Chest Pain + EKG Issue

[Deleted member 106824]

About a month ago I started having a slight compression feeling on my ches twhen lying done. Two weeks ago I got blood work done as my normal on-cycle process.

Got my blood work back and for the first time ever, probably due to doing an injectable only cycle, I had no issues. CRP was great, cholesterol values great, kidney levels good, liver values a little better than before the cycle, etc...I had previously decided I wanted to be done with gear in 2.5 years from now (totaling 5 years) but with this I actually thought maybe my predetermined time didn't have to be so rigid as this was very solid bloodwork.

Chest compression when lying down got a little more significant and in the last week I've definitely noticed it. Yesterday it was more directly on my heart and today it was the first time I noticed it while walking around and sitting at my desk as well. So I go to the doctor and get an EKG. Looks fairly normal and the woman who ran it said it seemed normal. Than the NP comes in and tells me "I don't want to concern you but there is a slight irregularity". On a few of my QRS segments there was a notch (circled in attached picture). I am attaching a picture of my EKG from 1 year ago (completely normal from what I can tell and what they told me) and my EKG from today (with the slight irregularity). Apparently it was so minor the computer didn't pick it up but the NP did and referred me to a cardiologist. Unfortunately, the earliest appointment is October 21st.

I assume at that time I will be able to get more tests done. My concern is she said the notches could be an indication of an issue with the bundle branches and not a current issue but an issue that is in the process of happening and she is concerned because "I'm on hormone replacement" (I have a script for 100mg Test C per week and that's all she knows). Right now I'm on a cycle of 750mg EQ + 750mg Test E. And blood work showed Testosterone as ">7500" so clearly overdosed.

In any case, obviously I will have to talk with the cardiologist but what do you guys think about the situation and the EKGs? I know she said it was minor but I'm concerned because it's gone from nothing to minor and now I'm feeling chest compression which itself has increased significantly in the last week. This could be nothing, but the fact that it's my heart is concerning. It's one thing to see blood work like I have in the past where liver enzymes are a little high or HDL is a little low which is indicative of a potential risk to given organs, but this is directly showing issues with the organ itself. I could be overreacting but I am starting to wonder about cutting my losses here, finishing my cycle (ends in December) and stopping at the 3 year mark and just going on my 100mg/week TRT indefinitely at that point. I'm obviously hesitant though because BBing is a huge part of my life and I still have so many goals I want to achieve, and likely need gear for.

Any thoughts are welcome/appreciated.


Edit: Sorry, the EKGs are not attaching properly. I will try to fix it but for the time being I think the post tells you the situation.

 

[Medic08]

Try and post the EKG if you can so I can see if you do intact have a bundle branch block. The NP doesn't sound like she knows what she's talking about since she couldn't really tell you if you had a BBB or not bc they're not difficult to diagnose. If it is in fact a BBB then it's most likely not a big deal if you haven't had to be hospitalized for a cardiac event. The thing about BBB is that they're either no big deal or they're present in an acute setting of a heart attack whić obviously isn't the problem in your case. The good thing is that if you actually do have a BBB then you've most likely had it for years and it's not going to cause you any problems. So, try to get the EKG up and I'll take a look at it.

As far as your chest pain/pressure, it can literally be a number of things. The pressure getting worse when you lie down leads me to believe that it's a muscular issue. Are you a heavy guy? If you are a heavy guy then laying flat will cause all that weight to create pressure on your lungs possibly causing it difficult to breathe. Chest pain is a funny thing. It can be as simple as acid reflux or muscle pain. Or it can be as serious as a heart attack or a PE. I think you're in the clear for anything major, but I would defintely follow up with your cardiologist.

 

[Medic08]

Just to add, a "notch" in your QRS doesn't automatically mean that you have a BBB. There are a few guidelines that have to be in place before making the diagnosis. First off, the QRS has to be greater than .12 secs or 120mm, it has to be in certain leads (most notably in leads V1-V4). Don't pay any attention to the computer interpretation. They're wrong A LOT of the time and I woułd never treat my patient based off what the computer says. With that being said, the computer is pretty good about catching BBB's so if it didn't catch it then chsnves are you are in the clear. The "notches" just mean that there is an electrical disturbance of some kind, but if it's not greater than .12 secs then it's nothing to even be concerned about. If you want I can explain why the EKG shows the notches and what it means.

