Heart/cardiovascular problems at 21?

  • Thread starter Thread starter leright
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Discussion Overview

The discussion centers around a 21-year-old experiencing chest pain, difficulty breathing, and an abnormal EKG result indicating inverted T-waves, which may suggest ischemia. Participants explore potential causes, implications of high blood pressure, and the relationship between lifestyle factors and cardiovascular health. The conversation includes personal experiences and advice regarding health management, stress, and the importance of medical follow-up.

Discussion Character

  • Exploratory
  • Technical explanation
  • Conceptual clarification
  • Debate/contested

Main Points Raised

  • Some participants note that heart attacks can occur at any age and suggest that the individual's body development might be a contributing factor to the symptoms.
  • Others mention that high blood pressure could be influenced by various factors, including diet, exercise, and stress, and emphasize the importance of discussing these with a doctor.
  • A participant shares their personal experience of managing high blood pressure through lifestyle changes and stresses the importance of early detection.
  • Some express concern that the inverted T-wave and high blood pressure may not be directly related, suggesting that hypertension might be a symptom rather than a cause of ischemia.
  • There are mentions of the potential impact of stress on cardiovascular health, with one participant highlighting their own experiences with stress and its effects on blood pressure.
  • Another participant questions the individual's lifestyle choices, including physical activity levels and substance use, as factors that could influence their cardiovascular health.

Areas of Agreement / Disagreement

Participants generally agree that the situation is concerning and that further medical evaluation is necessary. However, there are multiple competing views regarding the causes of the symptoms, the role of lifestyle factors, and the interpretation of the medical findings. The discussion remains unresolved regarding the specific reasons for the individual's cardiovascular issues.

Contextual Notes

Limitations include the lack of detailed information about the individual's lifestyle, potential underlying health conditions, and the need for further medical evaluation to clarify the relationship between symptoms and blood pressure readings.

Who May Find This Useful

Individuals experiencing similar health concerns, those interested in cardiovascular health, and anyone seeking to understand the implications of high blood pressure at a young age may find this discussion relevant.

  • #31
marcusl said:
I did my thesis on cardiac measurements with specific attention to diagnosing diseases that show S-T segment changes.
I have no idea what this means. Is an S-T segment change a feature of an EKG readout?
It's been over 2 decades since I worked in the area, however, and I'm not an MD; hence my earlier warning that my words need verification too.
Noted, but with a formal education such that you could do a thesis in this area you're probably way ahead of anyone else around in basic cardiac knowledge and in knowing where to look for more up-to-date and more detailed info.
Thanks for your kind words, zoobyshoe.
You're welcome, sir.
 
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  • #32
The waves in the EKG were simply given letter names, P through T, some 100 years ago. (The German acronym EKG stuck, too, even though it should be ECG in English.) The P wave occurs during atrial contraction, the QRS is ventricular contraction and the T wave is repolarization of the ventricular muscle (relaxing and getting ready to fire again). Click on "illustration of an electrocardiography tracing" near the top of this page
http://www.webmd.com/hw/health_guide_atoz/tu3164.asp"
for a cartoon drawing.
The S-T segment, normally a straight line, is very sensitive to abnormalities but you often can't tell which problem is present just from the trace. That's what I was looking into.
 
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  • #33
marcusl said:
(The German acronym EKG stuck, too, even though it should be ECG in English.)

I always assumed they kept the 'K' so you could tell the name from other exams of a similar nature, like an EEG (electroencephalogram). "ECG" and "EEG" are nearly indistinguishable when spoken.
 
  • #34
well, I had my echo today. I will let you know what the results are when I get them.
 
  • #35
We're with you on that, buddy. You're going to ace the test. :approve:
 
  • #36
I call it an ECG.
 
  • #37
So Leright, what's the latest? -Rod-
 
  • #38
USAPatriot said:
So Leright, what's the latest? -Rod-

No info from the doc yet.
 
  • #39
leright said:
No info from the doc yet.

K. Any more problems? My dad's been running occasional bouts of Afib (I judge that by pulse only and it's not been confirmed by the docs yet) so they put him on a Holter for 24 hours at the beginning of the week. No results back yet. -Rod-
 
  • #40
USAPatriot said:
K. Any more problems? My dad's been running occasional bouts of Afib (I judge that by pulse only and it's not been confirmed by the docs yet) so they put him on a Holter for 24 hours at the beginning of the week. No results back yet. -Rod-

Not yet. :-p
 
  • #41
well, I got the echo results yesterday. They came back negative. He said my bump rhythm and valves are in check, but he said one of my heart muscles is slightly enlarged. He said this is likely due to the fact that I have slightly high BP (~135/88) and it may have been higher in the past. He put me on mild BP pills and I picked up a BP monitor. He also had blood work done to check my cholesterol, and I should know the results Monday.

Overall, nothing is really wrong except for the BP, which is an easy fix.
 
  • #42
leright said:
well, I got the echo results yesterday. They came back negative. He said my bump rhythm and valves are in check, but he said one of my heart muscles is slightly enlarged. He said this is likely due to the fact that I have slightly high BP (~135/88) and it may have been higher in the past. He put me on mild BP pills and I picked up a BP monitor. He also had blood work done to check my cholesterol, and I should know the results Monday.

Overall, nothing is really wrong except for the BP, which is an easy fix.
That's great to hear!
 
  • #43
Leright, glad to hear all is good so far.
 
  • #44
but these pills aren't really doing anything for my BP. I've been checking my BP like 2 hours after taking the pills and my BP is still around 135 or so.
 
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  • #45
Let your doctor know that. Sometimes with BP medications (well, often, actually), it's a bit of a guessing game of which one will work best. There are different causes of high BP, so you have to find the medication that matches the cause. It's easier to do trial and error than to start doing a ton of tests to determine which medication is best.
 

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