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What Are The Indicators Of Abnormal Cardiac Activity?

Posted on Wed, 18 Mar 2015

Question: If your blood pressure is normal and the ECG is also normal then can we cosidered that it is a good indication of cardiac system . I appreciate that 2D echo & coronoray angiography is the true test every body can not do it unnecessarily. Or what should be an indication of abonormility of cardiac to a person in a day today life ?

Answered by Dr. Prasanna Heijebu (1 hour later)

Brief Answer:
List of symptoms to look for mentioned below.

Detailed Answer:
Hi,

I understand your concern.

Normal ECG and BP can almost point to a normal cardiac system.

There is no contraindication to 2D echo . Everybody can have this test done.

As far as Coronary angiogram is concerned, you will be indicated for it, only if abnormality is found on a treadmill testing and echo.

If these tests are normal, you do not need an Angiogram.

Indications of cardiac abnormalities to be recognized in day to day life is.

1.Chest pain.
2.Increased resting rate greater than 100 bpm.
3.Fainting attacks/dizziness/headaches at the back of head.
4.Regular fatigue or shortness of breath while doing daily tasks.

Thank you.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Prasanna Heijebu (24 minutes later)

On trade mill test if other parameters are ok & BP is 170 /100 , is it acceptable limit & some headache

Answered by Dr. Prasanna Heijebu (11 hours later)

Brief Answer:
Yes these values are acceptable

Detailed Answer:
Hi Sir.

A BP of 170/100 can be an acceptable during TMT testing. Under normal circumstances it would be very high?

Little headache need not be an issue.

Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Prasanna Heijebu (40 hours later)

After jogging my heart rate was 136 and BP 153/79 . After 2 minutes the heart rate was 85 and BP was 124/74 . Is this OK ?

Jogging for 5.5 minutes with good pace , BP 158/80 , HR 150
After 2.0 minutes rest BP 150/78 HR 120
After 3.5 minutes rest BP 124/74 HR 107
Is this OK ?

Answered by Dr. Prasanna Heijebu (6 hours later)

Brief Answer:
The parameters are within the normal range.

Detailed Answer:
Hi Sir.

I understand your concern.
I have carefully gone through all your mentioned values.

The heart rate and blood pressure are well within the normal limits of exaggeration post exercise.

This should not be of concern.

Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Prasanna Heijebu (3 days later)

If the BP is normal i.e. 114/72 , then what may the reason for the burning sensation in chest and little headache at the back

Answered by Dr. Prasanna Heijebu (16 hours later)

Brief Answer:
Exercise induced acid reflux.

Detailed Answer:
Hi Sir.

I understand your concern.

Chest burning can be due to exercise induce acid reflux .

Likewise minor headaches are common after treadmill testing.

This need not be a concern at the moment.

Thank you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prasanna Heijebu (7 hours later)

In case of Angina does BP increases or can it be possible at rest or after meal means ? Or expected to feel with exertion only ?

Answered by Dr. Prasanna Heijebu (14 hours later)

Brief Answer:
BP in angina can increase or stay normal.

Detailed Answer:
Hi Sir.

In angina, Blood pressure can increase or stay normal.

Fluctuations with meal is also present.

Mainly in angina, its the chest pain with exertion followed by breathlessness that are the indicators.

Thank you.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Prasanna Heijebu (2 hours later)

Lastly can you have chest pain only because of meals ? and in my earlier question just wanted to ask you whether heart rate rise to 150 in jogging in 5.5 minutes is normal. Thanks for all the earlier doubts which you cleared very nicely.

Answered by Dr. Prasanna Heijebu (8 hours later)

Brief Answer:
HR of 150/min can be normal in 5.5 min of jogging

Detailed Answer:
Hi Sir.

I understand your concern.

Yes chest pain is possible during meals due to 2 factors.

It could primarily be related to acid reflux disease.

Secondarily it could be due to angina.

Rise of heart rate to 150/min in 5.5 mins can be a normal parameter.

Thank you.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj