Ask the doctor: Does the length of the ST segment on an electrocardiogram matter?

I have an electrocardiogram as part of my yearly checkup. After the last one, my doctor mentioned that my ST segment was longer this year than it was last year. He recommended that I have a stress test to check this out. I passed with flying colors. When I asked the cardiologist who did the stress test about the ST segment, he said the length isn?t really important, that the height and shape are what matter. Can you explain?

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Ask the doctor: How often does a leaky mitral valve need to be checked?

Your article on mitral valve surgery didn’t mention how often someone like me – with mild regurgitation from a leaky mitral valve but no symptoms – should have his or her valve checked. Are there any standards for this?

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Ask the doctor: Does joint replacement surgery cause heart rhythm problems?

Six months after having my knee replaced, I developed an arrhythmia. I know of this happening to others, including a friend who developed an arrhythmia after having his hip replaced. Does joint replacement surgery often cause heart rhythm problems?

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Ask the doctor: Is there a safe way to stop taking warfarin before surgery?

I’m a 79-year-old man with atrial fibrillation on Pacerone. I also take warfarin and aspirin. I plan to have a tooth pulled next month and wonder if it is safe to go off the blood thinners. How are these medications handled when serious surgery is needed?

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