I do think you're overacting and that your EKG and chest pressure is unrelated. I understand why you're concerned, but just follow up with the cardio doc.

 

[Deleted member 106824]

Hey Medic08, thanks for the indepth reply.


The NP was pretty rude, and brushed off my comments about the EKG (I have a decent background in the health field but nothing specializing with cardiology). Can't necessarily comment on how much she knew but I was able to upload the images here this time.

Is a BBB what the notch would indicate? and would this not be caused by gear? The thing that worries me is if I have some progressive issue that the gear is causing and exacerbating.

As for my weight, I am only 195-205lb depending on the time of year, and I'm 6'0". I don't have acid reflux. I do have crohns but never any acid reflux type issues with it and no previous chest pain from it (known about my crohns for 4 years now). One of the issues I had today, and part of why I made sure to see the doctor, is because today was the first time I noticed in while standing in my workout and post workout. As far as I understand it typical angina generally comes about from strenuous activity and is abated by rest, so that's not whats going on as mine was worse lying down for sure. Doing heavy squats didn't cause an issue.


I would love to hear your explanation on the EKG, the notch, and particularly why you think the EKG abnormality and chest pain is not related. Both because it seems relevant here and almost because I'm very interested in these types of things. Health is a huge concern/interest of mine so that's part of why I may be overreacting here. But I've never had any type of chest discomfort like this before, certainly over a period of weeks like it has been now (intermittently) so EKG aside I'd definitely like to figure that out as well.


First attached image is last year, deemed "normal" by the nurse. Second attached image is today, with a red circle showing the area she pointed out to be with the notches. She also said that the QRS waves were unevenly spaced (if you look at the end ones they are about 4.5 boxes apart whereas the others are ~4 boxes apart. I guess she felt that was significant).


Thanks a lot, really appreciate it.

Edit: In the red box, she said it was normal that it dropped so low after the QRS complex? Not sure what that indicates if anything but dropped much more than the others

 

[Jblack]

I have the same issues my man. I swore at times I was dying or this and that. After tons and i mean tons of tests since 2009, the cardiologist said I was normal. The pressure I felt was there for whatever reason, but not related to my heart. At which he guessed I probably then maybe felt something and then began freaking out thus causing a panic attack or some time of anxiety issue over it. Not saying mine is like yours, because no two cases are alike, but I am going with Medic on this one. I say relax and yeah maybe lower the gear for just an added peace of mind.

Side note because of my brittle bone disase I tend to always be in chest discomfort and such due to me sneezing and causing say a stress fracture in my ribs. My cardiologist said well are you in pain. I said yeah I hurt all the time everywhere so good luck me ever knowing if I am having a heart attack. Because my jaw hurts, my upper back, my left arm etc. He then replied oh you would know your having a heart attack or just drop dead, but either or when it comes to heart issue. Oddly enough I felt at peace after hearing that for whatever reason hahaha.

Good luck man, but I am sure its going to all be ok!

 

[ajdos]

Pumped there's a lot of info in your post.
But the one thing that jumps out at me is 750 mg of EQ.
I will never touch that stuff again, talk about something that really can increase RBC and hematocrit- there's your bitch as they say.
I dont know peoples love of that drug but if you have high BP or cardiac issues or are worried about them toss the EQ.
Just my old ass opinion.

 

[Medic08]

Pumped, I looked at your EKG and I plan on replying, but give me a little bit of time to reply. I'm doing movie night with the wife and kids so once they are all in bed I will respond.

 

[Deleted member 106824]

Pumped there's a lot of info in your post.
But the one thing that jumps out at me is 750 mg of EQ.
I will never touch that stuff again, talk about something that really can increase RBC and hematocrit- there's your bitch as they say.
I dont know peoples love of that drug but if you have high BP or cardiac issues or are worried about them toss the EQ.
Just my old ass opinion.

