Recently Answered Questions
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What should be done for low blood pressure with second-degree heart block.
Query: Hello doctor,My boyfriend is 24 years old. Being a fitness trainer, he does not take any drugs. He has been getting chest pain for the past four months and sometimes lightheadedness. He went to the doctor and had a blood test which came back normal. His blood pressure is low, and he had a 24-hour Ho... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I want to explain that when we are in front of a cardiac conduction abnormality in a young adult first, it is necessary to exclude an infectious and inflammatory disease, like Lyme disease, sarcoidosis, and other cardiac issues, like myocar... Read Full »
What does first-degree atrioventricular block indicate?
Query: Hello doctor, I did my ECG today in which I got a first-degree atrioventricular block. What does this mean and is this a serious issue? What is its cause and treatment, please? Read Full »
Answer: Hello, Welcome to icliniq.com. A first-degree heart block means there is a slight delay in conduction of heart impulse from one chamber to another, that is from atria to ventricles. This is not a serious issue. There are many causes for it, few are, congenital defects in the heart, old age, tak... Read Full »
My wife's fetal echo shows a septal defect. Why?
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, the cardiologist did a fe... 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 a normal heart and has no heart problems. All fetuses when inside the womb of the mother, they are required to hav... Read Full »
My father has heart blocks. Can it be cured with medicine?
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 of le... Read Full »
My cardiologist recommended angioplasty. Please 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 »
What are my uncle's heart attack recovery prospects?
Query: Hello doctor,My uncle had a heart attack four days back. The balloon was put, and he had three stents. The balloon is being removed tomorrow. The reports are three days old and were taken before two stents are inserted. I just want to know what are the chances of recovery based on the report and dam... Read Full »
Answer: Hello,Welcome to icliniq.com.I understand you are worried about your uncle's health. He will be fine hopefully. I had gone through the reports (attachment removed to protect the patient's identity). He had a 95% blockage, and his ejection fraction is 25%. There is a significant chance of recovery, a... Read Full »
ECG shows some abnormality. What is the problem faced?
Query: Hello doctor,The ECG report of my father shows some abnormality. Please tell me what is the actual problem. His BP is 160/100 mmHg and age is 65 years. Read Full »
Answer: Hello,Welcome to icliniq.com.You have not attached the ECG here. So, please attach it so that I can interpret it. Otherwise, for hypertension, he should be on medicine so as to keep his BP less than 140/90 mmHg. So, also let me know if he is receiving the antihypertensive medicine. 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 briskly and my pulse goes up to 145 and 150 beats per minute without any breathlessness re... 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 (treadmill test) does not help in ... Read Full »
For heart block, which is better - bypass or stent?
Query: Hi doctor, My brother-in-law went for angiography, and he has two blockages 60% and 80%. Now, his doctor saying that it is urgent to get an operation and they will fix two stents. What will you suggest? Is it fine to go with a stent? Will it work lifetime? Or shall we opt bypass? Read Full »
Answer: Hi. Welcome back to icliniq.com. If the individual is free of diabetes, they may consider undergoing stent placement. However, it's important to note that Angioplasty, including stent placement, does not provide a lifetime guarantee. Typically, angioplasty can yield positive results for around a de... Read Full »
Do I need a pacemaker for low heart rate?
Query: Hi doctor, I am an 80-year-old woman with a little history of hypertension but without any other significant health issues. I am not on any medication at all. My blood pressure historically has been in a band of 120/80 up to 140/100 or so. My pulse is generally 80-95 bpm. I usually measure my blood ... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, it is a heart block, and it is a 2:1 AV (arteriovenous) block. Block can be intermittent, present at sometimes, and recover at other times. This certainly requires treatment as it can be life-threatening or may lead to syncope if the heart rate drops further dow... Read Full »