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Questions & Answers

Q&A

Answered by Dr. Sapkal Ganeshrao Patilba

What causes tachycardia with shortness of breath and nausea?

Hello, Welcome to icliniq.com. I went through the details you provided. The symptoms are likely to be related to heart rate fluctuations. We have to find out the cause of this. We will require tests like 2-D echocardiography, Holter, thyroid profile, serum creatinine, serum electrolytes, and LFT (liver function test).

May 8, 2026

Can a 71-year-old have palpitations after a pacemaker?

Hello, Welcome to icliniq.com. I have gone through the report that you have provided. He is having the tachycardia-bradycardia syndrome. In this case, the pacemaker avoids his bradycardia episodes only. For his tachycardia episodes, drugs can be given.

April 24, 2026

How can I interpret my father’s echocardiography report?

Hello, Welcome to icliniq.com. I have reviewed the echo report you provided (attachment removed to protect patient identity). It is a normal echocardiography report. Since your father is going through a tough phase and his blood pressure is elevated, it would be best to administer the antihypertensive medications prescribed by your doctor (you did not provide the drug details). After controlling his blood pressure, he may start to feel better.

March 9, 2026

What causes frequent palpitations and severe health anxiety?

Hi, Welcome to icliniq.com. I understand your concern. Your symptoms are palpitations. The Holter monitor test was suggestive of Wenkebach's heart block with no evidence of tachycardia like atrial fibrillation, atrial tachycardia, or ventricular tachycardia. As the Holter monitor test is not showing any evidence of tachycardia and other reports like echocardiography, stress test, and blood tests are normal, you need not be worried.

March 5, 2026

How can a blockage in the heart be detected?

Hello,Welcome to icliniq.com.I have reviewed the ECG (electrocardiogram) you provided (attachments removed to protect the patient’s identity. It shows nonspecific ST-T changes in leads III and V1 to V3. Nonspecific changes typically do not indicate ischemia. However, given your history of high blood pressure and diabetes, I recommend undergoing a 2D echocardiogram and a treadmill test (TMT) to rule out any ischemic causes.

February 2, 2026

Stent placed for STEMI and could not follow up with doctor due COVID. Shall I continue my medications?

Hi, Welcome to icliniq.com. Gone through the details you provided. The above drugs are fine. You need to continue Brilinta with Aspirin at least until November 2020 (to complete one year after the procedure). Further continuation of two antiplatelets will depend on the situation at the completion of one year.

February 2, 2026

How to manage blockages in the leg and heart arteries?

Hello, Welcome to icliniq.com. I have gone through the reports you provided(attachment removed to protect patient identity).He has diabetes. The reports suggest that he has blockages in both the leg arteries and the heart arteries. The doctors have started him on anti-platelet and cholesterol-lowering medications.

November 26, 2025

Can acidity cause chest pain?

Hello, Welcome to icliniq.com. Chest pain can occur due to various causes, such as heart problems, lung issues, muscle strains, bone conditions, or stomach problems. Your TMT (treadmill test) is normal, indicating that your heart condition is likely healthy. The cause of your chest pain may be related to something other than a heart problem. Have you had an echocardiogram? If not, you may consider getting one to rule out any structural heart issues.

March 24, 2025

What causes back pain that radiates to the arm and chest?

Hello, Welcome to icliniq.com. I have reviewed the information you provided. Upper back pain radiating to the left arm and chest can have various causes, including muscle pain, stress, high blood pressure, or acidity. I suggest you get an ECG (electrocardiogram) to rule out any potential heart-related issues. If the ECG results are normal, you may consider trying analgesics for pain relief.

November 26, 2024

How can episodes of near syncope be effectively managed?

Hello, Welcome to icliniq.com. Hypertrophic cardiomyopathy (HCM) is a condition characterized by asymmetrical septal hypertrophy. The LVOT (left ventricular outflow tract) velocity is 1.97 m/s, indicating no LVOT obstruction. For long-term management, a follow-up echocardiogram is needed to assess any increase in the thickness of the septum.

November 22, 2024

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