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Anxiety and heart disease - 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 : 2004
Answered : 40 Questions
Doctor :   Hello
User :   Hello, I am a 30 yr old male, 5'7 210 lbs and have had bouts of anxiety
Doctor :   I am Dr xxxi here
User :   i have had many ecg's
User :   and 2 stress tests
Doctor :   OK
User :   the Internist said i have a left anterior hemiblock and said he was not concerned, he reviewed all of my history
User :   is this something to worry about?
Doctor :   So these bouts of anxiety you have, are there any triggering factors ?
User :   i getting counselling for the anxiety
User :   im actually asking you about the LAHB
Doctor :   Ok
User :   should i be concerned? i dont have a family history of heart disease, i dont have chest pains, i have never smoked, but i have chewed snuff or dip as americans call it,
Doctor :   Well a asymptomatic Left Anterior hemi block
Doctor :   is absolutely nothing to worry about
Doctor :   and the only mode to treatment is to just leave it alone
User :   seriously? they took took a chest xray, but didn't do an Echocardiogram or Angiogram, so how would they know if nothing was wrong? As well i am in Canada
Doctor :   i am sure you physician has seen all your reports and you also have undergone the required tests, and a ECG is all you need
Doctor :   see the thing is that it all depends on the DEGREE of the block
Doctor :   thats the most crucial part
User :   really? like i said they did 2 stress tests and both came back fine? Well how do i know what the degree of the block is?
Doctor :   let me explain it to you
User :   ok
Doctor :   The block is taken in context to the passing of the impulses .If sufficient amount of impulses are going thru even with a block and the cardiac rhythm is not disturbed , the reports are read as normal
User :   ok
Doctor :   and for it to move on to a complete block is extremely rare thats the good news
User :   so what does this mean for Coronary Artery Disease? And will this lesson my life expectancy?
Doctor :   Coronary artery disease is when the vessels of the heart are blocked
Doctor :   or not pumping enough blood
User :   i know, im asking is it possible that i have CAD becuase of my LAHB?
User :   i was seen by 2 different internists, that both conducted treadmill tests, and my heart on one test went to 102% of the maximum heart rate for my age and they said i was fine
Doctor :   no your life expectancy will not be affected , and you will go on to live your complete life span . the most crucial point is your case is that you are ASYMPTOMATIC
Doctor :   which is the KEY
Doctor :   Thats why you have nothing to worry about
User :   ok, so long story short, your saying nothing to worry about based on the info i have given?
User :   ok, thanks for your time, i appreciate it
Doctor :   Your most welcome
User :   one last question
Doctor :   sure
User :   do you have a lot of experience with the questions that i am asking? and what country do you work in?
Doctor :   i am from India Bangalore
User :   ok, and do you have a lot of experience on this subject?
User :   hello?
Doctor :   yes
Doctor :   i am here
User :   do you have experience on the subject that i am asking you about?
Doctor :   i am general physician
User :   do you have cardiologists on this site?
User :   ok, thanks sir for your time
Doctor :   we have specialist
Doctor :   on our pannel
User :   ok is it possible to talk to them as well?
Doctor :   whom you can talk via a phone call or an email
User :   really?
User :   cool
User :   how do i do that?
Doctor :   yes all the details are on our website
User :   ok, thanks
Doctor :   i will send you the link
Doctor :
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