Hi doctor, My mother, who is 62 years old, has been hospitalized for two days due to sudden sweating, chest pain and left hand pain. When she was admitted her BP was 190/110 mmHg. She is also a diabetic (150/270) and undergoing tremendous stress due to sudden personal loss. She underwent ECG and 2D echo. I have attached the reports here. Her doctor said that she was on the verge of a heart attack when admitted. Her ECG is said to be abnormal and 2D echo depicts CAD and diastolic dysfunction. Currently, she has been treated to lower her blood pressure. Her doctor told me to do TMT and angiography, if TMT appears positive. Could you please let me know by seeing the reports how serious the illness is. I would like to know the future course of action in terms of tests and treatment.
Hi. I have gone through her reports (attachment removed to protect patient identity). 1. Diabetes mellitus. 2. Hypertension. Troponin I value. Non-cardiac chest pain like muscular. Acute coronary syndrome (includes both MI and unstable angina due to sudden obstruction of blood flow to heart). Do trop I or trop T and then repeat after 12 hours from onset of pain, if the initial value is negative. If positive, then do angiography. If still negative, then do a stress test. Revert back with the reports to a cardiologist online.--->