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What Does My ECG Report Indicate?

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Posted on Mon, 6 Apr 2015
Question: I am a 56 year old female 5' tall wt 100 lbs with history of cad. I have 6 stents 1 on left 5 on right. Stent placements began in 1998. I still smoke about 1/2 to 3/4 pack a day. Been a smoker for 40+ years. Family history of heart disease on both sides. Mother passed from heart attack age 68 during angiogram when XXXXXXX hit heart complete blockage. She experienced MI on a Friday didn't go to hospital till Sunday. Doctors said she had been living on less than 5% of heart for those 2 days following MI. 2 years after her passing I experienced shortness of breath and went to ER. The test results were not showing anything and an angiogram was performed and blockage was found where 2 stents were placed RCA distal 9/26/98. 1 more placed 9/11/98. In following years until present I have had 3 more. 2 on right and 1 on left Circ last being in 2009. I have been under a lot of stress since 2011. Grand daughter past at age 20 months, divorce, recent bad break up with fiancé in October of 2014. I moved away from my home state in October and have been living in California. In 2011 I also decided I was tired of taking so much medication and stopped taking everything. I was on Xanax, Amitriptyline, Trazadone, and had been for 22 years. lisinopril 20mg cholesterol medication and pain medication for back pain. Started pain meds in 2006 with lorecet 10 by the time I stopped taking all meds was on and oxycodone 30 mg 6 times a day. I felt like I couldn't function normally and was fed up taking all this crap. I haven't seen a cardiologist since 2009. I have just recently torn my knee up and was scheduled for surgery where they did a pre op ekg with findings of abnormal. occasional supraventricular premature complexes possible left atrial enlargement -0.01MV P wave in V1/V2 Moderate ST depression 0.05+ MV ST depression I have always even when getting ECG echocardiogram and stress test never shown anything until they do an angiogram. They find everything during those. Please explain what could be going on now if you can to me Afraid it could be bad and now anxiety is through the roof.
I have copy of ecg and can send to you via picture if you want it
doctor
Answered by Dr. Neel Kudchadkar (9 hours later)
Brief Answer:
PAC with LAD: You can confidently overcome it. Here's how!

Detailed Answer:
Dear,
I can understand your situation. I have gone through the uploaded ECG. I'm sorry that your mother had to pass away with an MI. However, we can always focus on what's working, instead of what is not. There is a bright side to everything. You seem to be a well informed smart consumer.

Let's look at it in this way...

You might want to calm down and chill for a while and read this slowly.

1. The fact of the matter is that your heartbeat begins in a location called as the SA node. This fires electrical signals that make the oxygen rich blood pump through the body. Occasionally, there are other locations where electrical activity may be found. This creates something called as PAC's (Premature Atrial Contractions).
2. Most people do not even notice this, because they are mostly harmless.
3. There are certain drugs that INCREASE PAC's such a nicotine (from a cigarette), Coffee, Tea and Xanax.
4. People who have PAC's present as being anxious and at the end of their tether.
5. PAC's are harmless. They are normal. At this point of time, I would like to ask you a question... You've probably smoked quite a lot of cigarettes. I know that they may provide you some relief, and I think that you're strong enough to quit smoking.
6. Remember, every quit is different. Never take another puff. Just for today.
7. You have mentioned about a possible left atrial enlargement. Practically speaking, we can lower our weight to combat this. Every ounce, every pound of weight loss counts. There should be no problems here. (Speaking about the ST segment depression)

Now that the medical facts have been presented,
I would politely ask you to cut the pack into half, and a quarter of a pack for a
month, a few cigarettes the next month and freedom from nicotine the month
after. Imagine that!

Imagine a healthy "you", with head held high and no fear in the heart.
Your cardiologist will do 99% of the work for you. You just need to put in 1%.
We know that 1% will need you to give a 100% of what you possess.

