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In april of 2016 I had an EKG- results Sinus

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Posted on Thu, 14 Mar 2019
Question: In april of 2016 I had an EKG- results Sinus Rhythm Low voltage in limb leads abnormal. My revent ACE test was -1 in November and 4 in Feb. last week. C Reactive Protein is 3.5 I have chest pain at night, late like 3-4 am that wakes me up. I feel pressure during the day and am always exhausted. My Dr said nothing to worry about. I am a 54 year old female
doctor
Answered by Dr. Bhanu Partap (2 hours later)
Brief Answer:
Needs evaluation

Detailed Answer:
Hello

Taking into consideration the the medical details provided by you and also considering your age group and gender basic cardiac evaluation is advisable.

However before giving any opinion I would like to know few things

1. Are you diabetic?
2. Any other medical illness?
3. Family history of heart disease in your maternal family?
4. Do you smoke?
5. Also I would like to have a look at your ecg myself so kindly upload a clear image of your ecg.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhanu Partap (7 hours later)
Not a diabetic
High Blood Pressure, Anxiety, Depression

Yes, Grandmother had heart attack at 58, brother has pacemaker, Father had Congestive heart failure

I smoked for 20 years and have stopped 8 years ago

EKG and bloodwork attached. Thank you.
doctor
Answered by Dr. Bhanu Partap (15 hours later)
Brief Answer:
Hello again

Detailed Answer:
Thanks for the feedback.

Taking into consideration all your entire history your symptoms should not be ignored and should be evaluated.

It’s highly advisable that you should personally consult a cardiologist and get an ECG, Echocardiography and a stress test done.

I hope this information will guide you properly.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhanu Partap (13 hours later)
Thank you very much for getting back to me. I will do that. I had additional blood work done and by B12 levels were 1949- very high, Im sure that can't be good.
doctor
Answered by Dr. Bhanu Partap (7 hours later)
Brief Answer:
Hello again

Detailed Answer:
Dear XXXXXXX low vit b12 is quite common but such a high level of vit b12 is very rare and needs evaluation. The two most important factors that can cause this are

1. Liver disease such as Cirrhosis and Hepatitis

2. Myeloproliferative disorders like polycythemia Vera

I would like to suggest you to discuss this with your primary physician so that this can be evaluated.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bhanu Partap (4 hours later)
Thank you Dr Partap,
I called them today, Ill go in as soon as they have an appointment. Do you think I would be better off going to my Oncologist? I had stage 0 breast cancer 3 years ago and I go to see him once a year for check up. Ive had so many weird symptoms this past year, Ive been exhausted, chest pain- reason I reached out to you. Ive had low fever. I hope they can figure this out soon. Thank you for answering me. I appreciate it.
Kind Regards,
Nancy
doctor
Answered by Dr. Bhanu Partap (2 hours later)
Brief Answer:
Hello again

Detailed Answer:
Yes you can take an opinion from him also, as may be some of their meds might also needs review.

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

Cardiologist

Practicing since :2010

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In april of 2016 I had an EKG- results Sinus

Brief Answer: Needs evaluation Detailed Answer: Hello Taking into consideration the the medical details provided by you and also considering your age group and gender basic cardiac evaluation is advisable. However before giving any opinion I would like to know few things 1. Are you diabetic? 2. Any other medical illness? 3. Family history of heart disease in your maternal family? 4. Do you smoke? 5. Also I would like to have a look at your ecg myself so kindly upload a clear image of your ecg. Kind Regards Dr Bhanu Partap