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My calcium score is high. Please suggest options.
Query: Hello doctor, I am 39 years old male. I weigh 185 pounds, height is 5.7 feet, and BMI 29. Recently my primary care doctor had a calcium score and stress test done on me and the calcium score (Agatston method) came out 34 and he said I am in the 96th percentile. My stress test was normal. He suggeste... Read Full »
Answer: Hi, Welcome to icliniq.com. Since your stress test is normal, and the calcium score is only 34, one thing is certain that at present there is no significant blockage in your coronary arteries. I was wondering what is the need for a statin, you have not shared your lipid profile report with me. Is ... Read Full »
I have a low coronary calcium score. Please help.
Query: Hello doctor,I am 43 years old with PVC and PAC's. Very mildly elevated cholesterol. I had a treadmill test and it said borderline ST segment changes. So, my cardiologist had me do a treadmill with echo (I do not have the results yet). My question is if I get back the treadmill with echo results and... Read Full »
Answer: Hi, Welcome to icliniq.com. If treadmill with echo report comes normal, it rules out major blockages in your coronary arteries. Read Full »
Can calcium lead to a short QT interval?
Query: Hello doctor, Is it normal to have QT Interval of 320 ms on frequency 76 bpm for a 20-year-old male? Is it possible that my level of calcium is the thing which is shortening my QT? My calcium is 2,54 µg/mL. Is it too less? I still feel something around my heart, mainly when I am in stress. Currentl... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your ECG (attachment removed to protect patient identity). I do not think, you have SQTS (short QT syndrome). I guess you do not have any family history of sudden cardiac death or ventricular tachycardia or of electrical shocks for cardiac r... Read Full »
I get lymph node enlargement in mouth, legs and neck. Is it lymphoma?
Query: Hello doctor, I was in a car accident four years back. After one week while I was having bath, I felt one small lymph node in my left neck. I did not feel it before. It was little bigger that time. By the time it is getting smaller but not going to its original size. I cannot see it now but I can f... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: No, it is neither lymphoma nor leukemia. There is no cell predominance (either neutrophil or lymphocyte or any immature cells) or the counts are also not high enough to think of leukemia. Lymphoma lymph nodes are usually m... Read Full »
I am a 37-year-old male with a calcium score of 6 and mildly dilated LA. Please help.
Query: Hello doctor,I am a 37-year-old male, and around two years ago, I had some cardiac testing when I was 35. The only results of note were a calcium score of 6 (CT coronary angiogram) and mildly dilated LA (biplane volume of 35ml/m2). Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your query and concern. A CAC (coronary artery calcium) score of 6 is normal and nothing to worry about. LA (left atrial) volume index is on the upper limit. Please share your ECG (electrocardiography) and echocardiography. Also, tell me your symptoms so ... Read Full »
I am a 38-year-old athlete with a high CAC score. How can I reduce it?
Query: Hi doctor, I am a 38-year-old male, very fit (competitive athlete) with a height of 6'0" feet and a weight of around 185 lbs. Out of curiosity, I got a coronary calcium score 18 months ago. Surprisingly it came back with a score of 25. I have no family history of heart disease. Assumed it was diet r... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your over-risk factors for coronary artery disease and your coronary calcium score are low. Here are the suggestions to reduce the risks. Smoking if you are a smoker, cessation prevents further damage to the internal lining of the arteries. A ... Read Full »
How can I increase my flexibility?
Query: Hello doctor, 3 to 4 years ago, I remember myself being very flexible, but now I am not. I play hockey five days a week and I am very active. Legs are not flexible and suffer from cramp a lot. Similarly, my lower back always seems to have knots and always aches. I also suffer from shin splints a lo... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. You are playing a very active game that requires stamina as well as muscle strength. You need to check your thyroid profile, calcium level, 25 (OH) vitamin D level, serum electrolytes, etc., to comment further. If no specific cause is found, then you should take a high pr... Read Full »