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    What do these lab reports indicate?

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Posted on Tue, 1 Aug 2017 in Hypertension and Heart Disease
Question: I m 30 yrs male...my ECG always indicates probable lvh everytime....but echo comes normal...is everything normal??? why everytime my ECG indicates lvh????
doctor
Answered by Dr. Bhanu Partap 14 minutes later
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

I can understand your concern after going through the medical details provided by you. Here I wanna tell you that basically what comes out printed on an ECG paper is just a machine interpretation which in majority of the cases is not correct. If a person is not bulky or fat the voltage generated by the heart muscles reaches the ecg electrodes in more strength which can be misinterpreted as LVH.

As your ECHOCARDIOGRAPHY report is normal then there is nothing to think about as in echo we actually measure the thickness of the heart muscles.

Also if someone is not a long standing hypertensive the possibility of LVH is negligible.

I hope this information will relieve your worries. Feel free to ask if you have any more doubts.

Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bhanu Partap 14 minutes later
I m of healthy build....85 KGS and 176 cms height....I always have ECG...it indicates lvh by multiple voltage criteria.... everytime I do echo it is normal....why is it??? my b.p readings are generally higher when measured by doctor....however at hm...with my b.p monitor they are fyn...plse comment...
doctor
Answered by Dr. Bhanu Partap 4 minutes later
Brief Answer:
Hello Again

Detailed Answer:
Kindly provide me with your Ecg and Echocardiography reports by uploading them.

Also let me know your Bp readings.

Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Bhanu Partap 23 hours later
plse interpret my 2d echo report
doctor
Answered by Dr. Bhanu Partap 1 hour later
Brief Answer:
Hello Again

Detailed Answer:
Thanks for uploading your report.

According to the report your cardiac function is completely normal.

As per the measurement of IVSd and LVPWD 1.1 which is well within the normal range for an adult.

They have mentioned Mildly dilated LV which according to LVIDD measurement of 5.2 falls within normal range. I would not consider it as dilated.

I hope this information will answer your query

Kind Regards
Dr Bhanu partap

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bhanu Partap 22 minutes later
Thanks doctor....sir then why my ecg always indicates lvh.....
doctor
Answered by Dr. Bhanu Partap 29 minutes later
Brief Answer:
Hello Again

Detailed Answer:
Dear if possible upload your ecg also for me to review. But in my opinion you should forget it and enjoy your life. As Echo is normal so nothing to worry.

Just follow healthy lifestyle habits, do not smoke and exercise daily.

Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Bhanu Partap 41 minutes later
echo measurements indicates LA diameter 4.2 cms is it normal???
doctor
Answered by Dr. Bhanu Partap 6 minutes later
Brief Answer:
Kindly recheck your report

Detailed Answer:
Dear Mr XXXX

If you see your report carefully which you have sent me in that it's clearly written LA Left Atrium as 2.8 which is a normal size.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Bhanu Partap 14 minutes later
sir that I know but u hv look on the images captured during echo...o think LA and aorota dimensions hv been erroneously exchanged...if I m not wrong
doctor
Answered by Dr. Bhanu Partap 12 minutes later
Brief Answer:
Yes you are right

Detailed Answer:
Although it's not very clear but yes I can make out the impression of values of LA and Aorta. Yes the values are mistakenly exchanged.

If we take it as 4.2 then yes its mildly dilated, but then there is no other finding in your echo report like Mitral Regurgitation or Mitral Stenosis that can lead to LA dilatation. Neither you have any ECG rhythm abnormality.

Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Bhanu Partap 17 minutes later
so wt is the final conclusion...as per you...??? wt should be my plan ahead...???
doctor
Answered by Dr. Bhanu Partap 4 minutes later
Brief Answer:
Hello Again

Detailed Answer:
Before jumping to any other thing in my opinion you should get your Echocardiography repeated from some other good centre.

Personally I believe it will come normal.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Bhanu Partap 11 hours later
my ecg report
doctor
Answered by Dr. Bhanu Partap 32 minutes later
Brief Answer:
Hello Again

Detailed Answer:
Thanks for providing me with an ECG report.

I would have to say that yes definitely there are some non specific T wave inversions/changes as well as increased voltage in the precordial leads which signifies LVH. Also i can see your systolic blood pressure to be written there as 152/88 which is also on the slightly higher side. If this blood pressure is your regularly this much then it can cause LVH.

After seeing your Ecg i would like to suggest you to repeat your ECHO from some other good centre and also go for a TMT.

Kind Regards
DR Bhanu Partap
Above answer was peer-reviewed by : Dr. Remy Koshy
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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 2938 Questions

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