A community of 30,000 US Transcriptionist serving Medical Transcription Industry

Had a physical today...

Posted: Dec 6, 2011

I'm a 47-year-old female always been healthy except for some aggravating sinus symptoms. I went in for my physical today and here's what I got:

Height 5'7"; Weight 130 lbs; BMI 20.4, BP 112/74. I've never been on any medications and have no medical problems for medications.

Well, my doc said she'd like to do a baseline EKG and here are the results....

"Sinus rhythm with PVCs; rSr' (V1) - probable normal variant; Possible anterior infarct - age undetermined - Abnormal ECG."

Now she wants to do a stress test on me. The nurse that was doing the EKG was talking to me the whole time and I was even talking to her during the test. Don't that make somewhat of a difference, too? I've been an MT for over 15 years, but haven't transcribed Cardio very much, so I'm hoping to get a little input. Makes no sense. There's no way I've had a 'heart attack' and not know it with the way I work my horses, load hay, run, etc., without noticing 'something.'

Any Cardio MTs out there who can give me an opinion on this? I'm just baffled!

;

Your test - Another MT

[ In Reply To ..]
You could have very well had a heart attack and not known it; in fact, I know people younger than you who have been shocked to hear that they did have a heart attack and never had really any symptoms, or did not think anything was wrong because they were so young, but it does happen. Also, the tech doing your test should never have been talking to you while doing the test, and she should have told you to remain quiet during the test, but it would not have made a difference in the test where the old heart attack is concerned. Women and men often ignore symptoms of a heart attack, and there are also silent heart attacks where even small symptoms you may have had could have been looked over. This is why they are emphasizing to women to be educated about what to look for. I would call this a blessing that this was found so that this can be addressed and taken care of. I hope you will be seeing a cardiologist soon. You can overall be very healthy appearing, do heavy work the way you do, and just be too busy to take the time to question something about your symptoms. Your lifestyle has a lot to do with your risk for a heart attack, together with your family history, also age, weight and sex. Don't take this wrong, but 47, while still young, is a prime time for both men and women to have heart attacks. I wish you all the best, and please follow the doctor's orders!

Thank You!! - cowgirl

[ In Reply To ..]
Thanks so much for being straightforward! I'm contacting the doctor tomorrow and request another EKG be performed just to make sure before I go through all the stress test thing. I've had EKGs before, but never abnormal results and never while carrying on a conversation with the nurse, so I'm hoping it's a fluke from that. I also had all the regular blood work done, so surely they'll check cardiac enzymes, too. I'll keep you posted if that's okay with you. You scare me a little when you mentioned people are too busy to notice changes and things 'cause that's me in a nutshell! I thank you again for your reply! God Bless.

Thank you for your reply to my note - Another MT

[ In Reply To ..]
I sure didn't mean to scare you, but you sound like a very busy woman with a lot to do. I am really known for buzzing around fast all the time and don't let every twinge and ache get me down, but I try to keep up with what is going on in the medical field, and I know that women don't always put themselves first and take care of everything and everyone before themselves. There is so much that has come out about women's health. My oldest daughter is 43 and she had a scare recently. She had an abnormal EKG, and echocardiogram. They think her heart developed some problems after her 13 year old son was born and she had toxemia of pregnancy. Her blood perssure skyrocketed and stayed that way all this time, with no one really taking care of it until her physician now. She has been on BP medicine, but the damage was already done. This is what I meant by women taking care of themselves. She is also a country girl, single mom and works 2 jobs, and is always busy. You both sound alike, very giving, kind and always there for others. I do want you to keep me informed about what they find out about you, and I will be praying for you. My name is Monique. God bless you too, and don't worry, all will be well.

My physical - cowgirl

[ In Reply To ..]
Thank you again...Especially for the prayers. I've been more stressed out now than I've ever been! I called the office this morning and the only thing I was told is that it would take at least 4 days for all of my blood work to come back and not to worry. I asked if there was any note from the doc about the abnormal EKG and she said no. Looks to me like, somebody would be telling somebody something if the EKG machine said they had a possible anterior infarct! So, I have an appointment with a different doc for another EKG for a 2nd opinion. Again I thank you for your prayers and want you to know that they're being recieved. Will update again when I know more. God Bless.

dear cowgirl... - cardio MT here

[ In Reply To ..]
Don't worry.

1) As the other poster said, the tech should have asked you to remain quiet and still while taking the tracing.

2) There are plenty of "normal variants" on EKG that can resemble changes of an infarct, and there are many, many patients with these changes.

3) In my experience, most PCPs refer patients for stress testing if there is any sign of an EKG variation.

4) Where did that EKG interpretation come from? If the interpretation came off the EKG machine, take it with a grain of salt. There are many subtle factors in EKG interpretation that the machine is not capable of performing.