The reason I decided to go with EQ I believe is the same reason most do, supposedly less side effects, less estrogen and DHT conversion, less bloat, etc.

I have always had low Hb/Hct/RBC, not sure if that's due to my crohns or what but it's always been low or low-normal. I got blood work 2 weeks ago and got
RBC Count: 4.66 (4.2-5.8 Million/uL)
Hemoglobin: 14.8 (13.2-17.1 g/dL)
Hematocrit: 44.9 (38.5-50.0%)
Platelet Count: 149 (140-400 Thousand/uL)

So everything is mid-range at most and I just donated blood on Wednesday so they would presumably be even lower now. Not saying your suggestion is wrong, I'm just pointing out that my levels certainly aren't high and. As for my blood pressure when I went to the doctor today I got 107/59 and that was post workout as well.

I have the same issues my man. I swore at times I was dying or this and that. After tons and i mean tons of tests since 2009, the cardiologist said I was normal. The pressure I felt was there for whatever reason, but not related to my heart. At which he guessed I probably then maybe felt something and then began freaking out thus causing a panic attack or some time of anxiety issue over it. Not saying mine is like yours, because no two cases are alike, but I am going with Medic on this one. I say relax and yeah maybe lower the gear for just an added peace of mind.

Side note because of my brittle bone disase I tend to always be in chest discomfort and such due to me sneezing and causing say a stress fracture in my ribs. My cardiologist said well are you in pain. I said yeah I hurt all the time everywhere so good luck me ever knowing if I am having a heart attack. Because my jaw hurts, my upper back, my left arm etc. He then replied oh you would know your having a heart attack or just drop dead, but either or when it comes to heart issue. Oddly enough I felt at peace after hearing that for whatever reason hahaha.

Good luck man, but I am sure its going to all be ok!

So your EKG and everything else you got tested came back completely fine though? That's why I'm so concerned, that little blip on the EKG. I'd love to hear Medic08's thoughts on the two I attached but yea if my one today came back fine I would feel much more comfortable about it. Also the compression used to be generalized to my chest but now it seems a little more specific to my left side. I just don't want to be doing further damage if gear is the issue. As much as I love BBing and my goals within it are extremely important to me it means nothing if I'm screwing up my health.

I realize I could be overreacting but some of the stories I hear freak me out and the last thing I want is to be that guy who had a preventable condition where he just ignored the signs.

Thank you guys for your input. I think at the least given my unusually high Test levels (>7500) I'm going to cut my doses back from 750 EQ + 750 Test to 500 EQ + 500 Test. I can't imagine the difference in results there being too significant anyway (hopefully) as I imagine there is a point of diminishing returns.

JBlack, if I recall you were a fan of EQ right? Maybe not in high doses though, I don't remember exactly. I've had so many people over the years say anything below 600mg for 12+ weeks is worthless.

 

[TT]

Pumped340 and Jblack, did you any of you had gastroendoscopy?

I ask because I have a hiatal hernia that presents itself with similar symptoms as yours. Chest pain (specially when I lay flat or sitting upright with a full stomach) chest compression, palpitations, pain radiating in my left arm, basically similar symptoms to heart issues. Hernia can press on the vagus nerve and cause EKG irregularities.

It really amazes me how great this site is. The guy posts up EKG readings and a knowledgeable member takes to interpret the results with more clarity than the fucks who did EKG.

 

[beastmode121]

I think your EKG is normal. the Q "notches" she's talking about is probably an elevated QRS amplitude that could mean few things or means nothing. An echocardiogram can give you the best idea of what's going on with your heart.


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[MaineGuy]

Sounds like your EQ could be Test.

 

[Medic08]

Ok, sorry for the delay. I looked at your EKG and one thing is for certain, you do NOT have a BBB. The rules just don't apply. Your QRS is not wide enough for one, and honestly the QRS just doesn't have BBB morphology. BBB are very wide (> .12 secs.) and have obvious notches in the QRS. Left BBB are more easily seen bc they have really pronounced notches typically at the top of the QRS so it looks like 'bunny ears." Right BBB look more like a normal QRS, but the R waves are usually very tall and wide.

