Recently Answered Questions
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Are systemic hypertension and high BP the same?
Query: Hi doctor, I am a 45 year old male. My weight is 211 pounds and my height is 6 feet. My symptoms are breathlessness on exertion, neck constriction while walking, as well as on and off chest pain in the mornings that are unconnected with exertion. I am also suffering from severe sleep apnea. I had TM... Read Full »
Answer: Hi, Welcome to icliniq.com. I am really thankful for your kind comments. You have always been so nice and a health conscious person. I want to assure you do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine health concer... Read Full »
Should my friend opt for heart surgery?
Query: Hi doctor, My relative has got heart attack some days before. I have his reports. We need a second opinion about surgery whether he should go or not. His presenting complaint includes chest pain and high blood sugar. He is under diabetes medicine. Read Full »
Answer: Hi,Welcome to icliniq.com. Kidney functions tests of your relative are deranged (attachment removed to protect patient identity). His serum creatinine levels and potassium levels are high. What do you mean by surgery? Is that open heart surgery or stenting? However, the surgery can be done only kidn... Read Full »
Am I prone to get a heart attack?
Query: Hi doctor, I had a CT scan of my heart to check for calcium buildup in my arteries. The score is 5.83 cubic mm and there is a break down in left anterior descending and no detectable calcification. An approximately 2 mm calcification is present within the proximal aspect of the left circumflex coron... Read Full »
Answer: Hi, Welcome to icliniq.com. We follow so many patients, but these are just a predictor of screening patient who are at risk. Even, a low score person also gets a heart attack. You need to show your report to your cardiologist rather than doing interpretation by yourself. Even we had seen so many pa... Read Full »
Query: Hi doctor, This patient is complaining of prolonged chest pain for three weeks now. Took medication for gastric issue and the pain has not subsided. I have attached the angiogram report. ECG performed several times and nothing abnormal in it. The angiogram report showed mid LAD 12 mm length and segm... Read Full »
Answer: Hi, Welcome to icliniq.com. I appreciate your concerns and can well realize the sensitivity of the issues. There is considerable calcification of LAD (left anterior descending artery). If it reaches up to 75% that is quite possible in the near future, then complications and consequences can be seve... Read Full »
Please explain my father's heart problem from the medical report.
Query: Hi doctor, My father has diabetes for the past 15 years and he is suffering from heart problem for the past four years. Recently he was admitted to the hospital due to severe breathing problem, sudden fainting, loss of appetite and water accumulation in the stomach and legs. After taking treatment i... Read Full »
Answer: Hi, Welcome to icliniq.com. After careful review, I can appreciate well the sensitivity of the issues you and your family is suffering from. Your father seems to have left heart failure (attachment removed to protect patient identity) that landed him twice in the hospital. He is having the valve i... Read Full »
What does my TMT report suggest?
Query: Hi doctor, During a routine medical checkup, I had something wrong with my ECG (resting) and was recommended to go with echo 2D and TMT. I do not have any chest pain. My 2D echo report is fine. However, TMT was done and the report is as follows. Significant ST depression of 0.1 mm in leads V4 - V6 a... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for providing a detailed case history. I have reviewed every bit of the case aids provided here (attachment removed to protect patient identity) and can realize your issues. Based on these reports, we cannot say you have a coronary artery disease that may have be... Read Full »
Does my father require another angiography?
Query: Hello doctor, My father is 63 years old. He had an angioplasty before four years. From the last few days, he complained about shortness of breath. I took him to a cardiologist and the doctor just took the BP and suggested to admit my father. He said that previous angioplasty is of no use and he will... Read Full »
Answer: Hi, Welcome to icliniq.com. Reading his case scenario and the reports (attachment removed to protect patient identity), I would suggest to initially carry on with the medical management. If it fails and he is still symptomatic, then I would recommend CT angiography instead of traditional invasive a... Read Full »
I get a cramp-like feeling in my chest. Why?
Query: Hi doctor, Since last two to three years I have high blood pressure ranging 145/95 mmHg. This was mainly due to less physical activity and anxiety. I had medicine Telma 40, Telmaxx 25 etc., only one at a time. But, BP and anxiety did not get controlled. Again doctor advised me for Cilacar 5 mg twice... Read Full »
Answer: Hi, Welcome to icliniq.com. I have thoroughly gone through your case and reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. Read Full »
I have persistent cough and fast breathing. Should I get angiography?
Query: Hi doctor, My mother is 62 years old. She is under regular medicine for BP. Since five years she is taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from prolonged cough and fast breathing after long walk and climbing stairs. I am attaching her recent ECG, echo and x-ray reports. Plea... Read Full »
Answer: Hi, Welcome to icliniq.com.Your mom is hypertensive. On Olmy-D (Olmesartan), if her blood pressure is controlled then the treatment is fine. Cilapam (Escitalopram) is for anxiety (grossly). Is she having chest pain like symptom on exertion or at rest? If no then no need of GTN (Nitroglycerine). Chec... Read Full »
Query: Hi doctor, My roommate is in hospital with chest tightness and shortness of breath. Last week they ended up doing an angioplasty. They had not given him the results of any of the tests they had done, mostly just an x-ray and a sonogram. They found blockage in the Y of the circumflex artery and the l... Read Full »
Answer: Hi, Welcome to icliniq.com. You need to understand that emergency need of modality is angiography followed by angioplasty if required. You are right CT scan also known as CT angiography is highly sensitive for detection of clot. Its efficacy is as equal as traditional angiography. However, it is im... Read Full »