Question 1

I'm having this persistent pain on the left side of my chest, and I've already seen a cardiologist about it. They had me do a bunch of tests like an ECG, 2D echo, TMT, CT coronary angiography, and even conventional angiography. Everything came back normal, which was a relief. But just a few days ago, the chest pain came back and the ECG now shows a T wave abnormality, possibly anterior ischemia. I'm really worried about what this could mean. Is this something I should be seriously concerned about, and what do you think my next steps should be?

Accepted Answer

Hello, based on your history and the recent ECG findings showing T wave abnormality suggesting anterior ischemia, it is important to further evaluate the cause of your chest pain. Since your cardiac tests have all come back normal, the T wave abnormality may be due to other factors such as coronary artery spasm, inflammation, or even non-cardiac causes. I recommend discussing with your doctor about starting medication like Nitroglycerin sublingual tablets for immediate relief during chest pain episodes. Additionally, you may benefit from medications like Beta-blockers (e.g. Metoprolol) and Calcium channel blockers (e.g. Amlodipine) to help prevent chest pain episodes. It would also be helpful to consider a referral to a gastroenterologist to rule out any gastrointestinal causes of chest pain, as well as a follow-up with a cardiologist for further evaluation and management. Remember to follow up with your healthcare provider for a personalized treatment plan.

Question 2

I'm a bit worried after getting some chest pain, and my doctor did a 2D Echo test and now suggests an angiogram. I'm really concerned if an angioplasty is absolutely necessary after that? Could you help me understand if the angioplasty is always needed after an angiogram or if there are situations where it's not required?

Accepted Answer

it is not necessary to undergo angioplasty compulsorily after angiogram ,if some defect is found then angioplsty is needed

Question 3

I'm trying to understand the results of a recent angiogram and I'd love some clarity. It mentions a right femoral arterial approach with a normal LMCA, but there's a 90% stenosis in the proximal LAD and a 50% stenosis distally in the LCX. It also says the OM has a 90% stenosis in a small vessel, and the RCA has a 40% stenosis proximally. The renal angiogram shows everything is normal for both kidneys. My biggest worry is about the critical stenosis in the LAD. What does all this mean for my heart health, and what kind of treatment or lifestyle changes should I be considering?

Accepted Answer

Angioplasty is advised and a cardiologist opinion.

yes C UDP can be used for hypertension. it is a calcium channel blocker

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