The rest of your EKG looks relatively normal. Yes, there is a difference in the your old and new EKG, but nothing to be alarmed about. Someone could have had different lead placement which made V1 look different on each EKG. Your P-R interval is knocking on the door of a 1st degree heart block, but its not quite there. That may sounds serious, but trust me, its not. When your P wave is greater than .20 secs. away from your QRS then you have a 1st degree heart block. What does that mean? Nothing.... Literally, they do not treat 1st degree heart blocks bc they are not dangerous in any way, shape, or form. Its not like a heart attack or anything, just a small delay from the SA node to the AV node. You don't have it yet, but your close. I'm just telling you bc in a few years you might hear, "Oh, you have a 1st degree heart block."

There are small notches in your QRS, but it means nothing at all and that NP is a retard for even getting you concerned about it. If the notched were more pronounced, if they were in all your leads, and if the QRS was greater than .12 secs then I would say theres something to it, but as it sits now, you're good. In lead III I see a negative Q wave, but its only 1mm big and its only in one lead. On an EKG if you want to diagnose a problem, it has to occur in two continuous leads which this does not. A negative Q wave can be indicative of heart damage, but it has to be at least 2mm tall and in two consecutive leads which does not apply in your case. Basically what I'm saying is that your EKG is normal and you have nothing to worry about. The only reason I went so far in depth is bc I wanted to ease your mind since that NP filled your head with nonsense.

The reason that I said that your chest pain and your possible BBB were unrelated is bc BBB don't typically cause chest pain unless an MI is present which in your cause it obviously wasn't.

You wanted to know how a BBB works. Imagine several power lines running all over and one of the power lines get a blockage in it. Instead of just dying off, that blocked power line will jump ship and finish its cycle with another secondary power line that's not normally picked up by an EKG. So that's why you see a notch with a BBB. That notch is the blockage in the bundle and once that blockage is present, that bundle automatically jumps to another bundle to finish its cycle. Once that bundle is blocked, its blocked, but the electrical circuit will always follow that bundle until it reaches the block and like always it will jump ship.

Hope this helps and answers all of your questions.

 

[Medic08]

This is an example of a true BBB. I am going to post pics to show you the difference between right and left BBB. Now you see why I said your NP is a fool for getting you worried? Your EKG looks nothing like this.

And just for reference here is a full EKG of a RBBB.

**broken link removed**

And a LBBB

**broken link removed**

 

[Deleted member 106824]

Medic08, thanks a lot for going into so much detail for me. Honestly what you said just makes me even more irritated by the NPs arrogance in how she was talking to me.

I recall learning about a 1st degree heart block not being a big deal (I think 2 students in the class said they had it actually), but is it literally nothing to the point that is doesn't even predispose someone to issues, or correlate with more risks for cardiovascular problems at all? How about with BBB, does that correlate with increased risks if I were to progress to that point (for all I know that may not even be a progression, I'm not sure if that's something that just occurs due to genetics or is caused by something)?

Also the PR interval "knocking on the door of 1st degree heart block", and the one negative Q wave you saw, were these not present in my EKG from 1 year ago?

Lastly, and basically tying in with that, are you seeing anything that indicates my gear use specifically could have caused any of it or are the potential problems purely genetic / unrelated to drug use? For the record I use no recreational drugs, I don't drink and have only used AAS. No GH/slin/etc. I ask because as mentioned I planned to come off gear in ~3 years at 26 years old, but am wondering if the change in EKG from last year to this year indicates that a negative progression could be occurring and I should consider coming off now.


I know that's a lot lol again the help is greatly appreciated.

Pumped340 and Jblack, did you any of you had gastroendoscopy?

I ask because I have a hiatal hernia that presents itself with similar symptoms as yours. Chest pain (specially when I lay flat or sitting upright with a full stomach) chest compression, palpitations, pain radiating in my left arm, basically similar symptoms to heart issues. Hernia can press on the vagus nerve and cause EKG irregularities.

It really amazes me how great this site is. The guy posts up EKG readings and a knowledgeable member takes to interpret the results with more clarity than the fucks who did EKG.

