What Does My Lab Test Reports Indicate?

Posted on Tue, 2 Feb 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 2 Feb 2016 Answered on

Thu, 17 Mar 2016 Last reviewed on

Question : recently I visited hospital because I was feeling numbness in my arms feeling guidy and getting fainted.
hospital kept in ICU.
I have undergone following attached tests.
please advice what was the root cause of the problem

Answered by Dr. Priyank Mody (31 minutes later)

Brief Answer:
Please do reattach the reports as none received . Thanks

Detailed Answer:
Hello XXXX, I am Dr. Mody and I would be addressing your concern .
At your age generally the cause of the symptoms you have described is generally benign , and may range from sheer exhaustion , dehydration to missed beats if the heart .
I have not received any attached reports, so if you can reattach them I can help interpret them for you . Regards Dr Priyank Mody

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Priyank Mody (21 minutes later)

thanks doctor for the reply. please find the attached report. I was told to undergo Temp pacemaker. kindly suggest

Answered by Dr. Priyank Mody (25 minutes later)

Brief Answer:
No report s received.

Detailed Answer:
Hello XXXX,
That's a big decision to make .
I am again sorry but I am finding no attached report with this question , I event went another similar one you had asked but even there there is only screen shot of your CBC.
I need your holter and echocardiography report for helping you decide .
You can send the attachments to me through the healthcaremagic customer care as well, attach the reports to the e-mail and send it to YYYY@YYYY with subject line reading "Attn: for Dr. Priyank Mody". just as it's not coming here , or may call our helpline and they would assist you for the same .
I would try to reciprocate as soon as I get the reports
Regards Dr Priyank Mody, Lilavati Hospital, XXXXXXX

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Priyank Mody (46 minutes later)

Thanks a lot for your time. As suggested by you I have sent all my reports to YYYY@YYYY . one of the PDF is password protected and password is anku1986

Answered by Dr. Priyank Mody (4 hours later)

Brief Answer:
No pacemaker needed based on holter report . Regards

Detailed Answer:
Hello XXXX, I went through your reports . I would note down my observations as follows .
1) The blood investigation are normal .except your CBC which shows increased wbc counts which suggest some infection or inflammation and platelets on lower side which is unexplained. Do get that evaluated by your physician
2) The holter doesn't show any junctional bradycardia and there is nothing in the holter to suggest the need for pacemaker at present whether temporary or permanent.
3) The discharge summary of the admission at night, writes your ecg as junctional bradycardia, however there is no ecg where I can confirm that diagnosis.
Now in a 29 year old healthy male there should not be junctional rhythm.
One possibility is any infection which cross reacted with heart causing transient arrythmia ( myocarditis) , but echo is normal. .
A cardiac MRI will rule out any structural cardiac problem ( considering 2 D Echo is normal ) including any inflammation
Presently no evaluation needed . However if symptoms persists long monitoring with loop recorder just in case we are missing something. Also report to your doctor if any similar symptoms, palpitation, dizziness, breathlessness occurs.
However I would reassure you that no pacemaker needed at present considering the holter report . The maximum pause is 1.36 sec , pacemaker is recommended if pause generally is longer than 3 sec . However thing to make us be cautious in future is even 1.36 cm pause shouldn't occur.
Let me know if any clarification needed.
Regards Dr Priyank Mody

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Priyank Mody (6 hours later)

thanks a lot for your valuable advice.

Answered by Dr. Priyank Mody (12 hours later)

Brief Answer:
Thank you XXXX for using HCM

Detailed Answer:
Hello XXXX, I am happy I could help .
However I still feel many pieces in the jigsaw missing for my complete understanding of what actually happened . However XXXXXXX Hrudalaya is a good center for complete evaluation.
Let me know if any further help needed .
Do rate for others ref

Regards Dr Priyank Mody

Above answer was peer-reviewed by : Dr. Yogesh D