5) Cardiac enzymes will not shed light on previous damage to the heart.

Keep us posted!

Question about cardiac enzymes - mthead

[ In Reply To ..]
Do they stay in the blood years after the infarct or is there a window of time in which you need to measure them (i.e., 24-72 hours after suspected infarct)?

My physical - cowgirl

[ In Reply To ..]
The interpretation came straight off the machine. The printout came through before I knew it and we had been chatting. Still though, I'm not one to take chances. And yes, will indeed keep all informed. May God Bless!

2nd opinion - cowgirl

[ In Reply To ..]
Well, I'm off this morning to get a 2nd EKG with another provider. Thanks for all the support! I will let you all know how things turn out. :-)

The lowdown - cowgirl

[ In Reply To ..]
Okay, as you know, my 1st EKG read this: "Sinus rhythm with PVCs; rSr' (V1) - probable normal variant; Possible anterior infarct - age undetermined - Abnormal ECG." Today, a 2nd EKG read this: "Sinus rhythm with occasional PVCs; Nonspecific T-wave abnormality; Abnormal EKG." So, now I've gone from having had a heart attack to nonspecifice T-wave abnormality (which is very common even in athletes). The doc today shoved an aspirin down my throat and sent me to the ER where the Cardiologist there did his own EKG, heart monitor, physical exam, and said absolutely nothing to worry about except that I need to slow down and quit being so high strung. While very much a relief, it does make you stop and think. That's my problem, I don't ever 'stop.' As of today though, I've decided to smell and enjoy all those roses I've planted along the way AND plant some more! :-) My thanks to all of you for your prayers and concern! God always has His purpose for some reason and even though things worked out for the good, maybe this is His way of getting my attention to slow down and realize that it could have been for real! :>)

Similar Messages:

Jun 08, 2010
Which would you prefer when looking for a mate? Personal Qualities or Physical Qualities? Why would one win out over the other to you? Guess ya'll are wondering why I ask this question? The answer is this: this guy that I know says he wants his mate to be average build (physical quality)and have certain personal qualities and won't settle for less than he wants. He's in his 50's by the way. My side of the argument is this: if my personal qualities are met then I'm ...

Dec 05, 2011
Had a PA accidentally Dermabond her glove to this poor little girl's head. They had to cut 2 sections of hair out to get fix it. I glued my butt to the floor once when laying tile, but dang...poor kid. ...

Jan 07, 2011
A while back I posted a message that the oil commodity prices were going up and the last time oil was about $90, gas went to over $4.00. Do you think there is less oil out there? The last time gas prices increased that much, oil companies reported record profits and Bush was president. Hmmm. Republicans have the House. I think I will go buy some oil stock. ...

Jul 26, 2016
I cannot believe it. I had hardly any pain yesterday except after the drops were put in and today I can see to read quite a lot, not fine print, but can read this board and some other things. The colors are so bright and the white is so white and bright. I feel like I have new eyes. Thanks so much for praying all of you. BTW, they had to delay surgery for me and the first patient because something was wrong on the light. They finally got that fixed and I was only 20 minutes late going ...

Mar 03, 2015
Supposedly, DHS shut down 20 of these birth tourist homes, all in California. It costs up to $50K for the Chinese mothers-to-be to come and stay here, having their babies in a regular hospital, and then go home. The Fourteenth Amendment of the U.S. Constitution grants automatic citizenship to everyone born in the United States. It was intended to ensure that freed slaves would be able to claim citizenship they rightly deserved. Today, however, some creative "birth tourists" are ta ...

Jan 21, 2016
Believe it or not, I got a wonderful cat at a shelter today! He is a gorgeous black cat, looks like a little panther, and is incredibly affectionate and good natured. He had been there quite a while because the shelter people said they have such a hard time placing black cats! He is a love (and my third black cat), and I am so glad that a friend of mine suggested I take a black cat! So, no Savannah cat, no pit, no Rottie, just a wonderful and loving black cat! He is a very peaceful creature ...

Feb 28, 2012
gem. He made fun of the inexpensive raingear the Nascar fans were wearing. Smart, real smart. ...

Nov 09, 2009
Here is another one to keep all of you laughing. http://www.youtube.com/watch?v=eFPw5ojZYGw&feature=related ...

Nov 10, 2009
Had a bad day? It could have been worse. http://www.youtube.com/watch?v=l1CjvMTHbKc ...

Nov 11, 2009
This is a very funny one. http://www.youtube.com/watch?v=jWrj9TaA0Mc ...

Nov 12, 2009
I couldn't make up my mind on which one to send so I am posting both as today's funny. Here is another one for the animal lovers like me. Very cute. http://www.youtube.com/watch?v=CiBR_gWJmwE ...

