aortic arch:
The aortic arch is not well visualized.

Rght ventricle:
The right ventrical is normal.

Left ventricle:
The left ventrical is normal in size. There is no left ventricular
hypertrophy present. No regional wall motion abnormalities are present.
Overall left ventricular function is hyperdynamic. The estimated LVEF
is 70%. By continuous/pulse wave doppler diastolic dysfunction is not
suggested.

Pericardial Effusion:
There is no pericardial perfusion.

Intracavitary Mass:
There is no evidence for intracavitary mass.

Congenital findings:
By color/pulse wave doppler there is no evidence in this study for
ASD/PFO.

---------------

Stress test:

resting echocardiogram:
Hyperdynamic LV function.

Stress ECG revealed non-specific ST-T wave changes. There were no ECG
changes diagnostic for ischemia.

Was 130/80 before stress test. went down to 120/80 after.

BPM: 158 BPM

*********************************************



also, on my 24 hour holter reading.. it picked up these:

" ventricular ectopic activity consisted of 117 beats, of which, 2
were in couplets, 74 were single PVC's, and 41 were VE's.

Supraventricular ectopic activity consisted of 1 PAC. "

she says missed beats and such like these are.. normal? i wanted to ask
her all about these, but, like i said.. she didnt have the time and
pretty much flicked me off.

what would you make of those?


and about these readings:
Septal Thickness (Diastole) (0.1 - 1.1cm) = 0.4
LV Posterior Wall (Diastole) (0.7cm - 1.1 cm) = 0.4

arent these rather thin? and the LV Posterior measurements. I spoke to someone earlier and they said that this was erroneous criteria?

what would you make of this whole overall report/exam?


Thanks so much in advance!




Also..
it also says on my stress echo report that during the stress electrocardiogram, as i was on the tradmill...this:

"Stress electrocardiogram":

"Stress ECG revealed non-specific ST-T wave changes. There were no ECG changes diagnostic for ischemia."

I'm assuming they mean the actual ELECTROcardiogram they gave me as they were doing the stress echo.
What could this mean whole St-T wave thing mean, exactly?


On my EKG (electro) that I had in the office a week prior to this stress echo, had these notes written on the sheet:

1. early transition - RsR Mv2 -? mild RV strain
2. NSST D
3. Borderline RAE

What are those?


Sorry for all the questions. hf
Anonymous Coward
User ID: 184162
United States
01/19/2007 06:57 AM
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Re: question about Echo and EKG tests
are those skipped and extra beats normal?

alos, on my EKG (electro) that I had in the office a week prior to this
stress echo, had these notes written on the sheet:

1. early transition - RsR Mv2 -? mild RV strain
2. NSST D
3. Borderline RAE

What are those? the doc seemed to not even wanna answewr any of my damn questions.

Sorry for all the questions.
Anonymous Coward
User ID: 184162
United States
01/19/2007 06:58 AM
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Re: question about Echo and EKG tests
theyre gonna be testing me for a pulomonary emboli with a VQ test.
Anonymous Coward
User ID: 184170
United States
01/19/2007 07:45 AM
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Re: question about Echo and EKG tests
Thyroid tests are frequently not accurate enough to detect a problem. If your body temp. runs lower that normal than some Drs.say that is indication enough of a low thyroid. I would suggest looking into iodine supplementation with Lugol's solution.I use it and it's been very helpful to me. It is very helpful to the immune system, and hormonal problems, including polycystic ovaries, and fibrocystic breasts. A magnesium deficiency can cause palpitations, as well as depression, and immune system problems, so you might want to check that out as well. I have also used EDTA. supplement to lower my husbands high blood pressure with excellent results, and it cured my dogs bladder stones as well! Not a Dr., just research on my own to try to help myself and others, so use your own discernment, and research. Hope you find what you need, good that you are asking questions, and thinking for yourself.
Anonymous Coward
User ID: 184162
United States
01/19/2007 08:07 AM
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Re: question about Echo and EKG tests
thanku for your reply.

my temp usually always runs lower.. like around 97.8... and 98.1. not sure if that would warrant as mich of a sign, but yeah.

it also seems this recent problem occurs more so with my hormones. right now its been acting up a lot the past few days.. along with a spike in my hormonal nonsense. who knows.

ive had out of breath and flushing moments for years and years now, but the palp's and the other new things started after a fall.. a really hard fall i took the first week of december while at work. i work with animals and tried to restrain a really hard dog.. and got hurt. some suggested i could have messed up soemthing, perhaps the pulmonary thing. i hurt my leg pretty bad that day too.. and i still have a lump and pain in that area.

plus, pulmonary embolism and clots run rampant on both sides of my family.

