Your EKG result indicates that the rhythm of your heart is normal, but that your heart is beating faster than normal. This can be caused by a number of things such as pain, fever, thyroid abnormality (which might have been the case since they mentioned your thyroid medications needed to be readjusted). A D-dimer level of 475 is high and could be due to a blood clot, heart disease, trauma, recent surgery, etc. So it really is a non-specific test. Your other results RBC, HGB, HCT, MCV, MPV are all results regarding different blood cells their size and number, and though they state low, they are nothing worrisome or concerning. The stress test result may indicate an ischemic event in your heart and is the reason for the follow up. The cardiologist will most likely treat this medically with medications such as aspirin and cholesterol medications, but may decided to do a heart cath and this is a discussion that needs to be had when you follow up with them
So does that mean that I might have had a small clot in my heart or a mild heart attack or something? A friend in the medical field who is now a mommy said it meant lack of blood or oxygen to that part of the heart? It just sounded scary and I couldn't understand why they didn't tell me at discharge, I had to find out in the notes. I didn't even get a cardiology referral, just a follow up with family medicine.
what does an ischemic event actually mean?
Yes it means that you may have had a mild heart attack. Ischemia is due to lack of oxygen to the tissues. But whatever it was, it appears from your report that it was mild in nature and considered reversible. So that is reassuring.
I hope that clarifies it for you
It does clarify, and thank you so very much. Basically, I need to clarify with my family medicine doctor what you have said, which is just a clarification of my discharge paperwork. Then find out what needs to be done to do the "reversing" to make sure my heart can go back to being healthy. In the meantime, for my husband's peace of mind, what should he and I be doing for my care? Because we were told literally nothing...
Take the medications that were prescribed at discharge. Follow a heart healthy diet (low fat, low salt) and moderate exercise 3-5 times a week for 30-40 minutes. Do follow up with the cardiologist and your regular doctor as scheduled. If your symptoms return go to the ER.
Ok, thank you. So if my pulse and blood pressure are weird that is probably just because my thyroid medicine will take a few weeks to work, but it probably led to the syncope episode a couply weeks ago. As for any chest pain, then I should return to the ER asap? Other than that, follow a healthy diet, rest, walking (its about all I can do right now) about 3-5 times a week? Is there any distance or time, or just basically build up from where I am and try to do a little more each day?
Yes that can be due to your thyroid abnormality. Yes if you have chest pain again do return to the ER. In terms of exercise, start slow and work your way up to moderate exercise 30-40 minutes 4-5 times a week.
Thank you. I appreciate your time. Is the test result an actual result or after the cardiologist sees it (it was read by PA in Cardiology in the hospital) could it be that the result would change and the "ischemic even" mild or otherwise would actual be changed? I'm just wondering if this is something that is a mistake, I don't want to tell concerned relatives and friends, "well, they think it was a mild heart attack" and then find out in a weak that I had the worst case of heartburn in modern history. I know it sounds silly, but I've had tons of folks asking, courtesy of my kids, lol.
I will definitely follow your advice, because clearly this was a warning of some kind. The nice thing is I found out I had already lost some weight from the last time I had been to the doctor :)
The result is usually confirmed by a cardiologist. So a report is never finalized until a cardiologist has read it and approved it. It will usually be indicated on the report itself in some manner as "final report" or "read by cardiologist Dr..." etc.
That is good news. Weight loss will definitely help in your health.
Ok, so the result is probably the actual real result, but it isn't the stand by, finalized in gold until the MD cardiologist signs it. Thank you again. Have a happy holiday!!
Happy Holidays to you too!
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