Patient's Query
Hi doctor,
I was diagnosed with heart failure. I underwent cardiac catheterization, and there were no blockages. But my doctors are not sure about the cause of the pain. Why am I not suggested to take a cardiac MRI? Please help.
Thank you.
Hi,
Welcome to icliniq.com.
Pain can be muscular, skeletal, pulmonary, or psychological. Please tell details about pain, exact location, severity, origin, relief, and associated symptoms. Send me your reports.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
There is a persistent pain in the chest and relieves after taking tablet Aspirin. My EKG is always abnormal. My doctor told that I have normal sinus rhythm but it may be left or right ventricular hypertrophy, inferior infarct, or anterolateral infarct. There is an indeterminate lucency of the left upper quadrant of the abdomen, due to superimposition of air within the stomach and left costophrenic sulcus. However, clinical correlation and possible evaluation with upright or decubitus radiographs of the abdomen may be helpful to exclude possibility of intraperitoneal free air.
Thank you.
Hi,
Welcome back to ilciniq.com.
From the reports attached (attachment removed to protect the patient's identity), your LDL (low-density lipoprotein) is 101 mg/dL, your total cholesterol level is average, and your triglycerides are normal. But why are you taking the tablet Atorvastatin?
You have raised glucose in urine and 45 to 50 percent of deranged EF (ejection fraction). The rest of the reports are normal. The ECG (echocardiography) findings you mentioned are abnormal. Please send your ECG report for further guidance. Have you ever had a heart attack or angina? Please share your catheterization report as well. Continue your medications.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
I had angina. Should I take a cardiac MRI or MRA?
Thank you.
Hi,
Welcome back to icliniq.com.
From the image attached (attachment removed to protect the patient's identity), your right heart catheterization is normal, and I could not find coronary angiography in these reports. ECG does not show evidence of a past heart attack, but there is a left axis deviation. If your coronary arteries are normal, you need not worry. If there is a significant coronary stenosis, angioplasty could have been done. No need for CMR (cardiovascular magnetic resonance imaging) if coronary angiography is normal. In angina, coronary angiography should be done. It is the gold standard test for diagnosing ischemic heart disease.
I hope this helps.
Please revert so I can assist you further.
Thank you.
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Answered byDr. Muhammad Zohaib Siddiq
Medically reviewed byDr. K. Shobana
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