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 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 M. Hanif Md.

Answer: Hi, Welcome to icliniq.com. 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 »

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 »


Dr. Sagar Ramesh Makode

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 muscle...  Read Full »

Can a patient with coronary artery disease lead a normal life with lifestyle modifications?

Query: Hi doctor, My husband is 37-year-old and had angioplasty in LCX five years ago and again had another angioplasty recently in proximal LCX. He also has 50% stenosis in LAD and RCA. Can he live a normal life and to full term? How to reverse coronary artery disease? Can changes in lifestyle be helpful...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Yes, he can live a normal life if he makes a friendship with his heart. If he remains a good friend, his heart will be even more good friend of him. Not only this, but his heart will teach him how to live a healthy life, how to be good. Every one of us has some degree o...  Read Full »

Is there any medical treatment to cure blocked blood vessels?

Query: Hi doctor, My mother is 80 years old. She felt uneasy in the night, and we immediately took her to the hospital. She was diagnosed with three vessels blocked two of them 90%, and the third one is 40% blockage. After angiography, the doctor advised for an operation. Due to her age, we would like to g...  Read Full »


Dr. Salah Saad Shoman

Answer: Hi, Welcome to icliniq.com. Unfortunately, no medical treatment can restore the blood flow in the blocked vessels. Your monther's condition requires a percutaneuos coronary stent. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online...  Read Full »

Why am I having LVEDP of 4 mmHg in diastolic dysfunction?

Query: Hello doctor, I am a 57 year old male, and I had episodes of shortness of breath and tachycardia, six months back. I take high doses of Statin and ACE inhibitors from ten years, and my lipid profile is excellent. EKG showed slight ST depression, an echocardiogram showed WMA (wall motion abnormalit...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Thanks for providing a detailed explanation. In my practice, normal LVEDP (left ventricular end-diastolic pressure) is considered between 4 to 12 mmHg. I would love to know when you last went for any of these tests, that is EKG (electrocardiography), echocard...  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 »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I have carefully gone through your father's reports (attachment removed to protect patient 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, i...  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 »


Dr. Sagar Ramesh Makode

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 »

Can high cholesterol lead to CAD?

Query: Hello doctor, My current total cholesterol is 185 and LDL is 114, and HDL 53, and triglycerides are 89. But before that, I had cholesterol 210 and LDL 170 for the past seven years. Should I go for further tests for CAD? Am I at the risk of CAD?  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Thanks for the query. Your current lipid profile is near normal, and no need for further tests per se, but some information is needed to guide you further regarding management. Tell me that are you taking lipid-lowering medicine such as statins? How LDL lowered? Do y...  Read Full »

How can one stop coronary artery disease (CAD) from progressing?

Query: Hi doctor, I am 72 years old female from a rural area. I feel tired or chest heaviness after climbing stairs and while doing household chores. What is the issue?  Read Full »


Dr. Malay Shukla

Answer: Hi, Welcome to icliniq.com. So, as you mentioned, you feel tired and, more importantly, feeling chest heaviness while performing home chores and climbing stairs or streets. CAD (coronary artery disease) is caused when there is a partial or complete obstruction in the blood vessels supplying the mu...  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 »


Dr. Rishu

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...  Read Full »

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