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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Stomach bloating and constipation making me more anxious. What to do?

Query: Hello doctor, Anxiety disorder, bloated stomach, and constipation are troubling me. I am a coronary artery disease patient, with diabetes. Thinking about these issues cause me more anxious. Please help. I am currently on Mirtaz 7.5 and Daxid 50 mg. I have also done sugar, lipid profile, 2D echo, ...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I like to inform you that anxiety disorder is a treatable disorder during current times as a lot of medications are available in this regard. As I can see you are taking two medications for the same but u...  Read Full »

How is LAD stenosis treated?

Query: Hi doctor, This patient is complaining of prolonged chest pain for three weeks now. Took medication for gastric issue and the pain has not subsided. I have attached the angiogram report. ECG performed several times and nothing abnormal in it. The angiogram report showed mid LAD 12 mm length and segm...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I appreciate your concerns and can well realize the sensitivity of the issues. There is considerable calcification of LAD (left anterior descending artery). If it reaches up to 75% that is quite possible in the near future, then complications and consequences can be se...  Read Full »

How many stents are necessary for severe RCA disease?

Query: Hi doctor, My dad recently had chest pain, we took EKG and echo and it turned out as though he had a slight abnormality. We got the angio done the reports shows: LAD: Type III LAD has 50% proximal stenosis. Mid and distal has a mild diffuse disease. RI: Has 80% proximal stenosis. LCX: Non-domina...  Read Full »


Dr. Ilir Sharka

Cardiologist

Answer: Hello, Welcome to icliniq.com. I passed carefully through your dad's medical history and tests and would like to explain that it is necessary to perform percutaneous coronary angioplasty followed by stents implantations in the right coronary artery in several segments (80% proximal stenosis, but ...  Read Full »

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 »

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