I have had a colonoscopy for my Crohns but that's it, no mention of a hernia in the results. The symptoms do sound similar but I've never had palpitations or pain down my arms. Additionally, this is only a recent problem. EKG last year was fine too and never had chest pains. I guess maybe once in a blue moon for a couple seconds but certainly not consistently.

Agreed about the site, there are a significant number of very knowledgeable members here willing to help out which I'm grateful for.

(question for you below)

I think your EKG is normal. the Q "notches" she's talking about is probably an elevated QRS amplitude that could mean few things or means nothing. An echocardiogram can give you the best idea of what's going on with your heart.


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I'm hoping to get an echo when I go to the cardiologist on 10/21, hopefully every test is done that day and I don't have to come back for multiple appointments.


Does anyone know if the fact that I'm on cycle interfere acutely with the results from an echo? TT I know you had an echo showing an enlarged heart which then went back to normal after coming off gear. So I guess I'm wondering, if I get an echo showing enlargement could that just be an acute thing that occurs while on cycle similar to how cholesterol is acutely affected and goes back to normal, or would it indicate my heart is now enlarged and I really need to come off gear for good?

It appears the EKG is not related to my chest pain from what everyone is telling me, so I wonder why the chest pain is even coming up. Its certainly not alarmingly bad, just a small pressure I've noticed and assumed couldn't be good.

Sounds like your EQ could be Test.

Based on my Test levels being >7500? I was wondering about that, I mean to get 7500ng/dl one would have to be on about 1g of Test or more. Given my cycle is 750 Test + 750 EQ that means either the EQ is Test or the Test is very overdosed.

Medi08 is correct there's nothing popping out saying MI . Ask for a stress test if your concerned brother. If you came into the ER with that they would have to rule you out with cardiac enzymes (elevated). The ECG basically means nothing.

Thanks for chiming in man. I would like to get an echo and a stress test done at the cardiologist. Partly because of this issue but also just to see and be on the safe side.

 

[Jblack]

Yep had the EKG done and mine was normal. But due to my having osteogenesis imperfecta (brittle bones) it also affects my collagen which means they have to take looks at my valves often. I was never checked for a hiatal hernia. I might ask to have that done on my next check up.

Pumped - glad to see your ok, but I agree with Ajdos I would not do EQ. Especially because of the anxiety issue...it makes me a ball of nerves.

Medic - your value as a member cannot be overstated enough. I learned a lot from reading that. Simply...amazing.

 

[Medic08]

Yep had the EKG done and mine was normal. But due to my having osteogenesis imperfecta (brittle bones) it also affects my collagen which means they have to take looks at my valves often. I was never checked for a hiatal hernia. I might ask to have that done on my next check up.

Pumped - glad to see your ok, but I agree with Ajdos I would not do EQ. Especially because of the anxiety issue...it makes me a ball of nerves.

Medic - your value as a member cannot be overstated enough. I learned a lot from reading that. Simply...amazing.

Thanks, Brother that means a lot, but I genuinely like helping people out, especially when it comes to cardio stuff. Cardiology is my favorite topic in medicine and I could talk about it for days. My long term goal is to be a cardiac PA so I think I will fit right in with those guys

I'm glad that I could teach you and others something bc teaching is really my second love. Obviously my explanation was very basic and not meant to replace the hundreds of hours on BBB that I've studied. It's a very basic explation which is what I figured you guys would want. What's funny about you saying my posts are valued is that I remember when I first came here some of the members would discredit my info bc I was "just a paramedic" and I needed to "quit acting like I know as much as doctors." Hahaha funny how things change. I don't pretend to act like I know it all or act like a doctor. I just share everything I can in hopes that I can each other's what I have learned.

You are a VERY valued member as well. Your story and drive to live a normal life is simply amazing. Anyone less would settle in a wheel chair and feel sorry for themselves. You my friend are truly inspirational and I find motivation from your story, brother.

 

[Medic08]

Pumped, I can tell that you're still pretty worried and I really don't think you have a reason to be RIGHT NOW. Absolutely nothing on your EKG is acute or life threatening. To answer your questions....