Apr 05, 2012
Today is a choice Today is a choice. Choose to make it beautiful and productive. Today is filled with challenges, opportunities, frustrations, possibilities and much more. Choose to make good and meaningful use of it all. No matter what you have chosen or failed to choose in the past, today you can choose to live at your highest, most fulfilling level. No matter what today brings, you can respond with love, kindness, joy, gratitude and genuine enthusiasm for making a positive difference. In ...

Jan 21, 2011
Today, ASR heard the doctors name to be Dr. Shaky BUN. I just about laughed myself out of the chair. ...

Dec 31, 2009
One of our dogs died today. My husband just found her in her dog house. She was at least 15 years old. She was the mother of two of my other dogs. She was such a good dog. I am so sad...just needed to tell somebody...thanks ...

Jan 07, 2010
I'm surprised no one on this board commented on it yet. I watched it and he seems pretty pi$$ed. I just hope he really means what he said this time. As he said, it is his responsibility. Maybe now he will stop blaming the former administration and focus on being a president instead of a puppet. The only problem I see is that talk is cheap. Implementation of what his plans are for the terrorist problem has yet to be seen. I did miss the press conference between Homeland Security ...

Dec 16, 2010
So first I got a fruit basket delivered today from one of my accounts. Very nice. Then I got my mail and there was a X-mas card from our next door neighbor. They are retired, in their 80s, and live in Florida for the winter. Since we live in an area that has plenty of snow, we (usually me) shovel or snowblow their sidewalk whenever needed. In the past they have always sent a X-mas card with a check for my husband for doing the snowblowing, I think usually about $50. ...

Aug 04, 2010
At the end of a below-the-knee amputation, "Tourniquet was let down at the end of the case. The toes were pink and vascularly intact." Huh? ...

May 23, 2010
Patient was on DVD prophylaxis. I think I could use a little of that! ...

May 25, 2010
Mine is Jeans, red blouse with white polka dots and sandals. ...

May 27, 2010
In a sleep study report: "The patient reports that she occasionally wakes up in bed with a jerk." ...

Jun 22, 2010
Dictator said: toxoplasmosis ASR typed: tox the Plaza Moses ...

Apr 20, 2012
NBC/WSJ Poll out todayObama Job approval 49%Favorable/UnfavorableObama 48/39Romney 33/36Preference for CongressDemocrat controlled 46%Republican controlled 44%Who would you vote forObama 49%Romney 43%Support TeapartyYes 25%No 64%Caring about average peopleObama 52%Romney 22%Women's IssuesObama 49%Romney 21%Looking out for Middle ClassObmam 48%Romney 27%Commander in ChiefObama 43%Romney 33%Consistent and standing up for his beliefsObama 41%Romney 30%Honest and straigt forwardObama 37%Ro ...

Jun 05, 2012
Here I am in Wisconsin on my way to the polls saddened by the fact that no matter which way I vote my state is going to be harmed. Barrett?? Walker?? Is there no one out there anymore who is actually interested in the populace they are SUPPOSED to be working for?? ...

Sep 05, 2012
1. They removed God from their platform - and then they actually BOOED when they had to jam it back in. Barry knew all about this, incidentally, and had absolutely no objection to the removal action - until the political potato got too hot for him to handle. Now he's pretending that he rode in like the Lone Ranger and "saved God". Disgusting. 2. A Dem leader in Florida said that Christians want Jews to be massacred. 3. A Dem legislator in Arkansas plead ...

Sep 06, 2012
. ...

Sep 14, 2012
"To an observer, it looks like the sharks lose their mind biting at anything that's in their way in an uncontrollable rage. They thrash around, their snouts elevating and their backs arching, all signs that indicate an impending attack. Some accounts tell of sharks eating each other and of sharks continuing to feed even after they've been disemboweled by other sharks." ...

Sep 30, 2012
kids' deadbeat dad, no job and no UI, I have to beg for financial assistance at church. I hope they can help me. If not, I am royally screwed:((( ...

Oct 08, 2012
I'm just about over being sick. I don't have to work today. The whole day stretches before me in pure luxurious possibility. Yes, I have to do more "job hunting," no the job hunt really isn't going that well. But today, I'm gonna set that aside. I'm reading Longfellow (poet), I really like it, it's easy to read - poetry that's easy to read, what a concept! I'm also working on a poem and my novel. It's like 24 hours' ...

Oct 11, 2012
Got the car fixed - several things wrong with it - so hopefully fingers crossed it will make it through the winter. The whole winter. And there's another car here, so if worse came to worst, I could take that. Moral of the story - a big stress is when "worse comes to worst" is on the horizon, and you have to live with that possibility day in and day out. So one aspect of that is gone. Bought a nice velveteen-ish jacket at Salvation Army - eight dollars - it is pitiful wh ...

Jan 26, 2013
"President Obama, if we put the Constitution on a teleprompter, will you read it?" ...