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 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 we ne... Read Full »
Answer: Hello, Welcome to icliniq.com. 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 t... Read Full »
What do a mildly dilated LA, normal LV, and mild MR in echo report mean?
Query: Hello doctor, My father had an echo test. The report says 'Mildly dilated LA, Normal LV size with moderately reduced function, Mild MR, LVDD II'. What does it mean? Read Full »
Answer: Hello, Welcome to icliniq.com. Did he have any chest pain or heart attack in the past, or is he diabetic? To summarize the report, it says there is a decreased functioning of the heart, which most commonly occurs due to coronary artery disease or sometimes due to the weakening of the heart mus... Read Full »
Kindly see my father's reports and say whether he has a heart problem.
Query: Hello doctor, My father was admitted to the hospital last month, due to pain in the stomach, left hand, and shoulder. He is hypertensive from the last two years. After doing some tests, the doctor said that there might be a problem in the heart. I am attaching his reports and prescription. Please gi... Read Full »
Answer: Hello, Welcome to icliniq.com. I have carefully gone through your father's reports (attachment removed to protect the patient's identity). He has got two problems, a heart disease called coronary artery disease and gastritis. His ECG shows abnormalities and his troponin level is also elevated,... Read Full »
What is the cause for having fluttering in my chest with shortness of breath?
Query: Hi doctor, I am a 24 year old male weighing 221 lbs. I felt a fluttering in my chest yesterday for the first time, which only lasted for five seconds and I felt short of breath. I got an ECG, x-ray, CBC and HbA1c done today. I am worried about my ECG being abnormal. I am scared that there could be s... Read Full »
Answer: Hello, Welcome to icliniq.com. Do not worry because the probability of any serious illness at this age is low. However, these are probably an arrhythmia like atrial fibrillation or PVC (premature ventricular contraction), which are not a serious condition. These can cause all your symptoms and... Read Full »
What does borderline ST segment response mean in TMT?
Query: Hello doctor, I do regular health checkups and last year my test reports were normal. I had another health checkup last week. In my TMT it showed the impression as borderline ST segment response. Fair exercise tolerance. What does it mean? How serious is this? What is the next step? Tests like echoc... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect the patient's identity) very carefully. Do not worry as ST-T changes less than 1 mm are not significant in inferior leads, and in the anterior leads also the changes are less than 1 mm. You achieved the t... Read Full »
Could you please review my ECG and explain the report?
Query: Hello doctor, I had to take an ECG for employment purposes. As the cardiologist is not around, I would like to know the result of the ECG, as soon as possible. Could you please review my ECG and explain the statements in the upper right corner? I have never had any heart problems, and I do not prese... Read Full »
Answer: Hi, Welcome to icliniq.com. There is conduction system in the heart, and it consists of various wires called bundles and fascicles. Due to various reasons like coronary artery disease, hypertension or a block or interruption of conduction, it may lead to changes in the ECG (attachment removed to pr... Read Full »
My father was suggested surgery for heart blockage. Kindly give your opinion.
Query: Hello doctor, My father have been advised for a heart operation, as heart blockages found in the medical examination. I am attaching the report (scan copies). I need a second opinion from your side. Please help and advise further. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through all the reports of your father (attachment removed to protect patient identity). He has got a triple vessel disease and all the three major coronary arteries are critically blocked. The main problem before giving a suggestion is that you have not enclo... Read Full »
Should my dad opt for bypass surgery?
Query: Hi doctor, The patient is a 62 year old male. He complained of pain in the chest and became unconscious following sweating. We have been advised to do bypass surgery to cure the disease. My father has never had any heart issue so far and now it is a shock to us. Last year too, he had some chest pain... Read Full »
Answer: Hi, Welcome to icliniq.com. I got an idea from the attachments (attachment removed to protect patient identity) that the patient is having severe blockages in coronary arteries. These blockages were gradually progressed over years to the present state. The patient if diabetic may not get any signif... Read Full »
Is my headache a side effect of any medicine?
Query: Hi doctor, I am a CAD patient for the past 10 years with 50% blockage. I have uploaded the image for your reference. I am taking Prolomet XL 50, Monit SR 30, Deplatt A 75, Lipicard 160 and Amixide H. I am suffering from headache since one year. My neurologist prescribed me Tryptomer 10 at first and ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query in detail. There are certain things that would need more clarity for a complete diagnosis. First, it is strange that you have a blockage at such young age. I would suggest that you should get yourself revaluated for CAD (coronary artery di... Read Full »
What are the treatment options for coronary artery disease?
Query: Hi doctor, My father is diagnosed with coronary artery disease and triple vessel disease with LM. I have attached the angiogram report for your reference. Is the CABG only solution or partial stenting may work? Or is it fine to give only the medication as there are not much clinical symptoms? His TM... Read Full »
Answer: Hi, Welcome to icliniq.com. I have carefully reviewed your health query and feel sorry for your father's health issues. It is a concerning disease process. I never recommend to leave it as such and do nothing much for an advanced coronary artery disease. He has got triple vessel involvement and in s... Read Full »