Recently Answered Questions
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Is coronary angiography required in chronic stable angina?
Query: Hello doctor, My mom is 56 years old. She is a patient with hypertension, diabetes, and mild nephropathy. Her BP is 140/80 mmHg, pulse is 96 beats per minute, creatinine is 1.3 mg/dL, fasting sugar is 125 mg/dL, postprandial is 157 mg/dL. For a few months, my mother has been suffering from chest pai... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. With these kidney function tests, she can perform coronary angiography. I agree with her doctor's recommendation because this would help identify possible coronary artery stenosis and perform angioplasty, if necessary. Another test that can he... Read Full »
Why are there calcified plaques in the coronary arteries?
Query: Hello doctor, My father had a stent surgery two months back. After that, he has been feeling a burning sensation and deep coughing. Yesterday at his CT scan, the left anterior descending artery had a calcified plaque with proximal LAD of moderate intensity of more than 70%, and also a densely calcif... Read Full »
Answer: Hello, Welcome to icliniq.com. If the patient had a stent surgery then why he is only on aspirin? He should be on dual antiplatelet, high dose statin, ACE (angiotensin-converting enzyme) inhibitor and a beta blocker. Please revise the medication chart. Consult your specialist doctor, discuss w... Read Full »
Does my thallium stress test indicate any serious block?
Query: Hello doctor, I am attaching my recent ECGs along with readings of aerobic capacity and VO2 max. The VO2 max and aerobic capacity are estimated low as exercise was interrupted after five minutes in the speed of 2.3 Kmph whereas I could have gone on for at least five more minutes with speed of 3.5 Km... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your history and your reports (attachment removed to protect patient identity). You are not symptomatic, ECG (echocardiogram) indicated a rhythm block. You are having a high-grade atrioventricular block which is the availability of the rhythm and ... Read Full »
My mother's ECG is abnormal even though she does not have chest pain. Why?
Query: Hi doctor, My mother is 65 years old and diabetic for the last 15 to 20 years. During her last blood and urine test, there were some issues with lipid profile test apart from sugar fasting and PP. When doctor performed ECG, there was some problem with that also. Now the doctor had recommended CAG. M... Read Full »
Answer: Hello, Welcome to icliniq.com. Your mother's test results show abnormalities. That is why the doctor has recommended CAG (coronary angiography). The ECG shows ST segment flattening at V, which indicates ischemia (reduced blood supply) and can lead to a heart attack. It can occur in patients withou... Read Full »
Kindly explain my dad's echocardiography report and further treatment.
Query: Hello doctor, My dad underwent echocardiography. The LVEF % which used to be in the range of 45 % earlier has dropped to 30 % to 35 % range. He had an episode of VT before two years and had ICD embedded. I am attaching his earlier and latest report. Please explain. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through his reports (attachment removed to protect the patient's identity). Wall motion abnormality is seen in the echo report of your father. The heart is supplied by three arteries LAD, RCA, and LCX that is, left anterior descending artery, right cor... Read Full »
Does my coronary CT angiogram show any abnormality?
Query: Hello doctor,I recently went for a coronary CT angiogram. I received the following report. While my GP explained my arteries were clear, he did not explain the anomaly apparently, which is in the middle line of the page I have attached. Should I be concerned about this? What does it mean exactly? Th... Read Full »
Answer: Hi. Welcome to icliniq.com. We are here to help you. I have studied your report (attachment removed to protect patient identity). One of your arteries is not following the normal anatomical course as in other people. However, this is a normal variant as is not going to harm you. There is no bl... Read Full »
Can T-wave inversion result from radiation therapy?
Query: Hi doctor, The patient is a 65 year old, hypertensive and diabetic female with T-wave inversion V1 to V6 on ECG. ECHO and TMT have done to evaluate further, which was reported to be normal. The patient is on Metformin XR and Tazloc-H. The patient is asymptomatic. Six months back, ECG did not show t... Read Full »
Answer: Hi, Welcome to icliniq.com. Global T-wave inversion carries a very little significance (attachment removed to protect patient identity). I would suggest repeating the ECG (electrocardiogram) again in six months if the patient is asymptomatic. If otherwise, you can get a CT coronary angiography to ... Read Full »
Is difficulty breathing after a workout sign of heart disease?
Query: Hi doctor, A few months ago, I have been having left side pain from my shoulder blade down to my arm till the tip of the last finger. I have had ECGs, blood work, chest x-rays and finally a CT angiogram. All were normal. I am tempted to go to the ER every time this happens, because I think this migh... Read Full »
Answer: Hi, Welcome to icliniq.com. I appreciate you and have thoroughly worked through your case. I can well realize the sensitivity of the issues you are feeling right now. My discussion today will mostly comprise of reassurance and explaining the things in the best possible way for easy understanding. Th... Read Full »
What can cause sudden blank out in a diabetic patient?
Query: Hi doctor, My father is 77 years old and a known diabetic for over six years. His height is 5'5" feet and weight is 143 pounds. This is regarding his recent angioplasty. He got it done before three months when he had a kind of seizure or fix. He was hospitalized for a week and got discharged with st... Read Full »
Answer: Hi, Welcome to icliniq.com. I want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case history, reports (attachment removed to protect patient identity) and can well understand your genuine health conce... Read Full »
Do my TMT reports show anything serious?
Query: Hi doctor, My father has undergone angioplasty last year. He went for TMT review last week. His TMT report shows variations, but he has no symptoms. His blood profile is normal for blood sugar and cholesterol. He is currently taking the following drugs, Deplatt 75 mg (0-1-0), Rozat 5 mg (0-0-1) and ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query in detail and I understand your concern. I need to know a few more details to help you better. Is there any history of diabetes or chest pain or hypertension? Does he get breathlessness on walking? Does he suffer from any swelling over the feet? I... Read Full »