Hello, Welcome to icliniq.com. I carefully reviewed your dad's medical history and test results, and I would like to explain that it is necessary to perform percutaneous coronary angioplasty followed by stent implantation in the right coronary artery (RCA). Stents will be required in multiple segments, including the area with 80 percent proximal stenosis and the distal segment where there are consecutive stenoses of 80 to 90 percent. Therefore, at least two to three stents will likely be necessary to properly treat his RCA. In addition, lifestyle modifications will be essential to prevent further progression of atherosclerosis in other parts of the coronary arteries.
Hello, Welcome to icliniq.com. Your symptoms could be related to myocardial ischemia, and musculoskeletal pain cannot be ruled out either. Given this, I recommend going to the emergency room (ER) for a thorough physical examination and the following tests: Resting ECG (electrocardiography). Cardiac enzyme tests. Chest X-ray.
Hello, Welcome to icliniq.com. Your symptoms could be related to anxiety. I agree with your doctor that mitral valve prolapse is not a serious medical condition. However, it can trigger ectopic heartbeats, especially during strenuous physical activity. If the problem persists, I recommend undergoing ambulatory ECG monitoring for 24 to 48 hours, along with some blood tests.
Hello, Welcome to icliniq.com. I reviewed the therapy prescribed by the doctor, and I agree with it. It includes a blood thinner (Aspirin and Clopidogrel) to help prevent blood clots in the coronary arteries, a beta blocker to lower the heart rate, a nitrate to help increase blood flow in the coronary arteries, and a statin to help lower cholesterol levels. I would recommend reducing the dose of Metoprolol if her heart rate is very low (below 60 BPM) or if she is experiencing chronic fatigue. I hope you find this answer helpful.
Hello, Welcome to icliniq.com. I understand your concern. I want to explain that when we are in front of a cardiac conduction abnormality in a young adult first, it is necessary to exclude an infectious and inflammatory disease, like Lyme disease, sarcoidosis, and other cardiac issues, like myocarditis, and anomalous coronary artery, etc. It is necessary to undergo a full blood test panel and a cardiac ultrasound test. For a more detailed cardiac tissue characterization, it is necessary to undergo a cardiac magnetic resonance imaging test (CMR).
Hello, Welcome to icliniq.com. Your cardiac ultrasound is within the normal range. Those findings (left atrium mild dilation and aortic valve leaflets thickening) do not have any clinical significance. Low blood pressure could be related to pregnancy or proteinuria. For this reason, I recommend performing a urine analysis for microalbuminuria.
Hello, Welcome to icliniq.com. I carefully reviewed your question and would like to explain that some premature ventricular contractions (PVCs) or ectopic heartbeats are quite normal in healthy individuals during emotional stress or physical activity. However, a cardiac arrhythmia cannot be excluded either. At this point, I recommend performing 24 to 48 hours of ambulatory ECG monitoring (Holter) to examine your heart rhythm trends over an extended period and investigate any possible cardiac arrhythmia. Additionally, some blood tests are needed to exclude metabolic disorders that may trigger this clinical scenario.
Hello, Welcome to icliniq.com. I have read your query and can understand your concerns. Regarding your concern, I would suggest increasing the dose of Cilnidipine and Telmisartan to 10 mg daily or increasing the dose of Telmisartan up to 80 mg daily. This will help keep your blood pressure under control. I would also recommend performing some blood tests to investigate for any possible metabolic disorders.
Hello, Welcome to icliniq.com. I understand your concern. Based on her kidney function test results, she is able to undergo coronary angiography. I agree with her doctor’s recommendation, as this procedure can help identify any potential coronary artery stenosis and allow for angioplasty if needed. Another test that can help assess for coronary ischemia is the Dobutamine cardiac stress test.
Hello, Welcome to icliniq.com. I recommend performing ambulatory ECG (electrocardiogram) monitoring for 24 to 48 hours to investigate any potential cardiac arrhythmias. I would also suggest conducting a complete blood count and assessing blood electrolytes for any possible imbalances that could trigger ectopic heartbeats. Regarding your blood lipid profile, I recommend modifying your diet by avoiding fatty foods and sugar while increasing your intake of omega fatty acids (such as fish, fish oil, olive oil, and walnuts). Additionally, I suggest considering a statin due to your blood lipid profile.
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