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Ischemic heart disease without symptoms, acute pancreatitis - 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 : 2004
Answered : 1777 Questions
Doctor :   Please proceed with your query.
User :   hi
User :   Dr few days back i had applied for health insurance for my parents
Doctor :   Ok.
User :   the company came back with decision applying exclusion for IHD for 2 years
Doctor :   Fine.
User :   i retreived the medical reports and found that the ecg shows adversity
Doctor :   Sure.
User :   need an opinion on the severity for the same
Doctor :   Ischemic heart disease is a condition where heart muscles do not receive enough blood.
User :   well these are the findings for my mother
Doctor :   May I know your father age and any history of diabetes or hypertension?
User :   age 50, BMI within normal range
Doctor :   Mothers age.
Doctor :   Yes.
User :   this is for my mather
User :   *mother
User :   no HTN, no DM
Doctor :   Fine did she have any other problems or symtoms.
Doctor :   Fine.
User :   H/O acute pancreatitis in 2007
Doctor :   Pancreatitis is not related IHD.
User :   Rx omneprezol, octride and IV fluids
User :   but current ecg shows, ST-T changes V4 - V6 and L3
Doctor :   Was it detected for the first time?
User :   LAHB
Doctor :   Fine.
User :   QS in V1 V2, and incomplete RBBB
User :   yes
Doctor :   Symptoms may not be always present.
User :   but no symptoms
Doctor :   It can be exertional only.
User :   no chest pain, no angina
User :   now wat do u suggest
Doctor :   I suggest her to undergo complete cardiac screaning including an echo.
Doctor :   If needed angiography,
User :   ok
User :   shd it be stress echo or normal echo
Doctor :   Normal should be fine i think as there are already changes of ischemia.
User :   but what do you think is it very severe...
Doctor :   Yes it is. It has to be controlled and further damage to heart should be prevented.
Doctor :   There is also chance of MI if not properly treated.
User :   what kind of medications are generally given to avoid any kind of further damage
Doctor :   There are medicines like aspirin, ACE inhibitors which will help.
Doctor :   Fine.
Doctor :   Sure.
User :   ok
User :   Now abt my Father
Doctor :   Please go ahead.
Doctor :   Ok.
User :   he is 55 yrs of age, BMI 30, and DM since 10 yrs, Rx oral hypoglycemic
Doctor :   Ok.
User :   Glucored forte Sr
Doctor :   Ok.
Doctor :   Fine.
User :   Rua shows Trace sugar
User :   FBS 144, HbA1c 6.6
Doctor :   Ok.
User :   ECG : ST changes in L2, L3 and Avf.. s wave in V6
Doctor :   Ok.
User :   ST elevation is not specific but minor
User :   Whats ur opinion
Doctor :   Any Q waves in ECG>
Doctor :   May I know if he is smoker or alcoholic.
Doctor :   Fine.
User :   wait let me see
User :   no q waves seen
Doctor :   FIne these are also changes possibly related IHD.
User :   in any of the leads
User :   he is non smoker and takes alcohol approx once in 2 months
Doctor :   But since your father is diabetic, the possibility of myocardial ischemia are more.
User :   what do u recomend here since he is Diabetic
Doctor :   So, he needs strict control of diabetes.
User :   shd i go for tmt for him
Doctor :   Yes, he should also have TMT and echo done.
User :   or normal echo is advisable
Doctor :   He also needs prophylactic aspirin.
Doctor :   I think it is TMT.
User :   which one is more severe out of the two..??
Doctor :   It is life long.
User :   but this Rx aspirin will be a lifelong medication or temporary
Doctor :   Fine, is there anything else i may assist you.
User :   ok
Doctor :   Yes sure.
User :   well is there any source by which i can shre the reports with ur panel
User :   going ahead if i carry these test and wanna take ur consultancy then hw to go abt it..??
Doctor :   You can send us reports at above mentioned adress.
Doctor :   Is there any I may assist you>
User :   OK thank you so much doctor for assisting me. Vl get back to you very soon
Doctor :   Thanks for consulting me.
Doctor :   Good night.
User :   thats all doctor for time being, thank you
User :   ok, good night.
Doctor :   Bye for now.
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