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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I feel sluggish as I have LAD artery disease and abnormal values of RBC and MCV. Kindly help.

Query: Hello doctor,I am a female with a height of 5.4 feet and 51 kg weight. I have had a complete blood count test every year since I had an episode of heart palpitations some years ago. I had a CT angiogram done ten years back, which showed disease in the left anterior descending to a maximum of 50 %, a...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I suggest you take tablet Aspirin 75 mg daily (enteric coated) and tablet Atorvastatin 20 mg daily as your LAD (left anterior descending) artery is 50 % blocked. These medicines prevent further blockage. MCV (mean corpuscular volume) is not an issue if you do not hav...  Read Full »

I am suffering from high cholesterol, and I would like to know if it can cause corneal arcus?

Query: Hi doctor, I have recently noticed a corneal arcus develop in my eyes. So as a result, I had my lipid levels checked. According to the report, serum total cholesterol level is 5.6 mmol/L, serum HDL cholesterol level is 1.2 mmol/L, triglyceride levels are 2.2 mmol/L, serum LDL cholesterol level is 3....  Read Full »

Dr. Prathish Kumar

Answer: Hello, Welcome to I understand your concern. Firstly, corneal arcus (lipid deposition in the peripheral cornea) is not common in your age group. It generally starts at around 50 to 60 years of age. Under the age of 40, the presence of arcus is usually associated with high lipid level...  Read Full »

Is the QRS contour abnormality normal for a patient with severe diabetes and hypertension?

Query: Hi doctor, My father experienced chest pain and back pain two days ago. He is 74 years old and diabetic. His BP was 130/84 mmHg and he takes medicine for high BP. His pulse rate was 95. His fasting sugar reading is 126 and PP is 154 with medication. We went for an ECG and something written on the gr...  Read Full »

Dr. Vivek Pillai

Answer: Hi, Welcome to Your doctor has done the right thing. All those abnormalities mentioned by the ECG machine including the so called inferior infarct are a consequence of hypertension (attachment removed to protect patient identity). The final call on the ECG has to be taken by the treat...  Read Full »

Are there any preventive measures to control high BP and diabetes?

Query: Hello doctor, I am a 70 year old. I have issues with high BP and diabetes. The doctor has given me a medicine for the heart and cholesterol. Are these good medicines? Is there any prevention I need to take? In some reports, it says that something is passing through the urine. I do not understand...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I have gone through the reports (attachment removed to protect patient identity). Regarding your urine doubt, I did not find anything in the urine report and there is nothing abnormal mentioned regarding urine. So, please see to it and reupload the report if availab...  Read Full »

Can you explain the echo reports?

Query: Hello doctor,Ten days ago, my dad collapsed on the street. We rushed him to the hospital and made an echo. Also, he was suffering from high blood pressure but, nowadays his blood pressure is low. This was the first time it happened to him after he took Avodart and Tamsulin. His reports read as f...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to He probably fell due to low blood pressure induced due to Tamsulosin. However, there are possibilities like heart rhythm abnormalities and rapid heart rate as his heart function is also low. The echo report indicates that his heart function is low and it is 39...  Read Full »

I experience a skipped heartbeat and increased heartrate sometimes. What could be the reason?

Query: Hi doctor, I am fatigued almost always, and sometimes I feel a pinch in my heart (I think it is the heart). Every few weeks, I experience a skip of the heartbeat, some times it is mild, and rarely it is strong. I consume alcohol a lot, and I do not exercise. I quit smoking a few years ago. When I dr...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to I sincerely understand how you are feeling. Please do not worry. Your lifestyle habits of heavy drinking and past smoking put you at risk of heart disease but do not necessarily mean that you have heart disease. Skipped heartbeats you experience are known as palpitat...  Read Full »

Is bariatric surgery advisable for a coronary artery disease patient?

Query: Hi doctor,I planned to go in for bariatric surgery and was instructed to take some pre-op tests for medical clearance. It included lab work, chest X-rays, and cardiology. So, today I received my EKG test results back. What does this mean?. I immediately sent an email to my doctor, but he is yet to r...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to I understand your concern. It is not a very serious matter but suggests that there can be ischemia that is decreased blood supply in one region. It can also be a normal variant in inferior leads and females. To confirm and rule out any coronary artery...  Read Full »

What is the treatment for severe recurrent chest pain?

Query: Hello doctor, My dad who is 70 years old, recently had a severe chest pain which started three weeks ago. Since it was of a recurring type, we visited a hospital for a check-up. They initially conducted ECG and then, a 2D echo, after which they said there is a problem but, a minor one and that ...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to I understand your concern. I have gone through all the test reports (attachment removed to protect patient identity). There is a significant evidence of blockage of multiple vessels, which are over 70 and 90 % blockages. In the case of a coronary artery disease ...  Read Full »

My 72-year-old father's blood pressure and cholesterol are high. Is an angiogram necessary?

Query: Hi doctor, My father is 72 years old and his blood cholesterol levels are high. He is currently under medication (ASA and two other drugs) to control his blood pressure. But he does not have any other symptoms like chest pain. My father's cardiologist advised that he should get a CTA test done. Her...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to Sorry about your father's ill health. Please answer the following questions so that I can help you further. 1. Does your father have other associated diseases apart from high blood pressure? 2. How high is his cholesterol level? 3. Does he co...  Read Full »

What is the risk of postponing an angiography?

Query: Hi doctor, I am a 45 year old male. My height is 184 cm and weight is 97 kg. I have breathlessness on exertion. I get some pain in my throat while walking, but not always. I had a TMT test which was positive. I did TMT for 6.3 minutes and stopped due to breathlessness. The ECG showed ST depression o...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I welcome you and 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 and can well understand your genuine health concerns.  Read Full »

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