Recently Answered Questions
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Is it a must to repeat angiography after a period of one year?
Query: Hello doctor, I had a chest pain less than a year ago. I went to the emergency department and they did an angiogram and I was told that the arteries are clear. My question is how long before I have another angiogram as I have similar pain again? I am currently taking Lisinopril 10 mg. Read Full »
Answer: Hi, Welcome to icliniq.com. You need to lower risk factors such as blood pressure, diabetes, and blood cholesterol levels. Do regular exercise. If you feel chest pain, have TMT (treadmill test) done. If there are high-risk features in it then do angiography. No need for angiography otherwise. Read Full »
I had an heart attack. When should I get angiography?
Query: Hi doctor, Can you tell me within how many days angiography must be done after a heart attack? Read Full »
Answer: Hello, Welcome to icliniq.com. After a heart attack, angiography should be done within the first 24 hours. But, if it is not done and if the patient is on thrombolytic medicines like streptokinase medicine, and no symptoms, then it can be delayed. There is no exact time, but it is better to get it d... Read Full »
I underwent a TMT. What does the report suggest?
Query: Hi doctor, During a routine medical checkup, I had something wrong with my ECG (resting) and was recommended to go with echo 2D and TMT. I do not have any chest pain. My 2D echo report is fine. However, TMT was done and the report is as follows. Significant ST depression of 0.1 mm in leads V4 - V6 a... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for providing a detailed case history. I have reviewed every bit of the case aids provided here (attachment removed to protect patient identity) and can realize your issues. Based on these reports, we cannot say you have a coronary artery disease that may have be... Read Full »
My father developed sudden chest pain. Please advise.
Query: Hello doctor, My father, who is 61 years old, suddenly had chest pain, excessive sweating, and vomiting, yesterday at 6 AM. Currently, he is fine, but he is still having chest pain, so the doctor gave him oxygen today. As per his doctor, he had a heart attack, and the pain will go away after some re... Read Full »
Answer: Hello, Welcome to icliniq.com. If he had a heart attack, then it is better to shift him to a higher center with facility for cardiac care like angiography is available. He will need further management like echocardiography, angiography, and stenting if significant blockages are there. Also, me... Read Full »
Which treatment is the best for CAD, open heart surgery or MICS?
Query: Hello doctor, My angiography report shows LMCA 30% and 50% distal lesion. LAD proximal to mid portion multiple significant calcified lesions up to 90%. D1 80% ostial lesion. LCX 90% ostial to mid part lesion, OM 1 small patent. OM 2 patent. OM 3 25% proximal lesion. Ramus 90% ostial and proximal les... Read Full »
Answer: Hello, Welcome to icliniq.com. I am sorry to hear about your health challenges. Please be positive you will be fine. The result indicates that three different vessels are affected or blocked with plaque. MICS (minimally invasive cardiac surgery) is a better option for one vessel blockage. If you o... Read Full »
Why does my father have breathing issue and fainting?
Query: Hi doctor, My father has diabetes for the past 15 years and he is suffering from heart problem for the past four years. Recently he was admitted to the hospital due to severe breathing problem, sudden fainting, loss of appetite and water accumulation in the stomach and legs. After taking treatment i... Read Full »
Answer: Hi, Welcome to icliniq.com. After careful review, I can appreciate well the sensitivity of the issues you and your family is suffering from. Your father seems to have left heart failure (attachment removed to protect patient identity) that landed him twice in the hospital. He is having the valve i... Read Full »
Is it possible to maintain our body after PAD?
Query: Hi doctor, I had PAD before 20 years and I am able to maintain my body by exercising. When I get tensed, it comes back. Again, I have to begin exercising and gradually it gets better. This time, I had a bout of depression and I am not able to do exercise, so, it has taken longer time than usual to g... Read Full »
Answer: Hi, Welcome to icliniq.com. It is very good to know that you are doing well with medications and exercise. The development of collateral blood supply in the lower limbs is a good option. You could discuss this with your doctor and postpone angiogram and stenting. However, it is important to realiz... 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 »
Bruise due to cerebral angiogram cause elevated D-dimer. Why?
Query: Hello doctor, I had a cerebral angiogram performed 10 days ago. They entered through my right femoral and the test was normal. I developed the expected bruising. However, I have now developed red/purple linear streaks resembling a vascular pattern through the bruise. My thigh is mildly painful, whi... Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear about your complaints. Bruise following angiography is quite common and usually subsides over time. D-dimer was elevated in your case, so your consultant has gone for a Doppler scan to rule out thrombus formation, which in your case has come out to be ... Read Full »
Based on the attached reports, is angiography the right course of action?
Query: Hi doctor, My mother-in-law's pulse had drastically fallen twelve years back, and she was admitted to a hospital. Subsequently, a pacemaker was inserted. It was replaced four years. Today we went for a routine checkup, as she complained of upper back pain and blackouts yesterday. The hospital had do... Read Full »
Answer: Hello, Welcome to icliniq.com. Please describe her symptoms in detail, including back pain and blackouts. Did she experience interruption while getting up from sleep or while sitting? Is she experiencing back pain recently or for a long time? Any worsening of pain from movements? Now her Echocard... Read Full »