1. Your P-R interval is just about the same on both of your EKG's and yes its literally nothing to worry about. You can go your whole life with iTunes ever knowing you have a 1st degree heart block. Also there is nothing to treat so that should tell you how simplistic it is. Worst scenario (which is VERY rare) is that many years from now it could develop into a 2nd or 3rd degree block, but the chances of that happening are pretty slim. Also, the reason you shouldn't worry about it is that if it's going to develop into something worse there's nothing you can do to prevent it. It's something that progesses naturally and if it's going to happen then it's going to happen.

2. The same thing goes for a BBB. If you end up having a BBB then it's going to happen no matter what. There's no preventative measures to preventing from happening. But just like the 1st degree heart block a BBB typically goes unnoticed and by the time it's caught it's usually been there for years. The only time a BBB can cause major issues is in the presence of a heart attack. Again , there's nothing to prevent BBB and even if there were I highly doubt doctors would do anything about it bc they're jut not life threatening unless like I said it's coupled with an MI.

3. I honestly can't tell you if your gear use has anything to do with your EKG changes, but believe me when I tell you that your EKG is about as normal as it gets. The changes on your new EKG are very subtle and not an issue at all. I wouldn't worry about it what so ever if it was my EKG. I would follow up with a cardiologist since you're having chest pain, but I can tell you that he's not going to be concerned with your EKG.

 

[Deleted member 106824]

Yep had the EKG done and mine was normal. But due to my having osteogenesis imperfecta (brittle bones) it also affects my collagen which means they have to take looks at my valves often. I was never checked for a hiatal hernia. I might ask to have that done on my next check up.

Pumped - glad to see your ok, but I agree with Ajdos I would not do EQ. Especially because of the anxiety issue...it makes me a ball of nerves.

Medic - your value as a member cannot be overstated enough. I learned a lot from reading that. Simply...amazing.

Are you saying you wouldn't take the EQ simply because of the anxiety and the blood pressure issues it causes people? Because personally I have no blood pressure issues (usually 110/70 or a little higher on cycle and 105/65 or a little lower off cycle), and no anxiety either.

If there are other reasons let me know but those haven't been an issue and the highest my Hb/Hct/RBC has ever been was mid range. It's usually low.

I've decided to never use orals again, or tren, or mast. Maybe deca but not sure, so that leaves me with Test + EQ. AND NOW YOU WANT TO STRIP THAT AWAY FROM ME TOO?? lol

Thanks, Brother that means a lot, but I genuinely like helping people out, especially when it comes to cardio stuff. Cardiology is my favorite topic in medicine and I could talk about it for days. My long term goal is to be a cardiac PA so I think I will fit right in with those guys

I'm glad that I could teach you and others something bc teaching is really my second love. Obviously my explanation was very basic and not meant to replace the hundreds of hours on BBB that I've studied. It's a very basic explation which is what I figured you guys would want. What's funny about you saying my posts are valued is that I remember when I first came here some of the members would discredit my info bc I was "just a paramedic" and I needed to "quit acting like I know as much as doctors." Hahaha funny how things change. I don't pretend to act like I know it all or act like a doctor. I just share everything I can in hopes that I can each other's what I have learned.

You are a VERY valued member as well. Your story and drive to live a normal life is simply amazing. Anyone less would settle in a wheel chair and feel sorry for themselves. You my friend are truly inspirational and I find motivation from your story, brother.

You know the most intelligent people I've talked to on forums are rarely doctors. I think this applies to a lot of fields. My major in undergrad was health and exercise science, but wow there was some complete nonsense in those courses and most of the students would not be able to give more than the most basic of training and nutrition advice and the same goes for most personal trainers. Despite having that as my major I'd say 90% of what I know related to training, health and fitness is from my own research.

Being in dental school now I interact with doctors daily and again the lack of knowledge on some topics is almost scary.

Pumped, I can tell that you're still pretty worried and I really don't think you have a reason to be RIGHT NOW. Absolutely nothing on your EKG is acute or life threatening. To answer your questions....

