Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Tests Should An Obese Person With A History Of Heart Disease Do?
Question: I just had an EKG and the comments said “minor inferior repolarization disturbance, consider ischemia, LV overload or aspexific change, flat or low negative T in aVF with negative T in III. What does all of this mean?
Thank you.
Thank you.
Brief Answer:
Kindly upload the ecg image
Detailed Answer:
Hello,
After going through the medical details provided by you I understand your concern for your health and I would like to tell you that whatever comes printed on ecg is actually machine interpretations which mostly is not reliable. So I would like to suggest you to kindly upload a good image of that ecg and upload it here so that I can personally review it and then advise you accordingly.
Also I would like to know about your age, any symptoms if you are experiencing any, any family history of heart disease, if you have diabetes or hypertension, obesity, smoking habit?
Kindly revert back with the required information.
Regards,
Dr. Bhanu Partap
Kindly upload the ecg image
Detailed Answer:
Hello,
After going through the medical details provided by you I understand your concern for your health and I would like to tell you that whatever comes printed on ecg is actually machine interpretations which mostly is not reliable. So I would like to suggest you to kindly upload a good image of that ecg and upload it here so that I can personally review it and then advise you accordingly.
Also I would like to know about your age, any symptoms if you are experiencing any, any family history of heart disease, if you have diabetes or hypertension, obesity, smoking habit?
Kindly revert back with the required information.
Regards,
Dr. Bhanu Partap
Above answer was peer-reviewed by :
Dr. Yogesh D
I am a 23 year old female and I am having chest heaviness, trouble breathing, pain between my shoulder blades and soreness in my jaw. I do not smoke or have diabetes or hypertension but I do have obesity. My grandma died of a heart attack. I had an ekg done yesterday 8/12 that I included a picture of which was read as normal, and then the one that I had today 8/13.
Brief Answer:
Follow up
Detailed Answer:
Hi,
Your today’s ecg is also normal just some non specific changes which are very commonly encountered in young females. So ecg is not a concern.
However as you said you are obese and has a family history of heart disease also so it’s advisable that you should get some basic cardiac screening tests done like TMT and echocardiography to rule out any underlying pathology (the possibility of which is quite less considering your young age group and female gender).
Hope to have been helpful. Please feel free to ask if you have any other doubts.
Regards,
Dr. Bhanu Partap
Follow up
Detailed Answer:
Hi,
Your today’s ecg is also normal just some non specific changes which are very commonly encountered in young females. So ecg is not a concern.
However as you said you are obese and has a family history of heart disease also so it’s advisable that you should get some basic cardiac screening tests done like TMT and echocardiography to rule out any underlying pathology (the possibility of which is quite less considering your young age group and female gender).
Hope to have been helpful. Please feel free to ask if you have any other doubts.
Regards,
Dr. Bhanu Partap
Above answer was peer-reviewed by :
Dr. Remy Koshy
Thank you for your feedback. My major concern is just the jaw and upper back pain as I have never had these before and know they are commone symptoms of heart issues.
Brief Answer:
Follow up
Detailed Answer:
Hi,
That’s the reason why I have suggested you to go for echo as well as TMT to rule out whether or not these symptoms are due to any underlying cardiac cause. And after that consult a cardiologist personally for proper physical examination.
Till that time avoid using big pillows while sleep.
Regards,
Dr. Bhanu Partap
Follow up
Detailed Answer:
Hi,
That’s the reason why I have suggested you to go for echo as well as TMT to rule out whether or not these symptoms are due to any underlying cardiac cause. And after that consult a cardiologist personally for proper physical examination.
Till that time avoid using big pillows while sleep.
Regards,
Dr. Bhanu Partap
Above answer was peer-reviewed by :
Dr. Nagamani Ng
I had these tests about a year ago and everything was fine. They did an echo stress test, I wore a holter monitor, and did the scan where they inject XXXXXXX into you and they said it was all ok. Also, why would my ekg have gone from reading normal to having those other readings in just one day?
Brief Answer:
Follow up
Detailed Answer:
Hi,
If you had these types of symptoms before and all the cardiac tests were normal just an year back then there is no need to get them repeated again.
As I have already assured you that your ecg is normal both before and present one. Those changes are non specific and can happen due to machine and operator variation and sometimes also due to slight misplacement of electrodes also.
For your pain I would like to suggest you to take any mild analgesic along with a proton pump inhibitors for 5 days after personally consulting a general physician so that you can get a written prescription for the same.
Hope to have been helpful.
Regards,
Dr. Bhanu Partap
Follow up
Detailed Answer:
Hi,
If you had these types of symptoms before and all the cardiac tests were normal just an year back then there is no need to get them repeated again.
As I have already assured you that your ecg is normal both before and present one. Those changes are non specific and can happen due to machine and operator variation and sometimes also due to slight misplacement of electrodes also.
For your pain I would like to suggest you to take any mild analgesic along with a proton pump inhibitors for 5 days after personally consulting a general physician so that you can get a written prescription for the same.
Hope to have been helpful.
Regards,
Dr. Bhanu Partap
Above answer was peer-reviewed by :
Dr. Remy Koshy
What type of pain medicine would you suggest I take? And what is the proton pump inhibitor for?
Brief Answer:
Hello again
Detailed Answer:
Hi,
You can take analgesics like Acetaminophen after discussing with your primary physician.
Proton pump inhibitors are the medicine used for the treatment of hyper acidity. As hyper acidity can also cause similar symptoms which you are experiencing.
Regards,
Dr. Bhanu Partap
Hello again
Detailed Answer:
Hi,
You can take analgesics like Acetaminophen after discussing with your primary physician.
Proton pump inhibitors are the medicine used for the treatment of hyper acidity. As hyper acidity can also cause similar symptoms which you are experiencing.
Regards,
Dr. Bhanu Partap
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
