Common "Heart Attack" queries answered by top doctors | iCliniq

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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What can be done to reduce the chances of a heart attack?

Query: Hi doctor, My uncle, aged 50, suffered a heart attack last month, and luckily he was saved and is under medications now. He is taking blood thinners. How much is his risk of the next attack? What can he do to reduce his risk apart from taking the prescribed medications? Our family has a history of ...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. I can understand your concern. He has a significantly high risk of attacks, given that there is a strong family history. He must always maintain an average blood sugar level, treat hypertension and should be at optimal levels, quit smoking (if he is a smoker), and exerc...  Read Full »

My father got a heart attack and his heart is pumping only at 28 %. Can angiography be performed?

Query: Hi doctor, My father is 58 years old. He got a second attack and his heart is pumping at 28 %. Now one of the doctors says that for a month he cannot perform angiography. And the other doctor says that it is the right time for the test. He cannot get better than this point. Now we just want to know...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. I went through the echo report of your father (attachment removed for patient identity protection) it shows the cardiac chamber affected by the attack as thin and akinetic. I doubt whether an angiogram will be useful at all, it is better to do a myocardial viability stu...  Read Full »

The patient had a heart attack nine months ago. Please assist me in understanding the report.

Query: Hello doctor, The patient had a heart attack nine months ago. Currently, she is taking Aspirin, Clopidogrel, Atorvastatin, Atenolol, and Enalapril. In addition, she has had a stent implant. I am trying to understand this report. Please assist in describing in normal terms what is wrong. LAD: Small ...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hello, Welcome to icliniq.com. The lady in question has suffered a heart attack (myocardial infarction), which is visible in the enclosed echocardiogram (attachment removed to protect the patient's identity). However, the coronary angiogram report does not show any of the affected vessels ideals for...  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 S Narayan 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 wate...  Read Full »

Should I be concerned about my father's hiccups and burping?

Query: Hi doctor,My dad recently was admitted to hospital after a heart attack, and he was in the hospital for almost a week. Currently, he was discharged and taking rest at home. The doctor advised that his heart pumping rate is around 23% and require improvement. Since morning he has been having hiccups,...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. I saw your dad's reports (attachment removed to protect patient identity). He has severe heart failure due to supposedly decreased blood supply to the heart (ischemic left ventricular dysfunction). The cause of hiccups and burping could be due to gastritis induced by Cl...  Read Full »

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