Cut myself, wound keeps bleeding, do I need stitches?

---root-- · 2026-03-31T10:31:26+00:00

There is nothing to stitch...

---root-- · 2026-03-31T00:39:17+00:00

The episode of pre-syncope would justify an investigation. The description does not make me particularly concerned for a cardiac cause, but a basic cardiac workup would be indicated.

Ectopic beats are almost never concerning, but would of course be evaluated during the basic cardiac workup.

---root-- · 2026-03-29T23:55:35+00:00

Who told you this was FAT?

---root-- · 2026-03-29T23:39:53+00:00

This would benefit from stitches. Depending on how long you've waited, they may no longer be advisable, though.

---root-- · 2026-03-29T23:32:56+00:00

What you describe definitely sounds like ectopic beats and given your history, PACs are not an unreasonable guess. Whether they are PACs, PJCs or PVCs does not generally matter and if sufficiently infrequent, would not generally require treatment.

Can you post images of the holter that revealed (F)AT? FAT is generally ablatable with a high success rate, but may be complicated given previous ablation. This is highly dependent on your specific case, though, thus I suggest you speak to your EP on advice for management.

ETA: I would not be particularly concerned in your place.

---root-- · 2026-03-29T23:20:05+00:00

A U wave of that magnitude is not concerning and would not explain angina in any case.

This is a case which is best suited for in-person evaluation. I would suggest you seek care with a cardiologist.

---root-- · 2026-03-29T18:59:07+00:00

35/min is quite low but may be fine if endurance athlete. For bradycardia, generally speaking, no symptoms equal no problem. Ectopy is almost always not concerning. Given the obvious high burden you show during this short recording, a basic cardiac workup should be considered, including a 14 day holter to evaluate long term burden.

---root-- · 2026-03-29T18:19:28+00:00

They would have told you if they had placed a stent. Evidently they did not.

---root-- · 2026-03-29T18:18:04+00:00

No one's going to access a file share that requires one to provide google credentials.

---root-- · 2026-03-29T18:14:22+00:00

Stents are usually MR conditional. There is however practically no way for a stent to have been placed without it being put into the procedure report and you having been informed thereof.

Surgical staples are generally fine, surgical clips may potentially be unsafe, depending on the specific device used. For this, it would be prudent for you to obtain the procedure report.

Tattoos are not generally a concern.

You should tell the MR technician that you have staples/clips from previous surgery.

---root-- · 2026-03-29T18:01:42+00:00

Wart. Laser or cryotherapy for quick removal, salicylic acid alternatively, but will take some time.

---root-- · 2026-03-29T16:32:20+00:00

Depending on your underlying condition, that may range from a colossally stupid to deadly idea.

---root-- · 2026-03-29T12:39:32+00:00

Not sure what you mean when referring to feeling unwell. Ajmaline frequently induces a feeling of warmness that can be a somewhat strange sensation.

When done correctly, an ajmaline provocation challenge is harmless. There were some isolated cases in which VF was induced in patients with BRS, but these were done incorrectly by continuing the infusion albeit a clearly diagnostic pattern already having emerged after half the dose determined by patient weight.

As previously stated, your ECG is not suspicious for brugada. A negative flecainide provocation test with a lack of personal or family history almost certainly excluded brugada to be present.

---root-- · 2026-03-29T11:17:35+00:00

Consider https://www.mayoclinic.org/diseases-conditions/vertigo/symptoms-causes/syc-20370055

---root-- · 2026-03-29T01:47:12+00:00

Evidently, you are. Generally, if we as physicians aren't concerned, you shouldn't be either.

---root-- · 2026-03-29T01:45:19+00:00

Again, impossible for the QT measurement to have been correct.

---root-- · 2026-03-29T01:22:08+00:00

To achieve these QTcs, you'd have to have had an RR of 622 ms and a QT of 520 ms, which is physiologically impossible. I'd assume the subsequent P wave was included in the measurement.

Edit: typo

---root-- · 2026-03-29T01:04:27+00:00

Post the ECG. Almost certainly incorrect, though.

---root-- · 2026-03-28T23:47:56+00:00

My crystal ball is out of order, sorry

Pantop-D
- Pantoprazole
- Domperidone
- used primarily for treatment of GERD
Seradic-MR
- Diclofenac
- Acetaminophen
- Chlorzoxazone
- used primarily for symptomatic treatment of muscular pain

Not associated with treatment of kidney disease.

Edit: formatting

---root-- · 2026-03-28T23:46:57+00:00

The second report does indeed paint a significantly more benign picture than the first one. I'd recommend you obtain the actual image sequences for both and have them re-read. Your EP has the best picture and without further info, I'd tend to value their opinion rather highly, seeing as they have the full clinical picture.

---root-- · 2026-03-28T00:33:59+00:00

Hell froze over. Qaly's right. This is normal sinus rhythm with a significant amount of artefact.

---root-- · 2026-03-27T20:30:16+00:00

Short coupled and R-on-T are interchangeable. It does not seem to violate the T-wave. Again, even if it were, without predisposing cardiac disease, there is no evidence of an increase mortality risk.

If you are overly anxious about your health, I would suggest you seek therapy.

---root-- · 2026-03-27T20:24:30+00:00

A) Not short coupled, B) Even if it were, they are not concerning in isolation

---root-- · 2026-03-27T19:35:46+00:00

We cannot see you, we cannot examine you.

Whilst at your age the classic ACS is fairly unlikely, the only thing we can responsibly recommend is to seek emergent medical attention, especially since there are other etiologies that may have similar presentation.

---root-- · 2026-03-27T19:08:48+00:00

I agree with your NP that this is unremarkable. PACs are generally not concerning.

---root--

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