My 2 month baby was admitted in ccu at fortis hospital in sick condition with tachypnea and congestive cardiac failure IV decongestIves and IV antibiotics were started . Patient was initially put on nasal CPAP, patient has LRTI and can't be taken up for surgery. However patient condition deteriorated and had to be supported on Invasive mode of ventilation. Patient was also started IV Dobut amine which was gradually tapered off . Subsequent chest x ray revealed worsening pneumonia and demand optimal ventilator setting for stabilisation. Patient has largely remained ventilator dependent repeat chest xray done yesterday show resolving consolidation. A CBC repeated on 23/03/2017 showed Hb=8.9 , TLS =12,400 with neutrophils 50% .A blood transfusion was given in view of that . Currently patient tolerates full RT feeds . USG cranium has been normal.
My mother 57 year old has undergone a TMT today and the final impression says TMT POSITIVE FOR INDUCIBLE ISCHEMIA
Summary: Resting ECG: ST SAC. Functional Capacity: Normal. HR Response to exercise: Appropriate. BP Response to exercise: Normal resting BP- appropriate response. Chest Pain; None Arrhythmias: None. ST Changes: Depression Upsloping. Overall Impression; Positive Stress Test suggestive of ischemia.
RESTING ECG ST SAC LATERAL LEADS. 1 MM ST DEPRESSION INFERIO LATERAL LEADS AT PEAK EXERCISE WHICH PERSISTED 8 MTS INTO RECOVERY. TMT POSITIVE FOR INDUCIBLE ISCHEMIA.
My question is 1 MM ST DEPRESSION a conclusive evidence suggestive of Inducable Ischemia
Patient had a mild heart attack 4-5 days back. Latter, it was diagnosed as single blockage . He is currently in Patna. Will it be okay to get him operated in Patna or shall I shift him to Delhi or Bangalore. Will it be okay to travel as of now?
As per colour doppler echo cardiography, the following are observations
RWMA HYPOKINESIA OF INFERIOR+POSTERIOR WALL.
MODERATE LV DYSFUNCTION.
NO LV CLOT /NO PE.
kindly suggest for course of action
Since last few days i have felt that with change in posture my heart rate changes.
When i stand its highest 105-116 bpm
When i sit its 90-100 bpm
When i sleep its 75-85 bpm
However the BP more or less remains the same
So i decided to get ECG done
While doing ECG the report was as follows:
AGE: 22 years
Conclusion: sinus tachycardia otherwise normal ECG
Problem that i am curently is nothing but only sense that when i stand i could feel palpitation in my neck and chest.
Do not have any other symptoms.
But i want to point out one thing that while running on treadmill at 5,6,7,8km/hr i did not feel any discomfort as well as my pulse was between 100-120bpm but as soon as i stopped the activity the pulse raised upto 163 bpm and then started declining.
Also at that time my bp was 140 and 75.
Can you tell me that whether there is something to worry ?