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What Do My Lab Test Results Indicate?
Question: I am 48 years old male , i had an ECG test done day before yesterday, Please inform the indications of the report the results are like this :
Vent Rate BPM(94)
PR Int : 152
P/QRS/T Int : 107 82 199
QT/QTc Int : 380 481
P/QRS/T Axis : 42 45 42
RV1/SV5 Amp: (mV) 0.26 0.12
RV5/SV1 Amp: 0.90 0.61
800 Normal Sinus Rhythm
611 T Abnormality ( Flat T)
141 Long QTc
Undefined Abnormal ECG.
The medications which I am taking right now for Blood Sugar is AMARYL - MV & For BP OMEN CT & AMLOVAS 5 Mg.
I have uploaded my ecg report .
Please advise.
Vent Rate BPM(94)
PR Int : 152
P/QRS/T Int : 107 82 199
QT/QTc Int : 380 481
P/QRS/T Axis : 42 45 42
RV1/SV5 Amp: (mV) 0.26 0.12
RV5/SV1 Amp: 0.90 0.61
800 Normal Sinus Rhythm
611 T Abnormality ( Flat T)
141 Long QTc
Undefined Abnormal ECG.
The medications which I am taking right now for Blood Sugar is AMARYL - MV & For BP OMEN CT & AMLOVAS 5 Mg.
I have uploaded my ecg report .
Please advise.
Brief Answer:
i would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I carefully reviewed your uploaded ECG recording and would like to explain that except for a slightly prolonged QTc interval, there isn't any dangerous abnormal finding.
As you are have several coronary risk factors (hypertension, diabetes, and likely hyperlipidemia), I would recommend an exercise cardiac stress test for ruling in/out a silent cardiac ischemia.
If any abnormal finding results, then further clinical investigation is necessary (coronary angio CT, etc.).
But, first of all, it is strongly recommended optimizing your diabetes therapy (as HbA1c 12.5% is quite high). Probably you need to start insulin.
You need to closely monitor your BP values for a couple of days up to a week (several times daily) and review those values to decide the ongoing anti-hypertensive therapy.
Also, I recommend checking a fasting blood lipid profile as an antilipemiant therapy is almost always necessary in the settings of diabetes.
I recommend discussing with your attending physician on the above mentioned issues.
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
i would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I carefully reviewed your uploaded ECG recording and would like to explain that except for a slightly prolonged QTc interval, there isn't any dangerous abnormal finding.
As you are have several coronary risk factors (hypertension, diabetes, and likely hyperlipidemia), I would recommend an exercise cardiac stress test for ruling in/out a silent cardiac ischemia.
If any abnormal finding results, then further clinical investigation is necessary (coronary angio CT, etc.).
But, first of all, it is strongly recommended optimizing your diabetes therapy (as HbA1c 12.5% is quite high). Probably you need to start insulin.
You need to closely monitor your BP values for a couple of days up to a week (several times daily) and review those values to decide the ongoing anti-hypertensive therapy.
Also, I recommend checking a fasting blood lipid profile as an antilipemiant therapy is almost always necessary in the settings of diabetes.
I recommend discussing with your attending physician on the above mentioned issues.
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir,
My Haemoglobin count is 12.5% and not the HbA1c , Hb1Ac is 6.0.
My Physician has asked me to meet him after two months.
Please suggest actual picture of the Report and what needs to be done by me to be healthy without any complications.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
I am sorry for the misunderstanding. I thought HbA1C was 12.5%, 6% is excellent.
So you do not have to worry about uncontrolled diabetes, because your blood fasting glucose seems to be within the normal ranges.
Hb levels of 12.5mg/dl have excluded possible anemia.
Coming to this point, I would recommend monitoring your blood lipid profile. In case of increased cholesterol levels, a statin should be considered.
Meanwhile, I would recommend following a balanced diet (Mediterranean diet is recommendable). Increasing omega 3 fatty acids in your diet (fish, fish oil, walnuts, olive oil, etc.) would help maintain a normal blood lipid profile.
I would also advise performing a lot of physical activity (walking, aerobics, jogging, recreational sports, etc.), which is necessary to reduce your cardio-vascular risk.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
I am sorry for the misunderstanding. I thought HbA1C was 12.5%, 6% is excellent.
So you do not have to worry about uncontrolled diabetes, because your blood fasting glucose seems to be within the normal ranges.
Hb levels of 12.5mg/dl have excluded possible anemia.
Coming to this point, I would recommend monitoring your blood lipid profile. In case of increased cholesterol levels, a statin should be considered.
Meanwhile, I would recommend following a balanced diet (Mediterranean diet is recommendable). Increasing omega 3 fatty acids in your diet (fish, fish oil, walnuts, olive oil, etc.) would help maintain a normal blood lipid profile.
I would also advise performing a lot of physical activity (walking, aerobics, jogging, recreational sports, etc.), which is necessary to reduce your cardio-vascular risk.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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