Questions & Answers

Q&A

Answered by Dr. Wajahat

Do I need ablation for atrial fibrillation?

Hi,Welcome to icliniq.com.Atrial fibrillation (AF) is a type of cardiac arrhythmia in which there is an irregular contraction in the upper region of the heart (atria). Patients with AF may experience palpitations, dyspnea, tiredness, dizziness, and even worry. In AF the atrium doesn’t squeeze normally, so blood can pool inside the heart. This increases the risk of blood clots forming.

July 3, 2026

What to do for severe LCX stenosis?

Hello, Welcome to icliniq.com. Thank you for sharing your coronary angiography report with me (attachments removed to protect the patient’s identity). The report shows moderate disease in one of your coronary arteries, called the LAD (left anterior descending artery), which currently requires medical management only. The other dominant coronary artery, the LCX (left circumflex artery), has a severe narrowing of approximately 95% in its distal portion. Percutaneous coronary intervention (PCI) with stent placement is recommended for the LCX, particularly if you continue to have symptoms despite optimal medical therapy.

July 3, 2026

What causes a racing heart when falling asleep?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. The provided ECG (electrocardiogram) rhythm strip demonstrates a normal sinus rhythm with a heart rate approximating 70 beats per minute. All measured intervals fall within typical parameters, and the available data does not reveal any indications of arrhythmia (irregular or rapid heart rhythm) or myocardial ischemia. Experiencing a rapid or fluttering heartbeat is often referred to as palpitations.

June 24, 2026

What is the safest way to manage MI with hemophilia?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. This is a truly complex and high-risk situation for a young man living with hemophilia A (a genetic clotting disorder). At just 24, you are now facing an acute anterior myocardial infarction (MI), a serious type of heart attack, while still recovering from a recent intracranial hemorrhage just two months ago. On top of that, you are dealing with joint bleeds (hemarthrosis) that make it hard to lie down and intermittent hemoptysis (coughing up blood), possibly from bleeding in your lungs.

June 23, 2026

Can intense fear lead to cardiac issues in children?

Hello, Welcome to icliniq.com. I read your query and understood your concern. It is common for young children, particularly at a very young age, to develop intense fears or phobias about specific experiences, like haircuts or having water poured on their heads. These fears can trigger a stress response, leading to rapid breathing (hyperventilation), crying, and even vomiting due to overwhelming emotional distress. Vomiting in children can be a physiological response to extreme anxiety or when they are very upset.

June 21, 2026

Can AFib cause heart failure if it keeps recurring?

Hi, Welcome to icliniq.com I hope you are doing well. I understand your concerns regarding your atrial fibrillation (AFib), particularly since your heart rate was previously well controlled with Metoprolol but now appears to be less responsive to the same medication. I also understand your concerns about the bruising you are experiencing while taking Eliquis (apixaban). The symptoms you mention, such as palpitations, dizziness, shortness of breath, and fatigue, can happen when AFib is not well controlled. If Metoprolol used to help but is not working as well now, it is important to find out why this change occurred.

June 10, 2026

Is it safe to travel with blocked heart vessels?

Hello, Welcome to icliniq.com. I understand your concern and the need for guidance regarding your father's travel and treatment plan. To provide you with the most accurate advice, could you please elaborate on the blood clot you mentioned? Specifically, how was the clot diagnosed? I presume you are referring to a blockage in the blood vessels supplying blood to his heart muscle. If so, I would greatly appreciate it if you could share detailed reports of his angiogram and echocardiogram. Furthermore, could you please specify the type of surgery being considered? Is it an invasive surgical procedure or a percutaneous intervention? Understanding his current symptoms is also crucial.

June 5, 2026

What is the treatment of right ventricular hypertrophy?

Hello, Welcome to icliniq.com. I can understand your concern. There are many causes of right ventricular hypertrophy and right axis deviation in the ECG (electrocardiogram). When it is combined with shortness of breath, it needs clinical investigation and diagnosis for proper treatment. I would recommend an echocardiogram and basic laboratory tests to begin with.

June 3, 2026

How can women lower their triglycerides after menopause?

Hi, Welcome to icliniq.com. I read your query and can understand your concern. It would be helpful if you could share your lipid profile report so I can see exactly how high your triglycerides are. That information can guide decisions on treatment. Triglycerides are a type of fat (lipid) found in your blood.

June 2, 2026

What is the possibility of heart failure with daily marijuana use?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. The symptoms you are experiencing, including chest pain, rapid heartbeat, fatigue, and shortness of breath, along with tingling and numbness, are certainly alarming. It is reassuring that you have undergone several tests, such as EKG. Echocardiogram.

May 25, 2026

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