Recently Answered Questions
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My cousin, who has had chronic kidney disease, was recently diagnosed with heart failure. Why?
Query: Hi doctor,My cousin has chronic kidney disease and has recently been diagnosed with heart failure. The doctors suggested an angiography. I would like to get a second opinion on this matter. Has his kidney disease been related to his recently developed heart failure? Please suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. It is challenging to answer your question without any investigation reports. A heart condition can develop due to chronic kidney disease (due to severe water retention), but both can be separate disease processes also. Usu... Read Full »
Please explain my father's heart problem from the medical report.
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 »
My echo showed RWMA, trivial MR, grade I LV diastolic dysfunction. Should I get angiography?
Query: Hello doctor, As I am feeling tired of walking, my company doctor suggested for ECG, and it showed no abnormality, after which he suggested going for ECHO. The ECHO report shows as follows, ECHO diagnosis RWMA, trivial MR, grade I LV diastolic dysfunction, no pericardial effusion or clot. Now docto... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). In ECG, there is RBBB (right bundle branch block), and ECHO shows RWMA (regional wall motion abnormality) and mild LV systolic dysfunction. There is a mild cardiac dysfunction, so you ... Read Full »
My mother had heart attacks. Is angioplasty safe?
Query: Hello doctor, My mother’s age is 80+ and she had heart attack four times. Two attacks in quick succession a year back and two attacks quick in last one month. Her heart pumping capacity is about 35 % with kidney creatinine 3.4 mg/dl. But it is decreasing now. She never had diabetes. But always whe... Read Full »
Answer: Hi, Welcome to icliniq.com. Although bypass or angioplasty can be done in old age, if the health of patient is promising, but if other health issues are present then it becomes a high risk case. As your mother's kidney function is poor, it becomes very risky to have an angiogram done because even n... Read Full »
My angiography shows CAD triple vessel disease. Should I go for 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 »
Please suggest if I need cardiac surgery by looking at my reports.
Query: Hello doctor,Due to pain and uneasiness, an angiography was suggested, and I underwent the same. Please advise regarding cardiac surgery. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Chest pain leading to cardiac surgery is usually due to blockages in the artery. Kindly upload lab test reports and any other attachments. Thank you. Read Full »
Does my father require another angiography?
Query: Hello doctor, My father is 63 years old. He had an angioplasty before four years. From the last few days, he complained about shortness of breath. I took him to a cardiologist and the doctor just took the BP and suggested to admit my father. He said that previous angioplasty is of no use and he will... Read Full »
Answer: Hi, Welcome to icliniq.com. Reading his case scenario and the reports (attachment removed to protect patient identity), I would suggest to initially carry on with the medical management. If it fails and he is still symptomatic, then I would recommend CT angiography instead of traditional invasive a... Read Full »
Kindly go through my father's medical report and share your opinion.
Query: Hi doctor, My father has got a heart attack and was admitted to the hospital. He had chest pain, shortness of breath and no palpitations. He also has diabetes. I will post the picture of the medical report. Please share your opinion. Read Full »
Answer: Hi, Welcome to icliniq.com. He has got heart attack and also had old asymptomatic heart attacks which were painless due to diabetes (attachment removed to protect the patient's identity). At present, his heart function is weak at around 30%. Normally, it is more than 55% and due to which his b... Read Full »
My wife has palpitations. Please help.
Query: Hello doctor, My wife is 47 years old. Suddenly in sleep, she felt palpitations two to three days back and we went to the hospital and found ECG normal. Echo test is normal, Trop I test is normal but TMT is positive. The doctor advised to go for angiography but another doctor says that before angiog... Read Full »
Answer: Hello,Welcome to icliniq.com.Firstly, let me know if she has any risk factors like hypertension, diabetes, deranged lipid profile or family history of heart disease. Usually, what we do, since angiography is an invasive test, we make sure that the patient needs it or not. So initially, subjects the ... Read Full »
I have persistent cough and fast breathing. Should I get angiography?
Query: Hi doctor, My mother is 62 years old. She is under regular medicine for BP. Since five years she is taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from prolonged cough and fast breathing after long walk and climbing stairs. I am attaching her recent ECG, echo and x-ray reports. Plea... Read Full »
Answer: Hi, Welcome to icliniq.com.Your mom is hypertensive. On Olmy-D (Olmesartan), if her blood pressure is controlled then the treatment is fine. Cilapam (Escitalopram) is for anxiety (grossly). Is she having chest pain like symptom on exertion or at rest? If no then no need of GTN (Nitroglycerine). Chec... Read Full »