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Dr. Andrew Rynne

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I was just in the ER with a TIA that

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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 2178 Questions

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Posted on Sun, 6 Jan 2019 in Hypertension and Heart Disease
Question: I was just in the ER with a TIA that resolved after five hours. My ECG taken in the ambulance on the way to the hospital showed Inferior/lateral ST-T non-specific abnormality. My Lactate Dehydrogenase (LD) in the ER was elevated at 217 (normal 80-210). I have attached the ECG and LD LDH test results. Do these two tests together point to a possible heart problem as the cause of my TIA?
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Answered by Dr. Bhanu Partap 36 minutes later
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello Ma’am

After going through the medical details and the ecg report and LDH levels provided by you I can understand your concern and I would like to tell you that that both your ecg changes and LDH levels are not significantly strong enough to make a conformation that your TIA has happened because of some cardiac problem.

Some further investigation are required for proper evaluation. I would like to suggest you kindly consult your treating doctor and discuss regarding getting cardiac evaluation in the form of echocardiography and a stress test to rule out any underlying cardiac issues.

I hope this information will guide you properly.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Bhanu Partap 10 minutes later
Thank you for your quick reply. I'm glad this is not the cause of my TIA. I will contact my cardiologist for a heart evaluation.

Could you explain what exactly is abnormal about the ECG? I was in the throws of severe stroke symptoms (high BP, dizzy, couldn't walk, right sided weakness, aphasia and agraphia). The nurse at the ER said the ECG was abnormal because the road was bumpy in the ambulance, but the vehicle was stationary at the time so that can't be the reason.

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Answered by Dr. Bhanu Partap 12 minutes later
Brief Answer:
Hello again

Detailed Answer:
It’s a pleasure helping someone in need.

There are some insignificant ST T changes in the inferior leads of the ecg which generally give rise to a suspicion of underlying coronary artery disease. The tests which I have mentioned gives a confident clue for the presence or absence of underlying disease.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Bhanu Partap 19 minutes later
Thanks for the explanation. I see it is not that bad, but I will have it checked out.
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Answered by Dr. Bhanu Partap 10 minutes later
Brief Answer:
Hello again

Detailed Answer:
If you are satisfied with the response kindly close the discussion and rate the answer.

In future if you want an opinion from me just mention my name in your query.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Kampana
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