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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What does my cardiac CT show?

Query: Hi doctor, Just now I got my cardiac CT report. I seek opinion of my radiology report before I see my cardiologist in a couple of weeks. Conclusion is that the stress test and echocardiogram results were fine. The CT cardiac report is as follows: Moderate coronary calcification detected with CAC sc...  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. We are here to help you. Your report (attachment removed to protect patient identity) is suggestive of coronary artery disease. But, the good news is that this does not require any intervention treatment if there are no symptoms associated like chest pain on exertion. ...  Read Full »

Is bypass surgery a must for chest pain?

Query: Hi doctor, My father had chest pain three months back, but he took it lightly. In the last two months, the pain has increased. Now I took him to a doctor. After all the tests and angiography he suggested to do bypass surgery. As we are not much aware of these types of diseases in family, we are look...  Read Full »


Dr. Sumit Srivastava

General Medicine Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Your father's reports (attachment removed to protect patient identity) shows 99% block in circumflex branch of left coronary artery, 50 % to 80 % block in left anterior descending artery as well as right coronary artery. Any blockage more than 70% is considered significa...  Read Full »

Can a CT scan detect clots?

Query: Hi doctor, My roommate is in hospital with chest tightness and shortness of breath. Last week they ended up doing an angioplasty. They had not given him the results of any of the tests they had done, mostly just an x-ray and a sonogram. They found blockage in the Y of the circumflex artery and the l...  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. You need to understand that emergency need of modality is angiography followed by angioplasty if required. You are right CT scan also known as CT angiography is highly sensitive for detection of clot. Its efficacy is as equal as traditional angiography. Howe...  Read Full »

Kindly evaluate the cardiac drugs of my father for heart attack.

Query: Hello doctor, My father recently had a heart attack and a stroke. Then had two heart valves repaired and they want to put a stent in. His list of medications does not seem to make sense and although he loves his cardiologist. I do not think he is paying enough attention. I am in the medical field a...  Read Full »


Dr. Rohit Jain

Cardiologist, Criticalcare Physician, Diabetologist, Endocrinologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Pulmonologist, Sexologist

Answer: Hi, Welcome to icliniq.com. Let us evaluate all medications your father is receiving. Diagnosis: Valvotomy, CAD with MI (coronary artery disease with myocardial infarction) and CVA (cerebrovascular accident) (recovered). Tablet Metoprolol is essential in patients with heart attacks as it slows th...  Read Full »

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

Cardiologist

Answer: Hi, Welcome to icliniq.com. 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

Cardiologist

Answer: Hello, Welcome to icliniq.com. 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 icliniq.com. 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

Cardiologist

Answer: Hi, Welcome to icliniq.com. 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 icliniq.com. 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 icliniq.com. 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 »

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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.