Okay, let's bring some perspective to your concerns. Firstly, Propanolol is a sympatholytic, not an anti-arrhythmic. While it imparts influence to help promote regular sinus rhythm, its mechanism of action is upon secondary factors in this regard rather than primary. These drugs are also commonly prescribed in the presence of anxiety because they also demonstrate a mild anxiolytic effect while lowering blood pressure which is dose-dependent.

I'm not certain what your physician's actual inclinations were since I don't have the actual report to reflect upon, but it is not altogether uncommon for there to be problems with the translation of a physician's notes into report form, typically by a third party representative, rather than a direct conflict of intentions by the physician.

As for the presence of a mild plaque burden, you share an extremely common clinical finding with women of the same age group, ethnicity and genetic predisposition. The finding does not summarily indicate or warrant intervention. Notwithstanding this fact, while an angioplasty performed in the presence of depressed platelets is considered a modest risk at best, it nevertheless constitutes a risk that might otherwise be abated at a point when platelet levels are more normalized. In any event, to bring clarification to your point regarding the matter, it is simply that the risk would be warranted under emergent circumstances and not that they would attempt to infuse platelets prior to the procedure. In other words, a low platelet count does not make the procedure altogether prohibitive by any means whatsoever, but merely performed in the presence of an increased modest risk factor for which any consequences can be anticipated and successfully treated.

I do not see anything within the context of your posting to suggest that you are at imminent risk at all, but merely that you demonstrate increased risk factors for heart disease. Any decision to perform an angioplasty procedure should be carefully guided by the actual cardiovascular risk as determined by clinical assessment and whether or to what extent the patient may be symptomatic.

The presence of both ventricular or supraventricular(atrial) ectopics is purely the exhibition of benign palpitations and does not suggest cardiac arrhythmia of a pathological origin.

I am unable to discern the meaning of your last statement in the posting and whether you are referring to scintilating scotomas or fortification spectra as it relates to "seeing lights." Furthermore, "feeling faint" is an extremely subjective experience and not a clinical finding.

If when you say you feel faint you are referring to the development of tunnel vision, diminished auditory capacity, dizziness and a general sensation that loss of consciousness is inevitable, then this is an extremely common finding in persons with significant anxiety. While persons with certain genuine cardiac arrhythmias can experience near-syncope or actual syncope, this is a verifiable finding as it relates to the detection of an actual underlying cardiogenic cause. It is not a circumstance to be construed merely by the transitive property, which would erroneously suggest that all persons who feel faint in the presence of a rhythmic irregularity suffer from heart disease.

You're going to be fine and I think your apprehension is causing you to read a great deal into the circumstances which in actuality do not bear confirmation. The inconsistencies perceived have only caused you to question your health status even further and to the extent that you appear actually concerned there is jeopardy involved. I do not agree.

Take a breath and relax. I would suggest that you casually confer with your primary care physician regarding the conflicts mentioned in the report. I think you'll find that there is an entirely logical explanation.

Best regards,

Rutheford Rane, MD (ret.)