Re: Echo results and a strange question... need some opinions...

petshopqueen007@xxxxxxxxx wrote:
Andrew, in the Holy Spirit, boldly wrote:
petshopqueen007@xxxxxxxxx wrote:
Andrew, in the Holy Spirit, boldly wrote:
petshopqueen007@xxxxxxxxx wrote:
Andrew, in the Holy Spirit, boldly wrote:
petshopqueen007@xxxxxxxxx wrote:

It is a rephrasing of the earlier to downplay things.

if it didnt look like anything, why would they have to downplay it?

Your EKG was nonetheless abnormal.

Changes we sometimes see in folks with chronic recurrent subacute
pulmonary embolic events (small clots going to the lung).

what exactly do each of those things i mentioned stand for exactly?

RAE stands for Right Atrial Enlargement.

NSSTW (Delta) stands for Non-Specific ST and T Wave Changes

RSR' in V2 describes a particular appearance of the QRS wave in EKG
lead V2

and how on earth could they have ruled out pulmonary issues and
hypertension if they couoldnt even see my pulmonary arteries and trunk?

Your history and physical exam may have lowered their clinical
suspicion for pulmonary emboli.


Actually, those who don't ask questions are the ones that typically end
up being sorry.

Yeah, apparently my cardiologist seems to see a sin in asking
questions..

Sad to read about your difficulties with your cardiologist.

thanks again.

You are welcome :-)

Odd though, in the echo, it shows my right atrium and ventrical are
both "Normal" and "Normal size".

However, the echo is a "technically difficult study" so that the
measurements may be off.

Could these st-t and RAE and RsR abnormalities on the EKG have been a
false positive...

No.

and could have been brought on by the tachycardia
making it appear this way?

No.

because as i was having the EKG done, my BPM
was 118 at that time, it says. 15 mins later it went up to 154.

Perhaps your doctor(s) should reconsider the possibility of pulmonary
emboli.

however, the echo showed a trace of mitral regurgitation , then it also
said the tricuspid regurgitation is physiologic. so i have two things
regurgitating here?

Yes. However such regurgitation is not clinically significant.

from my studies and research, tricuspid
regurgitation can be a sign of right atrial enlargment as well..
(backing up the EKG's possible findings..)

Clinically significant tricuspid regurgitation can lead to right atrial
enlargement. However, your tricuspid regurgitation has not been
characterized as such.

I remember looking over at the Echo on the screen and seeing the
ventricles clearly, and the blue and red coloring flow... but recall
the very top being very hard to see. I was also on an odd angle, but i
remember trying to see if i could see the aorta or something, out of
curiosity (always been fascinated by that stuff).. and really couldnt
at all.

It takes a trained eye to see structures on an echocardiogram.

Thankyou for your replies.

You are welcome :-)

All thanks and praises belong to GOD, Whom I love with all my heart,
soul, mind, and strength.

Would definitely not be here were it not for HIM.

I've since been doing a lot of reading
tonight on this type of a thing and just seems like something these
idiot doctors of mine should have at least brought up to at least rule
out.

Medicine is an art.

I'm a believer that this kind of crap doesn't just show up for no
reason...

Also, when I first started noticing the symptoms that initially sent me
to the doctor.. happened on december 4th. i was at work and i work with
animals at a vet hospital and ended up getting pulled by a huge dog i
was restraining with a leash.. and ended up getting slammed into a
bunch of stuff and pretty much went flying across the room. my left
leg.. that was the worst hit, (lower leg.. above the area that connect
the foot and lower leg, directly in the front) is STILL swollen in that
area and sore to the touch. there is still very minor bruising that can
be seen in very bright lighting. a greenish, yellow, very faint color
to it. the gash mark is still there. the night after this happened, i
was having severe pain in the entire leg.
but, then later all over my body. i have an un-specified auto-immune
disease that apparently causes a lot of deep aching all over my body,
feeling flu-like.. almost all the time, especially during my periods. i
actually began my period that very same day. go figure.

Folks with autoimmune disorders tend to be hypercoagulable predisposing
them to forming clots in the deep veins of their legs especially when
there has been trauma to their legs.

the symptoms started the next day actually. my chest hurt horribly..
back.. everywhere. had mass amounts of gas, like i had never ever had
before. in my esophagus... stomach intetsines.. burping constantly.
hard to swallow, i could feel everything bulging.. i could barely sit
right for days after that. the heart palpitations started, pretty much
the following day after that. heart flutters.. felt like it was
skipping. never had that in my life like that. started feeling dizzy..
hands looked like they were very close to cyanotic.. face looked rather
odd colored. people saying i looked sick. could barely eat or drink
anything due to the strange amounts of "air" or gas in my body.. eso..
and stomach.

