Cardiology Questions Answered by Verified Cardiologists.
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Well there is poor R wave progression so definitely indicative of some past cardiac event such as an anterior wall MI. This can also be caused by right ventricular or left ventricular enlargement.
You will need to see your cardiologist for clinical examination and further assessment with echocardiography.
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The EKG does not show V4, V5, or V6.
Can you attach a picture of the EKG that includes these leads?
With the addition of leads V4, V5, and V6, the R waves progress well, so the small R waves in V1, V2, and V3 is not worrisome.
This EKG does not look abnormal. However, the EKG is mnot a good test to identify diastolic dysfunction. The assessment for diastolic dysfunction is based on the findings on physical examination and on echocardiography.
Mitral and tricuspid valve prolapse typically do not cause diastolic dysfunction, but the echocardiogram that shows the prolapse would also be the best test to identify whether there is diastolic dysfunction.
There is no EKG evidence of an MI. There are other tests for MI that are more accurate than an EKG for diagnosing an MI, but there is no EKG evidence of an MI.
There can be changes in the P wave on EKG with diastolic dysfunction, but normal P waves do not prove that diastolic dysfunction is not present. In your case, the P waves are normal.
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I assume that you mean diastolic blood pressure, which is a vastly different thing than diastolic dysfunction. Diastolic blood pressure does not reflect diastolic function of the heart. It is more of a reflection of arterial tone. But a diastolic blood pressure in the 50s is generally not a problem if there are no associated symptoms.
Some people have lower blood pressure than others, but if it not causing symptoms, it is generally not an issue.
It is common to have some ankle swelling in the heat. A vein over the ankle can be enlarged even without the heat.
No, you shouldn't freak over it.
I am a Family Physician that has received additional training in cardiology.
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Part of this is semantic. There is a steady increase in stiffness of the walls of the ventricle that occurs with aging, and this stiffness can be seen with certain changes on the echocardiogramuring early diastole. This is what he is referencing when he says that some level of diastolic dysfunction is seen in everyone that is over age 50. However, a clinical diagnosis of diastolic dysfunction is usually only made when there is a significant impact on heart function, and that is not present in everyone over age 50.
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A fever and increase in white cell count are commonly seen in infective endocarditis. You can do an ESR test which is elevated in almost 90% of cases of infective endocarditis. But you don't require any tests since your symptoms or signs are not concerning for an infective endocarditis. You should relax and not worry about this cause since this is not possible in absence of symptoms and concerning results of blood tests. In absence of concerning symptoms, you should not worry about the occasional low diastolic blood pressure.
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It will not cause an isolated anemia, but moderate anemia along with an obvious increase in WBC count. There is no reason to suspect bacterial endocarditis due to these results.
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Even this is not a possibility here in absence of concerning symptoms and blood results. A normal white blood cell count is very reassuring and a strong indicator that you are not suffering from a bacterial infection anywhere in your body.
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Ativan can certainly lower the blood pressure and also enhance the blood pressure lowering effect of medicines that lower blood pressure.
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