Common "Coronary Artery Disease" queries answered by top doctors | iCliniq

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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Is there any alternative to bypass surgery in an 80-year-old?

Query: Hello doctor, The patient is suffering from acute heartache. According to the reports, he is reported with complete LBBB and coronary artery disease. Right now patient age is 80 years and most of the doctors recommend for bypass surgery. Is there any other alternative to provide immediate relief to ...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Angiogram pictures of the patient show disease in all three vessels and also left main vessel 30 % (attachment removed to protect patient identity). If the left main would not be having the disease, we could have thought of angioplasty of vessel of recent attack (infarc...  Read Full »

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 112 lbs 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 %...  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 »

Why do I suffer from erectile dysfunction and ejaculate early?

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

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 »

Is it safe to use Etodolac tablets in meralgia paresthetica?

Query: Hello doctor, I have a mild localized effect of meralgia paresthetica on my left leg in the knee area with mild numbness around the localized knee area. I have had mild pain in the left leg behind the knee disk for two years. The doctor gave me Etodolac 400 mg twice a day and Pantoprazole. My total...  Read Full »

Dr. Sharoff Lokesh Mohan

Answer: Hello, Welcome to Etodolac is a pretty safe drug to use in normal individuals. But, people with a risk of heart disease or high blood pressure should not use this tablet. Secondly, an antacid like Pantoprazole or Rabeprazole should be used with this drug to negate the chances of acidi...  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 (cardiovascular magnetic resonance imaging) 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 I manage my coronary artery disease?

Query: Hello doctor,I am a 50-year-old male and I have been diagnosed with coronary artery disease for the past two years. Is there any medication that can help cure or manage coronary artery disease? What are the potential side effects of the recommended medications? Are there lifestyle changes or additio...  Read Full »

Dr. Vandana Andrews

Answer: Hello, Welcome to I went through your query. Coronary artery disease (CAD) is a chronic condition that cannot be cured, but it can be managed with a combination of medications, lifestyle changes, and additional therapies. The goal of treatment is to reduce the risk of future heart a...  Read Full »

I have persistent tachycardia without chest pain. What is the cause?

Query: Hi doctor,I have persistent tachycardia of 90 to 110 beats per minute. I do not have chest pain. Before five months and last month, I did EKG and went to the emergency. The results showed nonspecific T wave abnormality and tachycardia in the reports.  Read Full »

Dr. Isaac Gana

Answer: Hi, Welcome to There is a possibility of having plaque build up in the inferolateral part of the heart. It can cause reduced oxygen supply to that area of the heart causing tachycardia. This does not confirm the presence of ischemia. Please mention whether you have done a fasting lipi...  Read Full »

I have had head and chest pains for years. Please help.

Query: Hi doctor, I am a male, who is 5.6 feet tall and weigh 172 lbs. I have head and chest pains for over five years. Currently, I take Metoprolol, Amlodipine, Losartan, and Prednisone. My pulse and heart rates are normally regular, but immediately after doing Valsalva maneuver, it becomes trigeminal p...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I have carefully reviewed your case and understand that you are worried about your heart beats and pulse after doing Valsalva maneuver. The trigeminal pulse is defined as the one with a pause after every third heart beat. It is usually due to the underlying process ca...  Read Full »

I have coronary artery disease. Is it reversible?

Query: Hi doctor, My medical condition, background information, current lifestyle and medications are as follows. My cardiac calcium score was over 4,500 before four years and is now over 9,400. Angioplasty before six months revealed mid right coronary artery stenosis of less than 50% and diffused LAD 20% ...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I assure you not to 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 »

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

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

Dr. Ilir Sharka

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

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