Take care of your health.
Feel free to contact me directly at http://bit.ly/askdrneel.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Neel Kudchadkar (1 hour later)
I am not over weight and in the last 5 months have lost 15 pounds with out trying to lose weight and you are so right about quitting smoking. I hate the smell and yes it really is a crutch and know even though it is a stimulant, that is what I grab for when I am stressing out the most. I no longer take any medications and I have felt better with out them than I did taking them. Yes my pain from back and knee was worse but I would rather live with the pain than in a fog all the time. 6 stents and I forgot to mention a blockage was found during an angiogram I believe in the artery that runs to left arm .I think he said subclavian* but that was many years ago and I have slept since then. I just want to be able to get this surgery on my knee taken care of but at the same time don't want to not make it out of surgery. My life has been hell for to long and the past 5 months were suppose to help me forget this past relationship and so far my broken heart is still broken no pun intended. Thanks for answering my question and setting some of my fears to rest. If anything else I need to know that you can think of let me know please
doctor
Answered by Dr. Neel Kudchadkar (38 minutes later)
Brief Answer:
Nicotine: The root of all evil.

Detailed Answer:
Dear,

There is only one thing that you need to know...

We both perfectly know that you are quite competent to take your own decisions. You are obviously an educated person, and should be allowed to choose her choice of treatment, typically after an explanation about the alternatives.

I really mean it. We both know that smoking causes a loss of appetite. It is for this reason that some (not all) professional models smoke. Your loss of weight and appetite has now been understood by me, as a direct consequence of smoking.

Listen dear, let me put it in this way. When it comes to smoking, you've been there, seen it all... You might find it rather boring to smoke, because everytime you light up there's the same "boring buzz".

I would appeal to you to see a doctor so that he can prescribe you some clonidine, Varenicline or bupropion tablets. These are great for quitting smoking forever.

Imagine a life without tobacco. How marvellous!

As for your breakup, the last I heard there were like 4 Billion men on this planet. Forgiving the aggressor is really a method of taking the knife out of your own heart and letting it heal. Think and feel about this. Really.

After you quit smoking, imagine the free cash that will be lying around. You'll live. You can enjoy life the way you want it to be after stopping smoking forever. Your heart will get better, or at least it won't get worse!

I will give you an address to go for a free, no catch, no hidden cost, smokers recovery support group,

Nicotine Anonymous. XXXXXXX Nissan Conference Room- 2850 Harbor Blvd., Costa Mesa.

Take care,
Dr. Neel Kudchadkar.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
Answered by
Dr.
Dr. Neel Kudchadkar

General & Family Physician

Practicing since :2004

Answered : 532 Questions

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What Does My ECG Report Indicate?

Brief Answer: PAC with LAD: You can confidently overcome it. Here's how! Detailed Answer: Dear, I can understand your situation. I have gone through the uploaded ECG. I'm sorry that your mother had to pass away with an MI. However, we can always focus on what's working, instead of what is not. There is a bright side to everything. You seem to be a well informed smart consumer. Let's look at it in this way... You might want to calm down and chill for a while and read this slowly. 1. The fact of the matter is that your heartbeat begins in a location called as the SA node. This fires electrical signals that make the oxygen rich blood pump through the body. Occasionally, there are other locations where electrical activity may be found. This creates something called as PAC's (Premature Atrial Contractions). 2. Most people do not even notice this, because they are mostly harmless. 3. There are certain drugs that INCREASE PAC's such a nicotine (from a cigarette), Coffee, Tea and Xanax. 4. People who have PAC's present as being anxious and at the end of their tether. 5. PAC's are harmless. They are normal. At this point of time, I would like to ask you a question... You've probably smoked quite a lot of cigarettes. I know that they may provide you some relief, and I think that you're strong enough to quit smoking. 6. Remember, every quit is different. Never take another puff. Just for today. 7. You have mentioned about a possible left atrial enlargement. Practically speaking, we can lower our weight to combat this. Every ounce, every pound of weight loss counts. There should be no problems here. (Speaking about the ST segment depression) Now that the medical facts have been presented, I would politely ask you to cut the pack into half, and a quarter of a pack for a month, a few cigarettes the next month and freedom from nicotine the month after. Imagine that! Imagine a healthy "you", with head held high and no fear in the heart. Your cardiologist will do 99% of the work for you. You just need to put in 1%. We know that 1% will need you to give a 100% of what you possess. Take care of your health. Feel free to contact me directly at http://bit.ly/askdrneel.