Sounds like a pulmonary embolus may very well have occurred for you.

my neck started feeling strange later that 2nd night.. on the left
side. felt a flutter feeling there as well and felt like a lot of
pressure there. my mom made a comment that my neck actually looked
swollen.. slightly..

Distended neck veins would also be consistent with a pulmonary embolus.

this went on and on. i called the doctor.. couldnt get an appointment
till the following monday.
went.. and my BPM was 125 and blood pressure was 120/80 (my normal..
well high normal) . listened to my heart and claimed it was beatingn
super fast yet he didnt hear the murmur i was born with.
he checked my neck and the thyroid thing.. and said that seemed fine
and thyroid was not palpable, etc.
ordered the blood tests (which all came back normal), and set me up
with the cardiologist after he did an EKG and it was showing strains
and simply just said it was "A very.. very strange EKG".
so, i managed to get an early appointment the following monday from
then (or else id have to wait till february)..

Actually, your story is highly suggestive of your having suffered a
pulmonary embolus.

i mentioned to the doctor about my fall and the cardiologist as well,
and they didnt even seem to think it was related. uh huh. i was having
symptoms id never had in my life happen after that fall!
my lungs felt tight as if i had some muscle strain inside.. if there
were such a thing, and trapped air in them.. and a inflamed kind of a
feeling.. that i dont think was a deep chest wall muscle or tissue
feeling.

My index of suspicion from what you have written is very high for your
having suffered a pulmonary embolus.

im very in tune with my body and well have shitloads of symptoms from
the other stuff that becomes a daily thing.. yet.. this was something
totally alien to me.

If what you suffered was a pulmonary embolus, this bit of history would
suggest it was your first.

so, i see the cardio.. they do another EKG.. same stuff. possible LVH
(that she later scribbled out as RAE.. hmm) . she kept going on and on
about the LVH tho.. (only to change it to RAE?? alrighty...)
didnt even let me finish my story about the fall, pretty much cut me
off left and right. i was feeling like crap and didnt even feel like
dealing with it. i just wanted to echocardiogram done... and this was
my only chance of getting soemthing done soon.. or else anywhere else..
itd be a different story.

so, she ordered the holter and the stress echo for later in the week..
and all this was showing up...

so... who knows.

im really wondering if that fall REALLY did have soemthing to do with
this.

If you suffered a pulmonary embolus, your fall would have been a
contributing factor.

since then.. ive been ok. the air buildup everywhere subsided.. the
tingling in my hands and feet went away.. dizziness subsided.. lung
feeling.. yet i feel a coughy kind of a feeling deep down my throat
sometimes. but the tachy is still there but not as bad. if i get
slightly nervous or go to stand up.. it'll start racing. other times,
its fairly ok. this latest bout got worse after my last period.. (my
2nd since the fall).. which was lastweek.

so, im calling my family doctor tomorrow.. gonna get an appointment,
hopefully this week! im sick of the waiting crap. demand i have a CT or
MRI... and im gonna raise hell about this.

A radiologist should be consulted about how best to detect a small
peripheral pulmonary embolus suspected to have occurred on 12/05/2006.

Would suggest you print out this post and hand it to your family
doctor.

wish me luck.

No such thing as luck (Proverbs 16:33) so will pray on your behalf
instead.

so, if this is the case... and my possible first... can this be easily
treated?

Yes.

ive read things about blood thinners, etc.. but.. are these actually
enough to fix the problem?

Yes.

also, i just remembered... my grandmom, on my mom's side... had deep
vein thrombosis in her legs.. and one was considered so severe they
were scared to even operate on it. though, this was way back, too.
my grandmom, on my dads side... just died in may of a massive massive
stroke.. and had some other clotting issues.

my mom.. has moderate-severe vein issues in her legs (varicose and
others).. and pretty much has since her 20's. my aunt, on my dads
side... varicose.. my other aunt had a severe clot in her leg and had
surgery...

This would suggest that indeed you are hypercoagulable (i.e. tend to
have blood clots).

yeah..

its rather concerning. especially this EKG thing, which she failed to
even tell me about the other things.

you've helped out a lot!

All the glory belongs to GOD, Whom I love with all my heart, soul,
mind, and strength:

http://HeartMDPhD.com/HolySpirit/love.asp

its just when i feel something is wrong.. despite what they tell me..
im gonna go with my own gut feeling. i knew something wasnt right.
nothing added up, either.. then seeing that EKG.. it baffles me how the
doc hasnt said a word about this.

This is all happening in a manner to glorify GOD, Creator of heaven and
earth.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love

.