- Male
- 31 Years
- 29/01/2025
I'm feeling a bit worried because all my tests like ECG, echocardiography, TMT, and CT coronary angiogram came back normal, but I'm still having symptoms every day. Could it be microvascular angina or maybe spasms in my arteries, or is it something else entirely?
Answered by 1 Apollo Doctors
Based on your normal test results and everyday symptoms, it is possible that you may be experiencing microvascular angina or spasms in the arteries. In such cases, medications like Nitroglycerin sublingual tablets can be helpful in relieving symptoms. The usual dosage is 0.3 to 0.6 mg sublingually as needed. Additionally, medications like Calcium channel blockers such as Amlodipine can also be prescribed to help with vasospasms. The typical dosage for Amlodipine is 5 to 10 mg once daily. It is important to follow up with your healthcare provider for further evaluation and management.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm really concerned about some recent findings on my coronary vessels. I've got an 80% lesion in the LAD vessel from the proximal to the mid-long segment, and then a 70% lesion in the distal long segment. Plus, there's a 90% lesion at the ostium of the D1 small vessel. On top of that, my RCA vessel has a total 100% blockage, but it's still somehow filling via bridging collaterals and retrogradely through the left coronary injection. Should I be worried about these percentages and the way my heart is compensating? What kind of treatment might be recommended in this situation?
The condition you have described is quite serious and involves multiple blockages in your coronary arteries. To address the blockages, a combination of medications and procedures may be necessary. For the 80% lesion in the ostial portion of the LAD 3 vessel, a stent placement procedure may be considered to improve blood flow. Similarly, for the 70% lesion in the proximal to mid long segment of the LAD 3 vessel, another stent placement or angioplasty may be recommended. The 80% lesion in the distal long segment of the LAD 3 vessel may also require intervention such as stenting. For the D1 small vessel with a 90% lesion, a stent placement or angioplasty may be necessary to restore blood flow. The RCA vessel with a 100% lesion in the mid portion may require more aggressive treatment such as bypass surgery. In the meantime, medications like aspirin, clopidogrel, statins, beta-blockers, and ACE inhibitors may be prescribed to manage your condition and reduce the risk of further complications. Regular follow-up with your cardiologist is crucial to monitor your progress and adjust your treatment plan as needed.
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Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.