question-icon

What Do My Lab Test Reports Indicate?

default
Posted on Sat, 28 Oct 2017
Question: I AM A DIABETIC FOR THE LAST TWO YEARS AND ADVISED TO HAVE A REGULAR EXCERCISE,MY SUGAR LEVEL AND CHOLOESTROL IS UNDER CONTROL.LAST FRIDAY I HAVE A SHORT BREATHING PROBLEM AND WENT TO MY DIABETIC DOCTOR AND ADVISED TO DO THE ECG AND ECHO,THE ECHO REPORTS SUMMARY IS MILD CONCENTRIC LVH EF 60%.HYPOKIETC MID SEPTAL AND DISTAL SEPTEL SEGMENTS.
ECG REPORTS
SINUS RHYTHM ......... NORMAL P AXIS ,V RATE 50-99
BORDERLINE LEFT AXIS DEVIATION......QRS AXIS (-15,-29)
I GO TO GYM REGULAR AND I DO ALMOST ONE HOUR CROSS TRAINER AND CARDIO AND AFTER THAT WEIGHT LIFTING AND SWIMMING .SO KINDLY SUGGEST HOW SERIOUS IS THIS DISEASE AND PRECAUTIONS
doctor
Answered by Dr. Ilir Sharka (52 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I passed carefully through your question and would explain that shortness of breath in diabetic patients is a common sign of coronary artery disease.

Considering your symptoms and your cardiac ultrasound findings (which could indicate possible cardiac ischemia), I would recommend performing further tests to investigate for possible coronary artery disease.

So, I would recommend performing one of these tests:

- exercise cardiac stress test
- nuclear perfusional cardiac stress test
- coronary angio CT scan.

You should discuss with your doctor on the above tests.

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ilir Sharka (16 minutes later)
How serious is this my report and what precautions I need to do to avoid any complex
doctor
Answered by Dr. Ilir Sharka (13 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Your cardiac ultrasound report could indicate signs of cardiac ischemia. The mild hypertrophy is related to chronic high blood pressure.

A better control of your blood pressure would help avoid the progression of these changes.

But, the most important thing in your clinical situation, is to investigate for coronary artery disease, which may cause a heart attack in the future.

For this reason, I recommend performing the above mentioned tests.

In the meantime, I would recommend avoiding straining physical activity and closely monitor your blood pressure and fasting glucose.

Taking aspirin daily 100mg (if you have no contraindication) is necessary too.

I would also advice checking your blood lipid profile to investigate for possible dyslipidemia. Starting statin therapy (atorvastatin, etc.) may be necessary in case of high cholesterol levels.

Hope you will find this answer helpful!

Wishing good health,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 4503 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Do My Lab Test Reports Indicate?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I passed carefully through your question and would explain that shortness of breath in diabetic patients is a common sign of coronary artery disease. Considering your symptoms and your cardiac ultrasound findings (which could indicate possible cardiac ischemia), I would recommend performing further tests to investigate for possible coronary artery disease. So, I would recommend performing one of these tests: - exercise cardiac stress test - nuclear perfusional cardiac stress test - coronary angio CT scan. You should discuss with your doctor on the above tests. Kind regards, Dr. Iliri