Recently Answered Questions
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Is there any alternative to bypass surgery in an 80-year-old?
Query: Hello doctor, The patient is suffering from acute heartache. According to the reports, he is reported with complete LBBB and coronary artery disease. Right now patient age is 80 years and most of the doctors recommend for bypass surgery. Is there any other alternative to provide immediate relief to ... Read Full »
Answer: Hi, Welcome to icliniq.com. Angiogram pictures of the patient show disease in all three vessels and also left main vessel 30 % (attachment removed to protect patient identity). If the left main would not be having the disease, we could have thought of angioplasty of vessel of recent attack (infarc... 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 »
I have acute chest pain inspite of no major blockages in the heart. Why?
Query: Hello doctor, Three months ago I had chest pain with nausea and shortness of breath. Since the BP got controlled, the sob decresed. Though they increased the Nitropatch to 0.6 and started the beta blockers, I am having a fewer episodes. I had an angiogram last week. It showed no major arteries block... Read Full »
Answer: Hello, Welcome to icliniq.com. Microvascular angina can be diagnosed on nuclear stress test with perfusion defects if any and also on angiography which shows slow flow in the absence of blockages in major arteries. So, if these tests are showing any abnormalities, then we have to consider the poss... Read Full »
I have inducible ischemia, why is a coronary angiography advised?
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 »
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 »