Ischemic Heart Disease

Ischemic heart disease, otherwise called coronary heart disease or coronary artery disease, is when the blood supply to the heart is reduced due to the narrowing of the major blood vessels of the heart. Fatty deposits (plaque) on the walls of these blood vessels is the cause. The symptoms of this disease include chest pain, shortness of breath, and heart attack.

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What can the cause of my generalized body pain, fever, and headache?

Query: Hello doctor, My mother, aged 64, has ischemic cardiomyopathy. Her angina and breathlessness are reduced, and they only occur when she exerts herself. But, she is feeling nauseous and dizzy even though she takes food every two hours. Her random blood sugar test is done, and the values are between...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hello, Welcome to icliniq.com. Well, your mother seems to have issues with her blood sugar and thyroid together along with the heart problems. This makes a vicious circle leading to symptoms getting interrelated thereby creating a worse scenario. She is having high TSH (thyroid-stimulating horm...  Read Full »

Do all my symptoms occur due to alcohol neuropathy or back injury?

Query: Hello doctor, I am a 31 years old, who weighs 160 lbs and 5.10 feet tall. I drink alcohol on and off since I was 18 years old. Once I got back from deployment, I drank pretty hard with friends. I would say 3 to 8 beers every other night and then 12 to 16 on weekends. I quit drinking cold turkey a mo...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. After quitting alcohol, many patients get alcohol withdrawal symptoms, but that usually develops within a week of quitting alcohol. Chest tightness and racing heart can be because of some cardiac problem like rhythm disturbance or ischemic heart disease, or it can a...  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 »


Dr. Muhammad Majid Hanif

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 »

Should an 80-year-old man with heart problems who underwent knee joint surgery be put on anticoagulants?

Query: Hello doctor, An 80-year-old man underwent a recent septic arthritic joint surgery and was hospitalized for 20 days. The medications prescribed were Levothyroxine 150 mg, Atorvastatin 20 mg, Ramipril 10mg, Bendroflumethiazide 2.5 mg, Metformin 500 mg twice daily, Tamsulosin 400 mg, and Lansoprazole ...  Read Full »


Dr. Sapkal Ganeshrao Patilba

Answer: Hi, Welcome to icliniq.com. I have gone through the details you provided. The patient has had recent joint surgery. He has ischemic heart disease. But you have not mentioned angioplasty, bypass, or any blockages. If the patient has knee or hip joint surgery, he will need anticoagulant medication. Al...  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 hiccup...  Read Full »


Dr. Vivek 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 ...  Read Full »

What do my MRI reports suggest?

Query: Hello doctor, I am diabetic and hypertensive and have neuro problems. Please look at my MRI reports and advise me accordingly. I have attached the reports.  Read Full »


Dr. Ambekar Sudheer

Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachments removed to protect patient identity). The MRI (magnetic resonance imaging) report says chronic ischemic changes suggestive of small vessel ischemia. These changes are usually seen in people with underlying diabetes...  Read Full »

Why am I having LVEDP of 4 mmHg in diastolic dysfunction?

Query: Hello doctor, I am a 57 year old male, and I had episodes of shortness of breath and tachycardia, six months back. I take high doses of Statin and ACE inhibitors from ten years, and my lipid profile is excellent. EKG showed slight ST depression, an echocardiogram showed WMA (wall motion abnormalit...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Thanks for providing a detailed explanation. In my practice, normal LVEDP (left ventricular end-diastolic pressure) is considered between 4 to 12 mmHg. I would love to know when you last went for any of these tests, that is EKG (electrocardiography), echocard...  Read Full »

My mother's ECG is abnormal even though she does not have chest pain. Why?

Query: Hi doctor, My mother is 65 years old and diabetic for the last 15 to 20 years. During her last blood and urine test, there were some issues with lipid profile test apart from sugar fasting and PP. When doctor performed ECG, there was some problem with that also. Now the doctor had recommended CAG. M...  Read Full »


Dr. Isaac Gana

Answer: Hello,Welcome to icliniq.com.Your mother's test results show abnormalities. That is why the doctor has recommended CAG (coronary angiography).The ECG shows ST segment flattening at V, which indicates ischemia (reduced blood supply) and can lead to a heart attack. It can occur in patients without ch...  Read Full »

What can cause sudden chest pain?

Query: Hi doctor, My mom got sudden chest pain. Why? I have attached her echocardiography for reference.  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Thanks for the query. I saw your mother's Echocardiography (echo). It is very normal (attachment removed to protect patient's identity). Please attach ECG (electrocardiogram) also. Does she have diabetes, hypertension, kidney, and thyroid issue? Does she have any...  Read Full »

Is it likely to have a cardiac disease with normal ECG and Holter report at a young age?

Query: Hello doctor,I am a 20-year-old female. I am having chest pain continuously on my left side. Sometimes I feel like it spreads to the left side. Once or twice it extends to the right side too. My BP fluctuates often, and I get low BP. Sometimes I had High BP. I was also having ectopic beats and did a...  Read Full »


Dr. N. Hadi

Answer: Hi, Welcome to icliniq.com. Your age and gender make you a low-risk case for ischemic heart disease. Your ECG (electrocardiography) and 24 hours Holter were reported to be normal. That is also a good sign. Your pain is atypical, which is on the right side and present for a long. I will recomme...  Read Full »

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