Recently Answered Questions
All the answers published in this website are written by verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.
Based on my mother's ECG reports, is an angiogram required?
Query: Hello doctor, My mother is 50 years old and she is suffering from heart diseases. Her ECG show sinus tachycardia 99, biatrial enlargement qrs area, p80 ms0, 15v1 and 0.30v2, LDS l abnormal, r wave progression early transition, qrs area 0 in v2 lvh with secondary repolarization abnormality multi, lv... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, you take a pic of ECG and upload. Whatever you have mentioned is machine generated report and frequently inaccurate. This is not suitable for opinion. However, from the mentioned report (attachment removed to protect patient identity), it appears that ECG ha... Read Full »
I have been suffering from chest pain for which I had an angiogram done. Please review my reports.
Query: Hello doctor, I have been suffering from chest pain for the past many days. I have had an angiogram done. Kindly view my reports. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern regarding chest pain. I went through your reports (the attachments removed to protect the patient's identity). Your report suggests that there is a narrowing of one of the vessels of the heart. This can explain your chest pain. But not a... Read Full »
Query: Hello doctor, My calcium score is 2000. My arteries were found to be very hardened during a stent surgery. I was told that I could need an atherectomy. To be certain, I will have to get a Thallium stress test and a computed tomography (CT), and coronary angiography. Can I do them all at once? If yes... Read Full »
Answer: Hello, Welcome to icliniq.com. If you have a calcium score of 2000, you will need to undergo atherectomy procedures such as rotablation, tornus, or laser atherectomy, based on your angiographic assessment. A thallium scan is recommended to determine the vitality of cardiac tissue to assess the sui... Read Full »
What does it mean to have a hole in the heart?
Query: Hi doctor, Our doctor said that my baby has a hole in the heart. I have attached the reports for your reference. Please explain. Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, there is patent ductus arteriosus that is shunting from left to right (attachment removed to protect patient identity). As it is large, go for its closure. Consult any pediatric cardiologist or even same doctors who have done echo may be doing the closure. Medicine... Read Full »
My father's ECG report suggests that he has a leaky heart valve. Will he need an angiogram?
Query: Hi doctor, My father had a heart attack 24 days ago. Now he has a weakness but no pain in the chest. He sometimes feels that his chest has become cold. He underwent an ECG. The doctor said that he had a leaky heart valve. He will recover soon. He is undergoing treatment for atrial fibrillation. Is ... Read Full »
Answer: Hello, Welcome to icliniq.com. His symptoms are not suggestive of coronary artery disease. However, they could indicate heart failure. For this reason, I would suggest performing a cardiac ultrasound and a chest X-ray. He had a heart attack lately. Suppose a coronary angiogram has not been perform... Read Full »
How to check if the blood circulation to the head and neck is fine?
Query: Hi doctor, A physiotherapist did some manipulation with my neck and since then when I fall asleep at night, my arms, hands, upper back (area just below the neck) and brain feels weird as if blood supply is cut. This happens several times during the night while I am sleeping and these symptoms go awa... Read Full »
Answer: Hello, Welcome to icliniq.com. You mentioned pain and numbness in your upper limbs after manipulation was done by a physical therapist. You have also mentioned both upper limb involvement which is actually a surprise because normal spinal manipulations should not actually lead to this especial... Read Full »
Is it fine to not get an angiogram done before having a breast surgery in a 75-year-old female?
Query: Hi doctor, My mother is 75 years old, and she has atrial fibrillation and is on medications. She is moderately active and is on hypertensives and blood thinners. She got recently diagnosed with a breast mass. She was told to get cardiac clearance for surgery, and the cardiologist suggested doing a c... Read Full »
Answer: Hi, Welcome to icliniq.com. Cardiac clearance is needed for risk stratification for any surgery. What we need are patient history - whether she has chest pain or breathing difficulty on exertion, ECG (echocardiogram), Echo, and if a patient can do it, then TMT (treadmill test) Or we can ask the pa... 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 her... Read Full »
Answer: Hello doctor, Welcome to icliniq.com. Thanks for the query. Kindly share her ECG (electrocardiogram) report to help you better. Is her condition an ST-segment elevation myocardial infarction or a non-ST-segment elevation myocardial infarction? Did she had any previous cardiac issues? Does she have... Read Full »
My MIBI scan shows ischemia, whereas the angio scan is normal. Please explain.
Query: Hello doctor, I am a 42-year-old female. Last year my GP recommended me for the MIBI (myocardial perfusion imaging) cardiac scan, and it can out that I have mild anterior wall ischemia (10% total ischaemic burden). He then recommended me for the angio scan, and the result came normal. He advised me... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the reports (attachment removed to protect patient identity). Myocardial perfusion imaging showed mild ischemia involving 10% of the myocardium, not a large area. Coronary angiography came out normal means all major vessels are normal. There are two possi... Read Full »
Diagnosed with inducible ischemia and recommended to do coronary angiogram. Is that mandatory?
Query: Hello doctor, I am a 34-year-old male. I have recently done a master health check-up. One of the key observations of the checkup was TMT (stress test) is borderline positive for inducible ischemia. Upon consulting cardiologist and post-screening echo, he has suggested doing a coronary angiogram. Cou... Read Full »
Answer: Hello, Welcome to icliniq.com. Although you do not have any symptoms, but your ECG (electrocardiogram) and TMT (treadmill test) shows changes. Your echo is also normal. But we cannot neglect your ECG changes which are striking. So it is better to undergo angiography and get it clarified. Also, som... Read Full »