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Abnormal P wave on EKG - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   I just had an EKG with a problem with the P wave. That was followed by an ECHO. The doctor reported today the the echo revealed only that I have stiffening of the heart muscle. She did not explain what that meant or long term side effects. I am 46 years old and have high blood pressure and Type 2 Diabetes, I am on toprol and diovant HCT for the high blood pessure.
Doctor :   Hello.
Doctor :   Let me read your query.
Doctor :   Do you currently have any symptoms ?
User :   I have a little tightness in my chest every once in a while and I have to take a deep breath to catch my breath for a deep breath. My blood pressure and pulse are fine
Doctor :   Ok.
Doctor :   Abnormal high P wave EKG may indicate an enlarged left atrium.
User :   Are there any long term side effects of things I should be doing to protect myself?
Doctor :   You have to maintain you blood pressure within normal range.
User :   My blood pressure is very good with the medication and I excercise regularly.
Doctor :   Ok.
User :   If the heartmuscle is stiff doesn;t that mean it is working harder than it has too
Doctor :   Yes.
User :   Does excercise help keep the muscle strong?
Doctor :   The enlargement of the heart is due increased work load on the heart.
Doctor :   Did the doctor mention any thing about Mitral regurgitation?
User :   How fo I protect myself? I just had a friend die of massive heart attack at 35
User :   SHe dis not mentiona mitral regurg but grandmother has mitral prolapse
Doctor :   You have to regularly monitor your condition of the heart.
Doctor :   Also keep your BP under control all the time.
User :   I check my blood pressure two or three times a week. I was on a med at one time that continued tachycardia even with the lower blood pressure
Doctor :   Causes for enlarged left atria include aging, high blood pressure, obesity and diseases such as cardiomyopathy.
User :   I guess I should just keep a closer eye on my BP and weight, continue to excersise. I can't do anything about the aging part.
Doctor :   Your are right.
User :   Ok. Thanks for your help. I think I understand a little better now.
Doctor :   Is there anything else i can help you with?
User :   Nope Thanks again
Doctor :   Thanks for consulting healthcaremagic.
Doctor :   Bye for now.
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