I had an ultrasound stress test and everything was normal. I use to jog a lot but after finding out that I have unspecified st depressions on my ekg reading I have been scared to do anything strenous. Should I be worried about this at all? Does this mean I am more proned to heart disease in the future? Any help would be appreciated. Thanks.
Heart Diseases - 3 Answers
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1 :
You should be fine, just get a total of 3 hours exercise a week for the rest of your long life.
2 :
The S-T segment Flat, downsloping, or depressed ST segments may indicate coronary ischemia (deficient blood supply). Coronary artery disease is suggested by horizondality, plane depression or sagging of the S-T segment, particularly in Standard lead II and leads V5 and V6. Coronary artery disease involves impairment of blood flow through the coronary arteries, most commonly by atheromas. Clinical presentations include silent ischemia, angina pectoris, acute coronary syndromes (unstable angina, MI), and sudden cardiac death. Diagnosis is by symptoms, ECG, stress testing, and sometimes coronary angiography. Prevention consists of modifying reversible risk factors (eg, hypercholesterolemia, physical inactivity, smoking). Treatment includes drugs and procedures to reduce ischemia and restore or improve coronary blood flow. * Blood pressure. Get your blood pressure checked every visit. (Target: Below 130/80 mm Hg) * Cholesterol -Get your LDL (bad cholesterol) levels checked at least once a year. (Target: Below 100 mg/dL). Triglycerides. (Target: Less than 150 mg/dL) Serum Cholesterol (Target: Less than 200 mg/dL) HDL (good cholesterol) (Target: More than 50 mg/dL) Eat a low-cholesterol, low-fat diet. This kind of diet includes cottage cheese, fat-free milk, fish (not canned in oil), vegetables, poultry, egg whites, and polyunsaturated oils and margarines (corn, safflower, canola, and soybean oils). Avoid foods with excess fat in them such as meat (especially liver and fatty meat), egg yolks, whole milk, cream, butter, shortening, lard, pastries, cakes, cookies, gravy, peanut butter, chocolate, olives, potato chips, coconut, cheese (other than cottage cheese), coconut oil, palm oil, and fried foods. * Stop tobacco smoking. * Stop consuming alcohol. * Glucose (Sugar) test. Control your blood glucose & do self-monitoring as & when required. (Target: Fasting blood sugar 60-100 mg/dL; Postprandial blood sugar 2 hours after food-Less than 140 mg/dL) * Health life style. Exercise regularly & stay healthy. *Obesity - In obese subjects, losing a kilogram of mass generally reduces blood pressure by 2 mmHg. (Abdominal circumference should be less than 100 cms) *Avoid worry and stress. Please see the web pages for more details on ECG and Coronary artery disease.
3 :
non-st segment depression are just it, non-specific, these are electrical signals from the heart which nobody ( not even the cardiologist ) knows its meaning, they usually correlate it clinically for symptoms and they run other test to make sure its really benign... it does not mean you will be prone to heart disease in the future, it also does not mean you will be free from heart disease in the future... like i said it does mean anything...if you are assymptomatic, and your other test ( stress test, 2D echo of the heart ) are normal, then dont worry about it. P.S. dont you have a doctor in your area who interprets all these lab results to you ?
4 :
Patients have ST depression/elevation for a variety of reasons...certain meds can cause a "swoop" of the ST, and marked difference of the ST can signify damage to a part of the heart, usually from a MI(myocardial infarction, or heart attack)...but Unspecified ST doesn't necessarily signify anything. Unless your Doctor or Cardiologist has told you otherwise, strenuous activities shouldn't be much of a problem. Of all of the things that could be abnormal on an EKG, this is one of the minor ones, especially since it is unspecified, or non-specific as it is sometimes referred to.Good Luck
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