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Abnormality in the electrocardiography - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
Doctor :   Hi
User :   hi doc
User :   Hi Doctor
Doctor :   please proceed with your query
User :   I wanted to consult regarding my mother's ECg report
Doctor :   ok
Doctor :   may i know how old is your mother?
User :   it is written as NONSPECIFIC T wave abnormality
User :   she is 48years old
Doctor :   ok
User :   she often gets body pain
Doctor :   ok
User :   and she is very much dependent on NIMULID
User :   n headache as well
User :   she got spondialytis
User :   as well
User :   hello doctor
User :   u there
Doctor :   yes im reading
Doctor :   please go on
User :   wat is this T wave abnormality abt??
Doctor :   can i ask some relevant questions before explaining it to you?
User :   In the eCG report it says: User :   Vent rate: 98BPM
User :   PR INT 144ms
User :   QRS Dur: 90ms
Doctor :   ok
User :   QT/QTc: 352/408 ms
User :   P-r_t axes 55 32 -5
Doctor :   may i ask a few questions now?
User :   so wat is this all abt???
User :   yeah plz ask'
Doctor :   may i know if she is diabetic?
User :   No I guess
Doctor :   ok
Doctor :   does she complain of chest pain ?
User :   sometimes
Doctor :   ok
Doctor :   any family history of heart problems ?
User :   yes
User :   her dad was a heart patient
Doctor :   ok
User :   he got a heart attck
Doctor :   may i know if she has high blood pressure?
User :   she checked now
User :   it was 100/140
Doctor :   is she on any medicines?
Doctor :   you mean 140/100 right?
User :   yeah yeah
User :   wait
User :   Ill tell u now
Doctor :   ok
User :   t. ultracet 1-0-1
User :   cap. Nexpro RD 1-0-1
Doctor :   ok
User :   t. vertin 16mg 1-1-1
Doctor :   ok
User :   t.montek LC 0-0-1
User :   anything else doc??
Doctor :   nothing
Doctor :   let me explain it to you
User :   ok
Doctor :   the tablets she is on is for pain , gastritis and allergy
Doctor :   and some gidiness
Doctor :   i guess she had these symptoms
Doctor :   on reading her medicines and ecg findings
User :   s
Doctor :   i would want to tell you that
Doctor :   having t wave abnormality which is non specific
Doctor :   will not conclude anything
Doctor :   most often it is a common normal finding
User :   three to four weeks back she used to vomit and her head used to drill... so the doc had prescribed her those medicines
User :   I m jus worried if she is fine or not
Doctor :   else it will indicate an underlying heart enlargement, anemia , or any neurological condition related to the brain and nerves as well
Doctor :   the changes are not specific
Doctor :   and we need to investigate further
Doctor :   hence i asked you about her BP and diabetes status, etc
Doctor :   T wave changes may be in significant also
User :   her hand was often paining... she said tat even if she touches her hand , she feels burning sensation n uneasiness
Doctor :   but as she has some symptoms , i sugest you need to review this with a thorough examination
Doctor :   she must be having some neuropathy as well
Doctor :   i would want to suggest these points to you, on further action
User :   wats tat doc??
User :   neuropathy???
Doctor :   neuropathy is the nerve related pain , may be due to diabetes, high BP , or some nerve related issues , even vitamin deficiency can cause this
Doctor :   2. she must get her blood sugar checked
Doctor :   3. her blood pressure has to be checked and if it is more than 120/80 or in the range you mentioned now , she may need medicines and reduces salt diet
Doctor :   4. the ecg reports need a review first form the physician , if needed a cardiologist opinion may be suggested
Doctor :   5. also get a complete blood count for infection , anemia, etc to see the cause for t wave changes
User :   ok
Doctor :   this will be helpful tod ecide wheter her changes of ecg are sugnificant or not
Doctor :   i hope you followed my suggestions
Doctor :   also get a urine routine and microscopy and renal function test done
Doctor :   the first step is to go to the physician and co relate the ecg finding
User :   ok doc
Doctor :   did you follow my suggestions?
User :   yes I will follow it up
Doctor :   i hope i answered all your questions
User :   yes doc
Doctor :   are there any more questions for me?
User :   no nthin much doc
Doctor :   ok , thanks for consulting me
Doctor :   take care
User :   and one more thing doc
Doctor :   yes, tell me please
User :   my sister is pregnant by one and a half month... and she gets vomit often... whatever she eats, she pukes. I am worried if it willl affect her health????
User :   she hgardly eats anything
Doctor :   no , vomitting in early weeks of pregnancy is normal
User :   she is 23years old
Doctor :   it is a symptom of pregnancy
Doctor :   and it will come down on later months
User :   then wat do I suggest her for diet???
Doctor :   ask her to drink lot of fluids and keep herself hydrated
User :   mom is worried that she's nt eating anything at alll
Doctor :   fruit juices , lots of water
User :   she eats glucose
Doctor :   early morning when she gets up , after brushing , she can have some biscuits and bread toast
User :   but if she consumes any liquid she vomits att as well
Doctor :   yes , she can take glucose water
Doctor :   this initial few days there will be increase in hormone called HCG
Doctor :   this is responsible for pregnancy and maintaining it
User :   hmmm
Doctor :   once few weeks pass the hormone level will drop down and she will feel much better
User :   so any do's and donts????
Doctor :   if the vomiting is too much let her consult the doctor
Doctor :   she will be prescribed on a safe antiemetic medicine
Doctor :   to reduce her nausea and vomitting
Doctor :   the do's as such is keeping herself hydrated
Doctor :   let her have small meals , frequently aand drink fluids as much as she can even after she vomits, little by little
Doctor :   she must not take any medicines without asking her doctor
Doctor :   as this is a very important time for baby's development
Doctor :   if she gets too tired, better to see her doctor for the medication
Doctor :   to prevent from dehydration
Doctor :   did you follow my advise
Doctor :   are you there
User :   yes doc
User :   thanks
Doctor :   pleasure here
Doctor :   thanks for consulting me
Doctor :   good day
Doctor :   Bye for now
User :   thanks and wish u the same
User :   bye
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