Coronary Angiography

Coronary angiography is a procedure done to see how blood flows through the heart. Here, a dye is injected into the blood vessel, and X-rays are taken to see the flow. This is usually done along with the procedure called cardiac catheterization, which measures the pressure of the heart chambers.

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What is the treatment for coronary artery calcification?

Query: Hi doctor, I felt some chest discomfort for about three weeks. Last week, I had an ECG, blood tests, echo, stress test and CT angiogram and everything came back clear. But, there is something I am not sure about the CT angiogram. It is as follows. The heart is normal in size. No pericardial thickeni...  Read Full »


Dr. Rishu

Cardiologist

Answer: Hi, Welcome to icliniq.com. Your angiogram is perfectly normal (attachment removed to protect patient identity). Calcification is a normal phenomenon, which starts when we are at the age of 10 years. It starts with every individual and keeps on increasing gradually as time progresses. A calcificati...  Read Full »

Can malaria elevate CPK value?

Query: Hi doctor, My father, who is 70 years old, was admitted in a hospital for severe weakness, high fever (105 degrees Fahrenheit), shivering and lack of appetite. Blood tests revealed that he had malaria (Vivax) and a platelet count of 44,000, which is below normal. But, there was no dengue or typhoid....  Read Full »


Dr. Manish N Garg

Cardiologist, Cardiothoracic Surgeon

Answer: Hi, Welcome to icliniq.com. CPK enzyme (creatine phosphokinase) is specific to the heart. It gets elevated only in cardiac disease and not in malaria. However, a more specific test would be troponin enzyme levels. Also, age does not cause CPK enzymes to increase. Low platelet is due to malaria and n...  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 »


Dr. Rishu

Cardiologist

Answer: Hi, Welcome to icliniq.com. I have gone through his reports (attachment removed to protect patient 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 coronary ar...  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 »


Dr. Manish N Garg

Cardiologist, Cardiothoracic Surgeon

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 again in six months if the patient is asymptomatic. If otherwise, you can get a CT coronary angiography to rule out any CAD ...  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 »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

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 »

Is CT coronary angiography better than catheter based investigation for heart blocks?

Query: Hello doctor,320 slice CT scan machines have been introduced in my country. It is claimed that a CT coronary angiography done on such a machine will pinpoint accurately the blocks in the heart. Rendering a catheter based investigation unnecessary. Can you confirm whether this is true?  Read Full »


Dr. K. Murali

Interventional Radiologist, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. It is not always true. Even today catheter angiography is the gold standard. CTA (computed tomography coronary angiogram) is a good screening tool to evaluate coronary blocks in high-risk asymptomatic patients or to assess preoperative cardiac fitness in some patients a...  Read Full »

Please suggest an alternative test for cardiac catheterization.

Query: Hi doctor, I have been having many issues in the last two years. My main issue right now is that I get a weird feeling in my stomach like I want to growl but I cannot. I am having shortness of breath, numbness of hands, tingling and heavy feeling. I feel like passing out and my heart starts to race....  Read Full »


Dr. Prashant Valecha

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Control of blood pressure (BP) is must as it may cause these kind of things or you may have a postural drop of BP. Stomach feelings can be due to diverticulitis (infected pouches in the colon) and GERD (gastroesophageal reflux disease). There is a possibility of Stokes-Ad...  Read Full »

What causes involuntary puffing?

Query: Hi doctor, I am a 45 year old male. A month back, I was diagnosed with sleep apnea. I have enclosed my report here. I feel breathless at night while lying down and I was advised it as because of sleep apnea. I have been trying to use a CPAP. For past two months I am experiencing breathlessness on...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. There is a probability of having a parasomnia which is defined as sleep disorders that involve abnormal movements and features like...  Read Full »

Please check my coronary angiogram and suggest the recommended medicines.

Query: Hello doctor,I am 45 years old. I had a coronary angiogram, and the first diagnosis showed proximal mild to moderate disease. LCX is a nondominant vessel, proximal mildly ecstatic, and it gives rise to three branches, only 3 OM has moderate proximal stenosis, OM 3 and OM 1 are normal. Please advice ...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I can well understand you are worried about your cardiac health. I have gone through the details and before getting to the personalized answer, I want you to please spare some time to add more information about, 1. Why did you felt a need for going to the cardiologi...  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 »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

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 fee...  Read Full »

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