Question 1

does my heart rate increasing as expected with exercise rule out heart block type 2? resting heart rate is 48, increases as expected however

Accepted Answer

No: You can still have 2nd degree AV block as you exercise and increase your sinus node rate if every 2nd or 3rd ventricular beat is blocked. For example, if the atrial rate is 60 the ventricular rate could be 30; if the atrial rate increases to 80, the ventricular rate rises to 40. This is with a 2to1 2nd degree AV block.(mobitz 2 type).

Question 2

bilateral cross adductor reflexes notices in neuro clinical exam what does this mean? rest of exam was good no hoffmans no babinski emg and ncv good.

Accepted Answer

Brisk reflexes: Based on the information provided, nothing serious and is present in young anxious individuals.

Question 3

if i had heart block would my heart stay low even with exercise? resting heart rate is in the 50s but rises with exertion. this rule out heart block?

Accepted Answer

Depends on: the type of heart block. If the heart block was incomplete, your heart rate would still rise with exercise. The only way to know for sure is to visit a physician and get an evaluation and an EKG. Hope this helps!

Question 4

can a normal ecg, bloodwork and x-ray rule out myocarditis? ecgs show only episodes of sinus tachy w/ normal resting rate.

Accepted Answer

Pretty much: Normal troponin and normal ECG would rule out almost all cases of myocarditis. An echo would clinch it.

Question 5

what's the clinical significance of having a normal ekg and echocardiogram at rest but seeing pvcs and pacs during a stress test? do pvcs and pacs indicate a myocardial injury? blood test is also normal. what other tests should be ordered?

Accepted Answer

: A normal echo at rest signifies normal cardiac structures but a stress echo is needed to evaluate coronary artery status. Apparently yours was OK. This study doesn't shed light on the degree of atrial&amp;ventricular irritability. PVCs during recovery stage of exercise is felt to be of concern. An outpatient cardiac monitoring for 48 hours or longer is needed to assess the importance of the PACs&amp;PVCs

Question 6

found small lump below inside of ankle. painful to walk and hurts during rest. doc ordered mri to rule out tpd or mass. could i end up in a cast?

Accepted Answer

Depends on results: Depends on the results of mri. With tibialis posterior dysfunction, immobilization may not be enough, surgery may be necessary and then casting.  Plus there will be a need to address the flat footed ness.  If a mass consistent with a ganglion,  have it drained as an in office service. Ask if they can remove it, as an in office service if not successful.  If other mass, have removed.

Question 7

i had a ultrasound of my leg to rule out a blood clot but my left calf hurts daily even when resting. i have had an echo of my heart & sonogram. i have left arm pain, right temple pain & an ice cold stomach but a warm body. my chest burns. why?

Accepted Answer

: It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. It would be prudent to see a doctor. Start with a primary care provider for an initial assessment.  Wish you good health!

Question 8

is 80bpm good at rest?

Accepted Answer

Yes/No,  variables: It would depend on your medical history, current medications you are taking, body make up, size , shape, whether your are over weight, or not and  have hyperthyroidism or underlying heart issues.

Question 9

why do i tremble when resting?

Accepted Answer

Familial tremors: At age 31, your tremors are most likely benign familial tremors aggravated by caffeine and anxiety. Medications can cause
tremors, too. Parkinsons  disease is rare in
a person in their thirties.

Question 10

i would like to know how long i should rest?

Accepted Answer

Rest : At your age at least 8 hours sleep is required to replenish your batteries. Good Luck

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Doctor answers about:

Rest excluded clinical

A member asked:

Does my heart rate increasing as expected with exercise rule out heart block type 2? resting heart rate is 48, increases as expected however

A member asked:

Bilateral cross adductor reflexes notices in neuro clinical exam what does this mean? rest of exam was good no hoffmans no babinski emg and ncv good.

A member asked:

If i had heart block would my heart stay low even with exercise? resting heart rate is in the 50s but rises with exertion. this rule out heart block?

A member asked:

Can a normal ecg, bloodwork and x-ray rule out myocarditis? ecgs show only episodes of sinus tachy w/ normal resting rate.

A member asked:

What's the clinical significance of having a normal ekg and echocardiogram at rest but seeing pvcs and pacs during a stress test? do pvcs and pacs indicate a myocardial injury? blood test is also normal. what other tests should be ordered?

A member asked:

Found small lump below inside of ankle. painful to walk and hurts during rest. doc ordered mri to rule out tpd or mass. could i end up in a cast?

A member asked:

I had a ultrasound of my leg to rule out a blood clot but my left calf hurts daily even when resting. i have had an echo of my heart & sonogram. i have left arm pain, right temple pain & an ice cold stomach but a warm body. my chest burns. why?

A member asked:

Is 80bpm good at rest?

A member asked:

Why do i tremble when resting?

A member asked:

I would like to know how long i should rest?

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