Coronary Artery Disease

Coronary Artery Disease (CAD) or Ischemic Heart Disease (IHD) is a form of cardiovascular disease that causes reduced blood flow to the heart due to constricted blood vessels. It is the most common type of heart disease. The kinds of CAD are stable angina, unstable angina, myocardial infarction, and cardiac death.

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Why do I have chest pain during deep breathing?

Query: Hi doctor, I am a 68 year old male. My height is 5'4" and weight is 142 lbs. I stopped smoking at the age of 38. I drink on an average of half bottle of beer a day at most. I do prepare my own food, which is mostly organic. I eat meat, egg, little dairy, vegetables, a fair amount of raw food, seeds...  Read Full »

Dr. Rishu


Answer: Hi, Welcome to As your chest pain and heaviness is related to exertion (walking) a possibility that it is of cardiac origin cannot be neglected. A very important feature of stable angina is angina on exertion. The stabbing pain and dull nature, which can better be termed as chest hea...  Read Full »

My doctor said my coronary artery looks fine in my MRI. Is it true?

Query: Hello doctor,I am 50 years old and had a cardiac MRI dark blood, bright cone blood, and delayed enhancement images with contrast gadoterate. My doctor tells me this is a great test to rule out coronary artery disease. Only thing is it want stress MRI. He stated the coronary looked good and would pre...  Read Full »

Dr. Ilir Sharka


Answer: Hello, Welcome to Your doctor is right. Stress CMR is highly sensitive and specific for detecting cardiac ischemia. Furthermore, it is the test of choice for cardiac morpho-functional study and tissue characterization.  Read Full »

How can we treat coronary artery disease without surgery?

Query: Hello doctor,My father has coronary artery disease. He has a blockage in three arteries, one artery is cured by putting stunt, but some other doctors tell to do bypass surgery, but my father is afraid of surgery. Is there any treatment without surgery?  Read Full »

Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to I have gone through the reports. There are two best available options for CAD (coronary artery disease) at present, one is a bypass, and the other is stenting. Other available options are not high and are only adopted is either is two is not possible. Considering mul...  Read Full »

Is there any relation between excessive sleepiness and cardiac insufficiency?

Query: Hi doctor, I am wondering about the connection seen between my excessive fatigue or sleeping issue with cardiac insufficiency. I have excessive sleepiness due to mild sleep apnea. But I have a strange disconnect regarding exertion. Even, a slight anaerobic activity reduces my breath and it takes ti...  Read Full »

Dr. Vivek Pillai


Answer: Hi, Welcome to Yes, daytime sleepiness occurs due to sleep apnea. If it is present in its severe obstructive form, it can cause a host of cardiac diseases like atrial fibrillation, coronary artery disease, and heart failure. The exercise intolerance initially develops the consequence ...  Read Full »

Is high BP the cause of constant morning palpitations?

Query: Hello doctor, For the past 8 days I am having mild palpitations both morning and evening. Since, eight years, I am taking tablet Metolar 50 mg for BP. I consulted my doctor, he asked me to get ECG, ECHO and also thyroid tests. I even got lipid profile, kidney and liver function tests done and all t...  Read Full »

Dr. Muhammad M. Hanif Md.

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

Answer: Hi, Welcome to I have worked through your query and understand your health issues. I assure you not to worry. With all the normal laboratory reports (attachment removed to protect patient identity) palpitations in the morning and evenings may be due to anxiety. Anxiety is considered...  Read Full »

How serious is the left ventricular diastolic dysfunction?

Query: Hello doctor, How far is the left ventricular diastolic dysfunction serious? I am 68 years old. I also suffer from diabetes, BP, heart issues. I have had an angioplasty done 10 years back and again an angiography five years back. Please advice.  Read Full »

Dr. K Shanmuganandan

Rheumatologist, Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to You have LV dysfunction possibly due to a combination of hypertension and coronary artery disease. I would like to know whether the severity of LV dysfunction is critical or not, what type of LV dysfunction is there and what is the ejection fraction? I would be happy if...  Read Full »

What are the side effects of having multiple heart attacks over several years?

Query: Hello doctor, I was wanting to know the side effects of having multiple heart attacks over several years that is 10 heart attacks and 12 stents in the last 14 years. I would like to have something to read about it. I am currently taking Atorvastatin 80 mg, Metoprolol ER 25 mg, Lisinopril 10 mg, Clo...  Read Full »

Dr. Pooja Pardhi

General Medicine Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to I have gone through your case and can well understand your genuine health concern. Heart attacks are caused by a blockage in the coronary arteries that is the arteries supplying blood to the heart. Multiple blocks in the coronary arteries at different places reduce the ...  Read Full »

Can pain in left arm along with feeling of sickness indicate something serious?

Query: Hi doctor, I just wanted an opinion on what I need to do. I have been having pain in my left arm along with feeling like I am going to get sick and tired. My mom passed at 34 with a heart attack. Then presently my younger brother has a blockage. I am wondering if I may be over-reacting or should I...  Read Full »

Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to You have a strong family history of premature coronary artery disease, you are also at risk. Modify your lifestyle. Maintain weight with BMI less than 25, avoid tobacco and alcohol products if you consume. Reduce salt intake, and avoid fatty meals and fast foods. Have a...  Read Full »

I feel fatigue and weak with shortness of breath on doing exercise. Why?

Query: Hello doctor, I am 41 years old male suffering from fatigue and weakness. Even a little exercise makes me short of breath. My father was a heart patient with triple by pass. I want to find out if my weakness is due to heart problem. I have had ECG and 2D echo done. Both were normal. Are there any o...  Read Full »

Dr. Ilir Sharka


Answer: Hello, Welcome to I passed carefully through your concern and would explain that as your cardiac tests (ECG and echo) have resulted normal at rest (attachment removed to protect patient identity), an obvious cardiac disorder is primarily excluded. As you have coronary risk factors lik...  Read Full »

Why do I feel restlessness in my chest while on treatment for valve blockage?

Query: Hi doctor, I am 37 years old. Last year, when I was working, I had a restless feeling in my heart. So I left my work on that day and went back home. My pain got increased, and I immediately reached the hospital. After an hour, I got admitted to CCU, and I was there for five days. I had a blockage i...  Read Full »

Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to You had coronary heart disease at a young age, and PCI (percutaneous intervention) was done immediately. Now you have to be very careful in this regard because those with a coronary artery disease have a further risk. First of all, reduce your risk factors. Avoid smokin...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.