is the VQ scan really the best test for that rght now?
Anonymous Coward
User ID: 184170
United States
01/19/2007 09:21 AM
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Re: question about Echo and EKG tests
I honestly don't know about the scan. If I were you I would read up on these different problems, so I have as good of an understanding as possible of what is going on, try not to worry, and see what is available to help. I have heard some pretty bad things about Coumadin{sp?} they put a friend of mine on that for pulmonary embolism, and it made him worse. I think your best bet is to use natural herbs, supplements, so many times pharmaceuticals seem to add to the problem. You know your own body , use your intuition, and educate yourself. Make Google your best friend. Palpitations are pretty common{have had them myself, and still do sometimes} Take a deep breath and relax, try to stay positive, and look at this as an oppotunity to learn. Maybe what you find out will also help your family. hf
Anonymous Coward
User ID: 181541
United States
01/19/2007 10:11 AM
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Re: question about Echo and EKG tests
Stay away from the meds prescribed by doctors today....they mask symptoms and do not provide a cure. My suggestion to you is make sure you are not iodine insufficient, which will often manifest as hypothyroidism.

Stay away from any processed food which may contain MSG, autolyzed protein or "natural spices"....they are all MSG. MSG can cause many of your symptoms and is what is used in lab rats to induce diabetes for testing.

Go organic in your diet if you can. You may have a sensitivity to pesticides and preservatives which can also manifest in many of your symptoms.

Eat lots of Garlic which can help stabilize your BP naturally without side effects.

EDTA is a chemical......try 1-2 teaspoons of apple cider vinegar a day. It will provide the same results naturally. It is delicious on a salad mixed as a dressing with some olive oil and herbs. Google the health benefits of apple cider vinegar....it may be the "cure" you have been looking for.

Do not drink more than 1 or 2 small glasses of alchohol per day.....you may have a rebound hypoglycemic response the morning after.

Just because you are young, doesn't mean you shouldn't be careful what goes into your body.....the food today is very bad for you.....too many preservatives and additives......go organic and make it yourself.

Here's to your good health!!!!! hf
Anonymous Coward
User ID: 181541
United States
01/19/2007 10:14 AM
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Re: question about Echo and EKG tests
Almost forgot.....stay away from Nutrasweet and Splenda......pure cancer and health problems in a sweet tasty package!
Anonymous Coward
User ID: 184162
United States
01/23/2007 12:59 AM
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Re: question about Echo and EKG tests
bump
Anonymous Coward
User ID: 154126
United States
01/23/2007 01:17 AM
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Re: question about Echo and EKG tests
sounds like a diet problem to me as well.

go el natural, lots of fruits and veggies, plain meats, no processed stuff. drink only water...

should fix you right up

also i think for accute attacks wasnt the cayenne pepper the instant cure for heart/circulatory problems,like it quickly regulates the electrolyte balance or something. im too tired to think about it right now though.
good luck
annwho2
User ID: 140292
United States
01/23/2007 01:42 AM
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Re: question about Echo and EKG tests
Wow, the good news is there is a whole lot of normal there and in between; alot within normal limit and no abnormalities. I would feel sort of releived by most of the report. Obviously you discussed your concerns with your doctor, did you discuss your relief that so much of the report was good? Good luck to good health in the future. Take care of yourself, don't smoke, follow a good diet and your Doctor's advice. Ask him the questions you have. Write them down so lyou get your answers from your professional you are paying for care from........and you should do well.
OP
User ID: 184162
United States
01/23/2007 02:22 AM
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Re: question about Echo and EKG tests
yeah.. but they cant see the pulmonary artery or anything around there at all and yet ruled out any stenosis or anything else?

i was born with a stenotic pulmonary artery and my EKG results oretty much show theres a problem. stress on the right atrium (where the echo shows some regurgitation) and branch blocks and other things. also during the stress echo it showed st-t abnormalities. not a good sign. especilly given certain situations in my family. almost every single adult over the age of 30 in my family has develped some serious heart problem. my moms had severeal severe heart attacks.. dad.. grandmom died from a massive one.. ants.. uncles all have had one. no joke.

the tachycardia is insane though. i saw the family doc for a followup this onday and my pulse was up to 180 beats per min! and i was calm and it went from 100 to 180 just by standing up.

so, they wanna rule out a pulmonary embolism now..
because i started getting a bunch of the syptoms right after a nasty fall at work. they thought i may have done some imternal damage. plus embolisms run in my family bigtime as well.

the EKG and echo dont make sense. and the echo makes no sense. the cardioologist told me in the office not to even ask anymore questions and slammed the door in my face. wont return my calls or my family doctors calls, to ask some questions regarding this EKG (which the copy of, shows she scribbed all over it.. not sure if the right atrium or left ventrical was enlarged and refuses to even test further)...

