Myocardial Infarction

Myocardial infarction is the medical term for a heart attack, which is a life-threatening condition that occurs when the blood supply to the heart is stopped. The symptoms include chest pain, shortness of breath, anxiety, profuse sweating, and dizziness.

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My mother is throwing up every time she has Metformin. What is the correct dosage for that?

Query: Hi doctor, My mom had three strokes five days ago. While in the hospital, they said that she has diabetes, plagues in her artery, and some damage in her liver from taking too much Aleve (Naproxen). She is home now, and they advised her to take Amlodipine Besylate 10 mg, Atorvastatin 80 mg, Clopidog...  Read Full »


Dr. S D Sinha

Answer: Hi, Welcome back to icliniq.com. Please share her reports for stroke episodes. Are you talking of myocardial infarction (MI) with coronary artery blockage or a neurological stroke comprising ischemia in the brain due to cerebrovascular-related blockage? It appears that the medicines she is presc...  Read Full »

Is there anything wrong with my annual health report?

Query: Hi doctor,I am a 5.10 feet and 203 lbs male. I have been a binge drinker, drinking about 24 to 32 beers a week, and now have quit drinking from three weeks. My cholesterol was at 248. I have now been exercising 30 to 40 minutes on a treadmill, quit alcohol, quit bad fats, I eat oatmeal every day and...  Read Full »


Dr. Prathap

Answer: Hi, Welcome to icliniq.com. Lifestyle modification work to decrease the cholesterol, it is actually very good. But the problem here is your BMI (basal mass index). So, you need to be treated with Statins also. It is better to take Statin and continue with lifestyle changes. For more information con...  Read Full »

Can COVID vaccine be given to patients who are on Clopidogrel?

Query: Hello doctor, My dad is 74 years old and has been diabetic for 30 years. Below is a summary of his other conditions : He had MI and CABG a few years back. Hemorrhage in temporal and occipital lobe after Lomarin (administered for occlusion in the arm). Intermittent hyperkalemia. He has been in good...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Thanks for the query. There is no contraindication for Covishield with Clopidogrel. Those with an acute illness should not get the vaccine. One should get 6 to 8 weeks of complete recovery. If he is in good health, he can receive. Stable cardiac patients can get thi...  Read Full »

Can mini-stroke cause stabbing chest pain and breathlessness?

Query: Hi doctor, A good friend of mine was headed to work one morning. He got a stabbing pain in his chest and his vision went blurry. The pain went down his left arm and hand. It eased up, but the numbness stayed in his hand for about a week. He ignored it. A few nights later, he woke up gasping as if he...  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. I am really sorry to hear about it. Chest pain with radiation to arms associated with breathing difficulty and blurry vision points towards classical angina. According to the symptoms, a cardiac event is more likely than a stroke. As per the history mentioned by...  Read Full »

How to manage acute attacks of chest pain?

Query: Hi doctor, The patient's age is 40 years. She is a housewife, and a mother of four children, with a good socio-economic status. The patient suffered from severe chest pain radiating towards the left shoulder and neck, sudden in onset, severe in intensity, and burning in nature. There were three ep...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Thanks for the query. Suppose if the patient had typical chest pain and cardiac troponin was positive. In that case, this strongly suggests myocardial infarction except in few issues such as chronic kidney disease, heart failure, and sepsis, etc. in which troponins are...  Read Full »

How serious is my mother's chest pain?

Query: Hi doctor, My mother, who is 62 years old, has been hospitalized for two days due to sudden sweating, chest pain and left hand pain. When she was admitted her BP was 190/110 mmHg. She is also a diabetic (150/270) and undergoing tremendous stress due to sudden personal loss. She underwent ECG and 2D ...  Read Full »


Dr. Mangesh Baliram Danej

Answer: Hi, Welcome to icliniq.com. I have gone through her reports (attachment removed to protect patient identity). It can be unstable angina or MI (myocardial infarction). Please let me know the troponin I value. If it is negative repeatedly, then stress test is advisable. If positive, then straight coro...  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 »


Dr. Muhammad Zohaib Siddiq

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 »

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 »


Dr. Rohit Jain

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 th...  Read Full »

What is the life expectancy of a patient with myocardial infarction and aortic sclerosis?

Query: Hello doctor, My uncle is 68 years old. He got a myocardial infarction 23 years back, and another one before 13 years, he had four bypasses that year. In the same year, he was diagnosed with NYHA 2; he also had diastolic dysfunction, aortic sclerosis and akinesia in LV. Now he has shortness of bre...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. This does not mean stage D. This is likely stage C. However, he has to undergo echo for ejection fraction, which would tell us regarding stage. If, despite all medical treatment, he remains symptomatic and not able to do any activities then may be considered stage D...  Read Full »

Why do I get sharp shooting pan in chest with 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 »


Dr. Rashi Verma

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 ...  Read Full »

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