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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CT angiography can accurately find heartblocks. Is it true?
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 »
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 »
Does my thallium stress test indicate any serious issues?
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 »
Why my father have calcified plaques in 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 »
Kindly let me know why Lexiscan is suggested over other tests.
Query: Hello doctor, My dad recently had an echo done which showed valve issues. The cardiologist wants to do a Lexiscan. I thought there are less invasive tests like calcium scoring that would give the same information. Why would the Lexiscan be recommended over other tests? Read Full »
Answer: Hello, Welcome to icliniq.com. Calcium score is not as informative as Lexiscan. It is a screening test and not a diagnostic. CT coronary angiography may yield a better information, but has false positive and negative rates. However, CT coronary angiography may be used as an alternative rather than... 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 »
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 »
I want to enquire about my CT heart scan results. Please help.
Query: Hello doctor, I have CT heart artery scan results. I would like it analyzed for blockages. The report says 100 % occluded RCA and some LAD blockage. Read Full »
Answer: Hello, Welcome to icliniq.com. I passed carefully through your uploaded coronary angiography CT images (attachment removed to protect patient identity) and would like to explain that there is extensive calcification inside the RCA (right coronary artery) that seems to produce important coron... Read Full »
Please check and explain about my dads echocardiography.
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 »
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 »
Query: Hello doctor, I had a master health checkup done seven years back, and all parameters were normal, including coronary angiography. Then, two years ago, I repeated all tests, including coronary angiography, which showed 15 to 20 percent stenosis of the proximal LAD (left anterior descending). The car... Read Full »
Answer: Hello, I am here to help you with your health queries. I understand your concern regarding the current treatment. As your coronary angiography shows mild LAD (left anterior descending) coronary artery stenosis, and you had this stroke-like episode, blood thinners and cholesterol-lowering drugs are ... Read Full »
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