Recently Answered Questions
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Query: Hello doctor, I want to get a second opinion for my father. He was recently hospitalized for a myocardial infarction resulting from blocked three coronary arteries: the left anterior descending artery, circumflex artery, and right coronary artery. Due to complete stenosis, a percutaneous coronary in... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I reviewed your father's history. However, since I could not watch your father's moving coronary angiography images, I cannot say whether coronary vessels will be grantable for CABG (coronary artery bypass surgery).... Read Full »
My father has acute heart failure and MI. Is CRTD recommended for him?
Query: Hi doctor, My father has acute heart failure and extensive MI since two months ago. Also, he got a pleural effusion and leg edema. He is in bed symptomatic depending on oxygen device most of the time. His EF is 21. The ECG shows possible left atrial enlargement, nonspecific intraventricular block... Read Full »
Answer: Hi, Welcome to icliniq.com. As he had a heart attack, first priority is revascularization of angioplasty or bypass surgery. If this is done and heart function improves, then it will be good. In right bundle branch block, there is very little benefit of CRT (cardiac resynchronization therapy). If ... Read Full »
Can my grandmother recover from the paralytic attack and lead a normal life?
Query: Hi doctor, I am very concerned about my grandmother. She has recently been diagnosed with acute myocardial infarction. Nearly one month back, she had severe chest pain and shortness of breath, and we took her to the hospital. Her ECG (electrocardiogram) showed acute myocardial infarction, and her ch... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. But usually, in acute myocardial infarction, there is no cardiomegaly. However, cardiomegaly occurs in old heart failures. This can be because the heart has been diagnosed with troponins, increasing heart failure. In such STEMI (ST-elevation ... Read Full »
Why do I have sharp shooting chest pain and sore biceps?
Query: Hi doctor, I am 27 years old. I have been experiencing a shooting sharp pain in and around the left side of my chest. It comes and goes and does not last more than a second or two. It does not happen often, just here and there, but my bicep is also sore. What could this be? Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query. If you experience pain, pressure or discomfort in the center of your chest or in your arms, back, jaw, neck or stomach, along with shortness of breath, a cold sweat, nausea, fatigue or lightheadedness, these symptoms may signal a heart attack or my... Read Full »
After open heart surgery, how long will I survive?
Query: Hello doctor, I am 43 years old and had a heart attack. 45 days ago, I had angioplasty and a stent was placed. But now, the doctor says that one of my valves needs to be replaced as it is not functioning properly. My ejection fraction is only 30%. Is it safe to undergo open heart surgery now? For... Read Full »
Answer: Hi, Welcome to icliniq.com. I have noted all your details. Valve malfunctioning is divided into three stages; mild, moderate and severe. The treatment protocol of every stage is different. Ejection fraction 30% can be because of the coronary artery blockage. You have not mentioned whether yo... Read Full »
Why am I getting chest pain while having food?
Query: Hi doctor,I am having chest pain or esophagus pain while having food for the last two days. The pain is repeated for every 5 to 10 minutes. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. There are many causes of chest pain. Pain while eating food is related to esophageal disorders like esophagitis, esophageal erosions, gastroesophageal reflux disease, esophageal spasm or peptic ulcer disease. The serious causes of chest pain like heart related problem... Read Full »
I had high blood pressure and low heart rate. Is my ECG showing infarction?
Query: Hi doctor,I had high blood pressure, low heart rate. Is my ECG showing infarction? I have no chest pain. At the time of ECG, my blood pressure was 168/100 and heart beat 46. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your ECG (attachment removed to protect patient identity). The reports mentioned on ECG are machine generated and are frequently inaccurate. There is no clear-cut evidence of myocardial infarction on ECG. As you also do not have any history of chest... Read Full »
Kindly evaluate the cardiac drugs of my father for heart attack.
Query: Hello doctor, My father recently had a heart attack and a stroke. Then had two heart valves repaired and they want to put a stent in. His list of medications does not seem to make sense and although he loves his cardiologist. I do not think he is paying enough attention. I am in the medical field a... Read Full »
Answer: Hi, Welcome to icliniq.com. Let us evaluate all medications your father is receiving. Diagnosis: Valvotomy, CAD with MI (coronary artery disease with myocardial infarction) and CVA (cerebrovascular accident) (recovered). Tablet Metoprolol is essential in patients with heart attacks as it slows the h... Read Full »
Query: Hello doctor, My mother recently had chest pain. We rushed to the hospital, and they did ECG and declared that it was acute MI. I was told that she has two blockages (right and left). A cardiologist surgeon treated her with a stent to remove the blockage in her right. She is discharged from the ho... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I thoroughly checked all the attached (attachment removed to protect the patient's identity) reports. Your mother experienced acute myocardial infarction nine months ago due to a blockage of the right coronary artery, which supplies the right and lower parts of the h... Read Full »
What is the reason for pain in chest and hands in this elderly woman?
Query: Hello doctor, My grandmother had pain in her chest and hands. She is basically a heart patient. When she consulted a doctor, he gave her Retelex injection for immediate recovery and kept her under observation for one day. I would like to know what this treatment is and what the recovery status is. T... Read Full »
Answer: Hello, Welcome back to icliniq.com. She has got a heart attack, which is an AWMI (anterior wall myocardial Infarction). This occurs due to a blood clot in the heart vessel and injection is given to dissolve those clots. Usually, the patients recover in three to four days if no complications occu... Read Full »