Dr. Muhammad Zohaib Siddiq
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have a question about a CT angiogram I had three years ago. Unfortunately, I still have chest pain. Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern. Your CT (computed tomography) scan report (attachments removed to protect the patient's identity) was normal. Chest pain has many other causes. Please tell me whether the chest pain is the same as three years ago. When does the pain occur? Any relation to exertion, food, posture, or respiration? Do you have diabetes, hypertension, family history of cardiac issues? Kindly reply.
Patient's Query
Hello doctor,
Thank you for the reply. I have diabetes. I would say the pain is about the same, and sometimes I feel very bloated and have acid reflux. I wondered why some areas in the CT angiogram said they could not see certain parts of the artery. How do they know there is no plaque in the areas they cannot see?
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern. Acid reflux causes chest pain. To differentiate from cardiac issues, acid reflux usually occurs in a lying posture, reduces in an upright posture, and occurs after eating large meals. In addition, the patient may have a sour rash on the throat. Cardiac pain occurs on exertion and relieves by rest. CT (computed tomography) scan has many limitations, such as not producing good quality images of the heart fast. In addition, the patient cannot breath, and the patient cannot lie straight and still. However, for most of the rest, the coronary arteries do not have a blockage, so it is assumed that the remaining 10 % also do not have a blockage.
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Cardiology
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