its not normal when im walking around with almost 200 rated pulse and flushing like hell for no reason.

so, i guess im gonna get a referral to see a new cardio and have the echo redone. 2nd opinion.

they couldnt view anything of the pulmonary area.. why?
they say "I dunno".. wtf? because of my "Habitus".

first of all.. im very small. 5'2.. 117 pounds..
thin chest wall.. dont have huge boobs or any implants..
im not overweight.. no lung disease.. so.. why cant they view it? i remember when i was there they were doing real shitty job at the whole thing anyway.
i fond it rather concerning then...

they also wont give me a copy of the echo tape. so.. this isnt good.
Anonymous Coward
User ID: 184162
United States
01/23/2007 02:25 AM
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Re: question about Echo and EKG tests
what are all of these anyway? my doc wont even tell me. i didnt get those results back until after i left the office and they gave me the copies of these. then when i went back to ask her.. she said "Im going to lunch. byw" and just closed the door in my face!

1. early transition - RsR Mv2 -? mild RV strain
2. NSST D
3. Borderline RAE

What are those?
Anonymous Coward
User ID: 184162
United States
01/23/2007 02:25 AM
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Re: question about Echo and EKG tests
could those things be false positives?
Anonymous Coward
User ID: 180919
United States
01/23/2007 03:01 AM
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Re: question about Echo and EKG tests
Thyroid tests are frequently not accurate enough to detect a problem. If your body temp. runs lower that normal than some Drs.say that is indication enough of a low thyroid. I would suggest looking into iodine supplementation with Lugol's solution.I use it and it's been very helpful to me. It is very helpful to the immune system, and hormonal problems, including polycystic ovaries, and fibrocystic breasts. A magnesium deficiency can cause palpitations, as well as depression, and immune system problems, so you might want to check that out as well. I have also used EDTA. supplement to lower my husbands high blood pressure with excellent results, and it cured my dogs bladder stones as well! Not a Dr., just research on my own to try to help myself and others, so use your own discernment, and research. Hope you find what you need, good that you are asking questions, and thinking for yourself.
 Quoting: Anonymous Coward 184170



a good calcium magnesium supplement should help-frequently with immune disorders and hormonal the cal-mag is easily deficient. Do you use natural sea salt or 'iodized table' with aluminum added and minerals removed.

I would suggest a naturopathic doctor to assist in getting you on track. Thinking for yourself is advised-and alot of research-it is easy to label every so-called disease-

However, doctors are not gods and one needs to be responsible for their own health and study several sources-reliable sources

funny, most do not realise that all breasts are fibrocystic-breasts are-some more and some less-it isn't what most think-just as glandular size varies...normal to variations into a million shades of 'grey'


way back when, they said tonsils were useless and now they know they are part of the immune system-adenoids had the same misunderstandings...immune compromised diseases are like designer diseases...many originally created in the lab via mycoplasms...or so new or unique enough to not even be accepted throughout the majority of healthcare workers...or the profiteering the pharmie industry enjoys-Treatment or control is one thing($$$$$$$$$$$) and cure is another ($)


cardiac meds are targetted to men-womans heart attacks rarely present like the male. Additionally, the meds after an arrest frequently are of minimal assistance to woman...point
??? As a woman I strongly encourage you to be more proactive in YOUR health as the person I quoted said as well.

Do not overestimate the abilities of doctors or their bag of tools-Likewise, I would strongly recommend you evaluate the choices you make daily as they impact your condition much more than you understand.

Diet, sleep habits, exercise habits, health habits, and even attitude-yes, ATTITUDE affects far more than someone pf your young years can appreciate. Take no offense but hear with an open heart-the truth will be shown, but is your will disciplined enough to heed wisdoms words.

Drink alot of clean water too-flushing toxins out


Caffeine, allergies,stress, hormones including birth control,diet, poisons...anxiety attacks,...drug use...overall health and maintenance...starts within and extends outward...search it out, it is your temple.

Namaste rose hf
davinci54

User ID: 186024
United States
01/23/2007 10:49 AM
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Re: question about Echo and EKG tests
I was diagnosed 4 yrs at Mayo with idiosyncraticcardiomyopathy....and put on
lisinopril & metoprolol....
now I am seriously cutting pills in half to get rid of these meds from my system.
Before the meds I had slight discomfort in my shoulder area..after these meds I had severe shortness of breath and exhaustion...Be careful with prescriptions...also watch out for one called Coreg...all those meds are $$$$
but you will find them cheap in Canada...

my advice...heart problems are mostly lifestyle issues..get rid of red meat...eat more green things...do some cardio...talk to your heart..use creative visualization....

supplements....recommend flaxseed oil...2000 mg or more per day...
reality is the history we don't know





GLP