1. Your P-R interval is just about the same on both of your EKG's and yes its literally nothing to worry about. You can go your whole life with iTunes ever knowing you have a 1st degree heart block. Also there is nothing to treat so that should tell you how simplistic it is. Worst scenario (which is VERY rare) is that many years from now it could develop into a 2nd or 3rd degree block, but the chances of that happening are pretty slim. Also, the reason you shouldn't worry about it is that if it's going to develop into something worse there's nothing you can do to prevent it. It's something that progesses naturally and if it's going to happen then it's going to happen.

2. The same thing goes for a BBB. If you end up having a BBB then it's going to happen no matter what. There's no preventative measures to preventing from happening. But just like the 1st degree heart block a BBB typically goes unnoticed and by the time it's caught it's usually been there for years. The only time a BBB can cause major issues is in the presence of a heart attack. Again , there's nothing to prevent BBB and even if there were I highly doubt doctors would do anything about it bc they're jut not life threatening unless like I said it's coupled with an MI.

3. I honestly can't tell you if your gear use has anything to do with your EKG changes, but believe me when I tell you that your EKG is about as normal as it gets. The changes on your new EKG are very subtle and not an issue at all. I wouldn't worry about it what so ever if it was my EKG. I would follow up with a cardiologist since you're having chest pain, but I can tell you that he's not going to be concerned with your EKG.

OK well thank you for helping ease my worries. I'm still glad I'm going to see the cardiologist, maybe I'll update this thread or start a new one after the appointment depending on what he says.

Again I'm not sure if seeing him while actually on gear will make the results of say an echo or stress test the equivalent of a false positive that something is wrong if its really just a temporary effect from the gear, but I suppose it would be mostly speculative anyway until I go to see him. For some reason I have a feeling an echo would show some cardiac hypertrophy simply from 8 years of heavy lifting + 2.5-3 years of on and off gear use (albeit not crazy doses and no GH).

 

[Medic08]

Are you saying you wouldn't take the EQ simply because of the anxiety and the blood pressure issues it causes people? Because personally I have no blood pressure issues (usually 110/70 or a little higher on cycle and 105/65 or a little lower off cycle), and no anxiety either.

If there are other reasons let me know but those haven't been an issue and the highest my Hb/Hct/RBC has ever been was mid range. It's usually low.

I've decided to never use orals again, or tren, or mast. Maybe deca but not sure, so that leaves me with Test + EQ. AND NOW YOU WANT TO STRIP THAT AWAY FROM ME TOO?? lol




You know the most intelligent people I've talked to on forums are rarely doctors. I think this applies to a lot of fields. My major in undergrad was health and exercise science, but wow there was some complete nonsense in those courses and most of the students would not be able to give more than the most basic of training and nutrition advice and the same goes for most personal trainers. Despite having that as my major I'd say 90% of what I know related to training, health and fitness is from my own research.

Being in dental school now I interact with doctors daily and again the lack of knowledge on some topics is almost scary.



OK well thank you for helping ease my worries. I'm still glad I'm going to see the cardiologist, maybe I'll update this thread or start a new one after the appointment depending on what he says.

Again I'm not sure if seeing him while actually on gear will make the results of say an echo or stress test the equivalent of a false positive that something is wrong if its really just a temporary effect from the gear, but I suppose it would be mostly speculative anyway until I go to see him. For some reason I have a feeling an echo would show some cardiac hypertrophy simply from 8 years of heavy lifting + 2.5-3 years of on and off gear use (albeit not crazy doses and no GH).

If you have any hypertrophy your EKG does not show it at all. When you have enlarged heart you will have very tall R waves in V1-V6. Look at the example of the LBBB I posted above and you see what I mean by tall R waves. The reason they're so tall is bc the QRS is the ventrical contracting and when you have hypertrophy the heart makes a bigger contraction bc the heart is bigger so it reflects on the EKG as tall ass R waves.

 

[Medic08]

An EKG is a valuable tool, but it does not tell you everything. I defintely don't think it's useless like LF said, but blood work and an echo is your best bet. Hopefully the cardio doc will do those two things, but I'm pretty confident that he will.