When the electrical system of the heart is affected, making the heart beat irregularly or slowly than before, it is called heart block. The symptoms of heart block are palpitations, shortness of breath, lightheadedness, chest pain, etc. There are three types of heart block, first-degree, second-degree, and complete heart block.
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Is my left-sided chest pain due to acidity or heart block?
Query: Hello doctor, I have borderline high cholesterol for five to six years. My blood tests like homocysteine and troponin-I were normal before three to four months.Since last week, I have left sided mild pain usually assumed by me as associated with gas and acidity. More often, I observed that whenever ... Read Full »
Answer: Hello, Welcome to icliniq.com. I reviewed all your reports (attachment removed to protect patient identity). An angiogram is not required. Serum uric acid, LDL cholesterol, and triglycerides are high. Vitamin D3 is borderline. Please take Fibator LS (Fenofibrate and Atorvastatin) once a day at n... Read Full »
How to cure my breathing difficulty due to a heart block?
Query: Hi doctor,My uncle went to the hospital with breathing trouble before five days and they said he has a heart problem and there is more block and want to do open heart surgery. Kindly advise. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through an angiography report (attachment removed to protect patient identity). There are multiple blockages including a blockage in a left main coronary artery (LMCA), for which bypass is the best option. So, angioplasty is not possible and should undergo ... Read Full »
My father has heart issues with 75 % heart blockage, breathing difficulties, and gas. Which diet would help him lose weight and overcome his heart problems?
Query: Hello doctor, My father suffered from heart problems and was admitted to the hospital. My father's heart has 75 % blocked, so he was not eligible for the operation. Instead, they prescribed some medicines and told him to follow a diet to lose weight. My father's major issues are breathing and gas pr... Read Full »
Answer: Hello, Welcome to icliniq.com. According to the reports (attachment removed to protect patient's identity), your father had a heart attack (inferior wall myocardial infarction). As you said, there is 75% blockage, but you did not send the angiography report. If it is done, please send it. Angiopla... Read Full »
What does intact septal defect mean?
Query: Hi doctor, My wife is 23 years old. She is 22 weeks pregnant. She has a previous history of complete CHB - congenital heart block diagnosed at the 20th week of her first pregnancy and it was terminated. In her present pregnancy, two weeks back that is around the 20th week cardiologist did fetal echo... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for sharing your wife's history, diagnosis and pertinent reports (attachment removed to protect patient identity). First of all, your baby has normal heart and has no heart problem.All fetuses when inside the womb of mother, they are absolutely required to have ... Read Full »
Kindly explain my dad's echocardiography report and further treatment.
Query: Hello doctor, My dad underwent echocardiography. The LVEF % which used to be in the range of 45 % earlier has dropped to 30 % to 35 % range. He had an episode of VT before two years and had ICD embedded. I am attaching his earlier and latest report. Please explain. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through his reports (attachment removed to protect patient identity). Wall motion abnormality is seen in the echo report of your father. The heart is supplied by three arteries LAD, RCA, and LCX that is, left anterior descending artery, right coronary arte... Read Full »
I have a high pulse rate after a brisk walk. Why?
Query: Hello doctor, I am 40 years old male, obese, non-smoking, non-alcoholic, non-diabetic. My lipids and blood pressure are controlled with Rosuvastatin 5 mg and Olmesartan 20 mg. My query is that I walk regularly brisk and my pulse goes up to 145 and 150 without any breathlessness and recovery is also... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, if your heart rate is going above 150 without any chest pain or heaviness then the probability of significant blockages (more than 60 to 70 percent) is very low. However, this or even TMT will not help to rule out plaquing. TMT does not help in the diagnosis or ... Read Full »
Is bypass, angioplasty, or EECP better for my 51-year-old father?
Query: Hello doctor, My father is 51 years old with normal weight (fit), yet he has diabetes and now a heart problem. Just got an angina attack. Doctors say bypass or angioplasty are the options since three of his heart valves are 70 to 80 % blocked. He is on a strict diet with no oil at all and only sala... Read Full »
Answer: Hi, Welcome to icliniq.com. Science is based on evidence and experiment. As for as three-vessel disease and diabetes mellitus, the evidence favors CABG (bypass) if there are suitable targets (which means vessels can be attached as a bypass). There are many trials which support this decision. Anoth... Read Full »
Can medicines reduce heart block?
Query: Hi doctor, My father had a major heart attack 15 days ago. The angiography report showed LAD or Diagonal - type III LAD. Mid has 90% stenosis. LCX/OM non-dominant. Early OM1 has 90% stenosis. OM2 has 80% stenosis. PTCA with DES to LAD has been performed. Now, what to do with OM1 and OM2? Please guid... Read Full »
Answer: Hi, Welcome to icliniq.com. Any blockage of more than 70% if possible should be stented. In your father's case heart attack was due to mid LAD block (left anterior descending coronary artery) which has been treated. OM (obtuse marginal) branches supply papillary muscles and posterolateral wall o... Read Full »
I have a discomfort under my sternum when I walk up a slope. What do you suggest?
Query: Hello doctor,I have a very localized discomfort under my sternum when I exercise. Generally, it does not occur with just walking on level ground but on even a gentle slope (incline), I begin to notice it. I have had an echocardiogram. The cardiologist recommended an angiogram and possibly an angiopl... Read Full »
Answer: Hello, Welcome to icliniq.com. I have reviewed your health query and have understood you may be having what is called ischemic heart disease. In this disease, the vessels supplying blood to the heart muscles itself, get clogged due to any reason. When there is the partial blockage (incomplete bloc... Read Full »
My father has been suffering from bleeding bladder and enlarged prostate. Can it be due to taking medications like Aspirin and Plavix?
Query: Hello doctor, I am writing on behalf of my sick father. Last year, he suffered a brain stroke on the right side of the brain, which caused paralysis on his left side of the body. A week after that, he was diagnosed with heart blockage, which needed a bypass procedure. After treatment, he started rec... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. If you ask me with the formed conclusion that the bladder bleeding is resulting from the use of blood thinners, I would say yes there is need to stop Aspirin. This is a straight forward answer, as the risk of bleeding is... Read Full »