Recently Answered Questions
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What are the treatment options for heart block?
Query: Hello doctor, My 72 year old father, recently got some breathing problem, so we went to the doctor. The doctor said that his cholesterol is high, and told my dad to take medicines. After a month he went for angiography and the reports show some blockages in the arteries. He got a minor heart attack ... Read Full »
Answer: Hello, Welcome to icliniq.com. His reports (attachment removed to protect the patient's identity) certainly show significant blockages in the arteries. It is not possible to comment on the treatment from the photos alone. You need to upload the final report of the angiography, mentioning the v... 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 »
Routine echo shows moderate pulmonary hypertension. What does it mean?
Query: Hello doctor,I had a routine echo done a couple of weeks ago and just got the results yesterday. The sheet says moderate pulmonary hypertension with peak pressure 54 mmHg and central venous pressure of 15.0. Since I only picked up the results no one explained it to me but set up an appointment with ... Read Full »
Answer: Hello, Welcome to icliniq.com. This means pressure in the pulmonary circulation has increased likely due to lung problem (if echo is not showing any abnormalities other than this). Likely this is related to obesity although we need to rule out other causes of pulmonary hypertension by doing CT sca... Read Full »
What medication can be taken for my long-term migraine?
Query: Hello doctor,I am 54 years old, and I have had migraines for the last 32 years. They are increasing day by day and always shifting from the right to the left side. I have had an MRI, CT scan, EEG, and echo, and all are normal. I have tried Ciplar, Sibelium, Betacap, and Zoly Plus, etc., for migraine... Read Full »
Answer: Hello, Welcome to icliniq.com. The chronic migraines respond well to Topiramate 50 mg once a day for seven days and then 50 mg twice a day for a month. See if this works for you. Consult your specialist doctor, discuss with him or her and take the migraine prescription medicines with their consent... Read Full »
Why has my LVID increased from 4.7 cm to 5.1 cm, and how can I improve it?
Query: Hello doctor,I am a 62-year-old male with hypertension and IgA nephropathy for the past 12 years, which have been treated with the tablet Cardace 10 mg, Stamlo 5 mg, Lipitor 10 mg, and fish oil capsules. In addition, I have had benign prostrate hyperplasia (Grade 2) for the past six years. I have ta... Read Full »
Answer: Hello, Welcome to icliniq.com. I feel your report (attachment removed to protect the patient's identity) is normal. An increase in dimension may be related to an error during calculation, which is very common. Rest all parameters like ejection fraction are normal. It might be a normal dimension fo... Read Full »
Why does a patient develop weight gain and insomnia after pacemaker implantation?
Query: Hi doctor,The patient is a 38 years old female. She has a medical history of congenital heart disease. Her heart rate usually ranges between 50 and 55 bpm. Before two months, she had a pacemaker implantation. After pacemaker implantation, her heart rate is 70 to 80 bpm. Now, the patient is suffering... Read Full »
Answer: Hello, Welcome to icliniq.com. Is it a single chamber pacemaker or double chamber? It is mostly a pacemaker syndrome if the patient did not exhibit similar kind of symptoms before pacemaker implantation. In treatment, you need to visit her cardiologist for changing the settings of the pacemake... Read Full »
Do my echo and stress echo show any heart problem?
Query: Hi doctor,I had chest pain, dizziness, palpitations and shortness of breath. I got an echo and a stress echo. I am worried about the results. I have attached the results here. I played soccer almost every day for about a year until three months back where I started getting palpitations. I have done ... Read Full »
Answer: Hello, Welcome to icliniq.com. Your cardiac workup is normal (attachment removed to protect patient identity) and it does not look like a cardiac problem. What is your age? Does chest pain occur at exertion or rest? Does it increase on deep breathing at any particular site on the chest or on giving... Read Full »
Can mini-stroke cause stabbing chest pain and breathlessness?
Query: Hi doctor, A good friend of mine was headed to work one morning. He got a stabbing pain in his chest and his vision went blurry. The pain went down his left arm and hand. It eased up, but the numbness stayed in his hand for about a week. He ignored it. A few nights later, he woke up gasping as if he... Read Full »
Answer: Hi, Welcome to icliniq.com. I am really sorry to hear about it. Chest pain with radiation to arms associated with breathing difficulty and blurry vision points towards classical angina. According to the symptoms, a cardiac event is more likely than a stroke. As per the history mentioned by you, the ... Read Full »
On bending down, I can hear my heartbeat only in the right ear. Why?
Query: Hello doctor, I am a 35 year old male. I can hear my heartbeat in my right ear when I bend towards my knee. In any other position like standing or lying down I do not hear this heartbeat sound. My hearing test is normal. Is it normal to hear this heartbeat sound when a person bends his head towards ... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Most commonly such feeling of heartbeat known as palpitations is absolutely normal. However, this could be due to anxiety issues. I would recommend you to get your electrocardiogram (ECG) and thyroid profile done and write back to me with reports.... Read Full »
Query: Hello doctor, My son is 2 years 4 months old. He weighs 24 pounds. When he was 4 months old, his doctor recommended me to take echo test. In echo he found acyanotic congenital heart disease. The report showed a small ASD 6 mm left to right shunt RA RV. Normal biventricular function. Mild PS GMAX 20... Read Full »
Answer: Hi, Welcome to icliniq.com. ASD (atrial septal defect) is a hole in partition between two upper chambers of the heart. If it is of patent foramen ovale (PFO) type then usually after two years it closes by itself. But, if it is an ostium secundum OS ASD type, then it will not close by itself. But, a... Read Full »