Heart Attack

A heart attack is caused when there is a sudden blockage of any artery of the heart, cutting off the oxygen supply and causing the heart muscle to die. The warning signs of a heart attack are chest pain, sweating, nausea, fatigue, and trouble breathing. The risk factors include obesity, smoking, stress, and high cholesterol levels.

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I have pain on right side of chest 15 years after a heart attack. Why?

Query: Hello doctor, I had a massive heart attack 15 years ago. I am 54 years old now with a height of 173 cm and weight 64 kg. Within two weeks, angioplasty was done for me in LAD (left anterior descending) coronary artery. After four years, I had undergone bypass surgery for four vessels. Every year, du...  Read Full »


Dr. Amit Arora

Answer: Hi, Welcome to icliniq.com. I read through your entire case history. You are lucky that you have a good cardiac output. Your EF (ejection fraction) is all right and as per your stress test, there is nothing going in opposite and your heart is still doing well. Frankly speaking, heaviness on the ...  Read Full »

Was my father's death due to pulmonary edema or medical negligence?

Query: Dear doctor, My father died during angioplasty. The treating doctor said that the death is due to pulmonary edema. But we suspect it may be because of a medical negligence. I need a second opinion.  Read Full »


Dr. Saumya Mittal

Answer: Hi, Welcome to icliniq.com. What happens in a heart attack is that the patient's heart is not functioning properly. It does not maintain the speed and pressure required. And therefore, the blood and the fluid collects in the body including the lungs. When the fluid collects in the lungs, a person ...  Read Full »

My blood pressure is up to 197/100. My doctor keeps giving me Bystolic. Is that safe?

Query: Hello Doctor, My blood pressure is up to 197/100 mmHg. My doctor keeps giving me tablet Bystolic and asked to take it for 10 days. Is that safe? I am a 53 year old male, usually great health.  Read Full »


Dr. Rohit Jain

Answer: Hi, Welcome to icliniq.com.Your blood pressure is very high. Given your age, you are very susceptible to paralytic attacks and heart attacks and you should not ignore it at all.  Tablet Nebivolol (Bystolic) is not enough to control your blood pressure. You need to get some basic tests done to rule ...  Read Full »

Can we prepare to move a patient 24 hours after an angina attack?

Query: Hi doctor, Can we mobilize a patient who had angina 24 hours ago? If he is stable, is it fine to do so?  Read Full »


Dr. (col) Rakesh Karanwal

Answer: Hi, Welcome to icliniq.com. The stability of the patient's condition depends on whether this was his first attack of angina, and it occurred while at rest or during physical exertion. It also depends on whether his ECG (electrocardiogram) was normal or abnormal and the cardiac enzymes excluded a h...  Read Full »

What is the reason for my father's weight loss from 55 kg to 38 kg after a heart bypass surgery?

Query: Hello doctor, My father underwent heart bypass surgery due to a heart attack and heart block three years ago. Then he suddenly got a stroke and came back to normal after medications. Now he cannot walk, feels very tired always, has dizziness, headaches, poor appetite, and dyspnea. His weight is red...  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I can understand your concern. In such cases, severe weakness can be due to recurrent infection, decreased appetite, nutritional deficiencies such as vitamin D3, Calcium, vitamin B12, and dehydration. This dehydration becomes the leadin...  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 »

How long shall we wait for an angioplasty after a heart attack, and if the LVEF is 30%?

Query: Hello doctor, My 59-year-old mother had a heart attack a week ago. Her LVEF is 30% as per 2D echocardiogram. She has a myocardial infarction. Her sputum test is positive for pneumonia. Her HRCT showed a collapsed left lower lobe, with partial medial collapse. It has been more than 15 days since h...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello doctor, Welcome to icliniq.com. Thanks for the query. Kindly share her ECG (electrocardiogram) report to help you better. 1) Is her condition an ST-segment elevation myocardial infarction or a non-ST-segment elevation myocardial infarction? 2) Did she had any previous cardiac issues? 3) ...  Read Full »

Should I get my heart checked as a heart attack runs in my family?

Query: Hi doctor, I am a 30 year old female. My father who is 65 years old has suffered from two very severe heart attacks, one recently and another two years back. His father and brother both died in their 50s from heart attacks. Is heart attack genetic? Should my son and I get tested?  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Yes, heart attack has a genetic component coupled with environmental elements like lifestyle, etc. Your chance of acquiring it depends on both of your parents. Likewise, your son acquiring it depends on you and your husband. But you are at an increased risk, so you...  Read Full »

I got chest pain and jaw pain suddenly. Do I need to be concerned?

Query: Hi doctor, I am a 41 year old, and since the past five years, I have had some heart issues. I was hospitalized for SVT, five years back. The medications had it under control for a while, but I got older, a little bit heavier, and had some life changes, so things changed. It was also recommended that...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Firstly, I think you should upload your reports like the echocardiogram to know the severity of aortic regurgitation, and electrocardiography to know what kind of SVT (supraventricular tachycardia) it was. It will give a better idea if it is PSVT (paroxysmal supraventr...  Read Full »

What does ABCD medicines for heart health mean?

Query: Hello doctor, I had a heart attack two and a half years ago where I had one of the main arteries clogged, and a stent was put into it. The report says ACS-IWSTEMI, occluded proximities RCA, and primary PCI have done with 3.5 X 28 DES and post-dilation with 3.75 NC balloon. I was advised to take tabl...  Read Full »


Dr. Vivek Pillai

Answer: Hi, Welcome to icliniq.com. Thanks for the query and the description of your problem. The ABCD mentioned by your physician means - Aspirin, Beta-blockers (drugs preventing heart failure) and BP (blood pressure) control, then C stands for cholesterol-lowering drugs and D for diuretics to avoid ...  Read Full »

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