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ECG report showing suspected left ventricle hypertrophy. Suffering from chest pain. Treatment? - Online Doctor Chats

Date : 30-Aug-2013
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Good Evening Doctor
User:I have one query related to ECG report
User:Report status suspected left ventr. hypertrophy. What does it means.
Doctor:The heart is enlarged at the left ventricle chamber
Doctor:The left ventricle is enlarged because of certain conditions
User:Actually I am suffering from chest pain from last 1 yr
Doctor:I would like to know why was the ECG done in the first place?
Doctor:What is your age, occupation and other health problems?
User:My age is 34 yrs working in call centre
User:I am also having gastric and acidity problem
User:I have done 2d echo and stress test but the reports are normal
Doctor:Ok then it is fine
Doctor:2D Echo is important than ECG
Doctor:It is more direct assessment than ECG
User:They have suggested two more test one is sonograpy of chest which would cost 8000 rs and one test retated to gastris which will cost 1800 rs.
Doctor:Do you have high blood pressure?
User:At present they have given me dose of three tablets Ismo 10mg , Ecosprin AV 150 and Pan D.
Doctor:Do you have family history of high blood pressure
Doctor:Why did you take the tests in the first place can you tell me now?
User:One Doctors say the BP is normal
User:The test were suggested my the medicine and the chest specialist
Doctor:Is it part of general check up
User:I am facing chess pain from last 1 yrs along with breathing problem
Doctor:yeah there you come from
Doctor:Ok then I suggest you to take the medicines for sometime
Doctor:and check if this helps you
User:How are the above tablet realted with
Doctor:Ismo is for chest pain coming from heart
Doctor:Pan D is for burning pain in the lower chest from gastritis
Doctor:Ecospirin is a blood thinning medicine routinely advised by doctors
Doctor:Ecospirin causing gastritis so Pan D helps
User:Because since I have started taking the tablet I am facing severe head pain only near both the ears.
Doctor:Ok then you should report to the doctor about this side effect
Doctor:Ismo is known to cause this
Doctor:Ask if he would like to reduce the dose
User:What would be the caus of the pain then
Doctor:the doctor should have told this common thing when prescribing
User:Not at all. Non of the doctor have describe this
Doctor:It is difficult to judge now, hence the doctor had put a trial course of Isosorbide
Doctor:to check if this subsides the pain then the origin is from heart
Doctor:Sometimes the doctors have to do this trial and error when there is no exact reason from the investigations
User:which gastric test you would suggest
Doctor:to rule out all the causes both of them help
User:Even the xray of the heart is normal which was taken 4 days back
Doctor:Trans oesophageal sonography (Rs 8000) i guess is suggested to you
Doctor:It goes closer to the heart and test it
Doctor:The other could be GE Endoscopy to test for ulcers or tear or inflammaton of the stomach, food pipe and duodenum
Doctor:Rs 1800
User:Doctor suggest to go for the gastric test before that Trans oesophageal sonography.
Doctor:You should get it done by a good trained gastroenterologis
User:I will do it tomorrow
User:Becasue the doc are not able to trace the cause but I am suffering a lot
Doctor:Ok I understand that
Doctor:However this pain may sometimes be temporary
Doctor:and may go off on its own
Doctor:Doctors are trying to figure if it is food pipe causing the pain
Doctor:Please give me two minutes
User:I also thought that its normal thats why i did not consult any doc till last 1 week but the pain and the breathing problem has increased day by day
User:At present I am not able to walk 2 floor through stair case
Doctor:Pl get this tested first with GI Endoscopy
User:One more query
User:The ecg report status T- wave near basement, large T wave
User:What does that mean
Doctor:No it cannot be commented on one wave
Doctor:The entire ECG has to be taken in the picture
Doctor:There are mild conditions to serious conditions representing T waves
User:Should I go for any blood test
Doctor:Not necessary, I would advise now to stay calm
Doctor:there are no major heart changes or conditions
Doctor:that are life threatening
Doctor:I suggest Endoscopy with a good Gastroenterologist
User:Thank a lot
User:I will get back to you
User:alog with the report
Doctor:Who are you seeing at which hospital
Doctor:which city
User:Its Pune
User:Budrani hospital
Doctor:Ok all the best.
Doctor:Bye for now
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