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Questions & Answers

Q&A

Answered by Dr. Mandurke Vivek Maroti

What could cause chest pain during pregnancy?

Hi, Welcome to icliniq.com. I understand your concern. Pregnancy involves many transformations in the body, and the workload on the heart increases significantly. Mild breathlessness and chest discomfort are common during pregnancy. Due to the potential risks to the baby, many tests cannot be performed.

April 22, 2026

Can malaria affect the heart health of a 71-year-old male?

Hi, Welcome to icliniq.com Thank you for consulting with us on icliniq.com. The right and left bundles are conducting structures of an electrical signal. However, with aging and other reasons, it does not transmit an electrical signal. It leads to the right bundle branch block, so the right side conduction is taken over by the left.

November 28, 2025

What is the difference between classic and non-classic MVP?

Hello, Welcome to icliniq.com. It looks like non-classic MVP (mitral valve prolapse). There is a mildly thickened AML-anterior mitral leaflet, but it does not matter much. Only the grade of MR is important. An eccentric jet is more dangerous as leaking of the valve will hit directly to the wall when it is mild or moderate.

September 26, 2024

Should individuals worry if there is a family history of HOCM?

Hi, Welcome to icliniq.com. As there is a family history of HOCM (hypertrophic obstructive cardiomyopathy) in the family and sudden death, you need to do an echo yearly. Secondly, if symptomatic or left ventricular dysfunction is shown, then another option is to do ablation. So, find the focus and do an ablation, which will be done by an electrophysiologist. The third thing is if runs of nonsustained ventricular tachycardia, then an ICD - ICD-implantable cardioverter defibrillator is another option, considering your family history.

September 26, 2024

Is surgery necessary for a mitral valve leak?

Hi, Welcome to icliniq.com. From your short descriptions, I understood that there is a leak in the mitral valve. Yes, mild to moderate leaks can be managed with medicine, but if a severe leak is there, then at some stage operation is required. I can guide you more if you send an echo report and more history. I hope this helps.

September 25, 2024

How can high blood pressure be effectively controlled?

Hi, Welcome to icliniq.com. Did you check her kidney function for creatinine levels? Are they high? What is her weight? Yes, blood pressure treatment is not a one-day task. For her age, I would aim for a blood pressure target of around 140/90 mmHg. Occasionally, a blood pressure reading of 150 mmHg is acceptable. Managing weight gain, reducing salt intake, stress management, practicing yoga, and maintaining an active lifestyle will help control her blood pressure in conjunction with medication.

September 25, 2024

Will diastolic dysfunction lead to heart failure?

Hello, Welcome to icliniq.com. I have reviewed your report (attachments removed to protect the patient’s identity) and made keen observations. Yes, diastolic dysfunction can lead to heart failure; however, we need to identify the underlying causes in your case. Sleep apnea is one contributing factor that needs to be treated. Additionally, you must manage your hypertension more effectively.

September 25, 2024

What factors contribute to a higher risk of heart attacks?

Hi, Welcome to icliniq.com. We monitor many patients, but these scores are merely predictors for screening individuals who are at risk. It is important to note that even individuals with low scores can experience heart attacks. You should discuss your report with your cardiologist instead of trying to interpret it on your own. We have seen many patients with critical blockages in coronary CT (computed tomography) scans who presented with only minimal disease; therefore, this test is not considered the gold standard.

September 25, 2024

What could be the cause of chest pain despite a normal ECG?

Hello, Welcome to icliniq.com. Though you suffered from rheumatic fever in childhood, when echo (echocardiogram) is normal there is no damage to the heart. You must be young with no risk factors like obesity, smoking, family history, or diabetes. That is why further tests may not advised by your cardiologist as not cause cardiac pain. If your pain is aggravated by walking or climbing, then it may be non-cardiac.

September 24, 2024

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