- male
- 50 Years
- 29/01/2025
I'm looking for some advice about my heart health. I had a CT coronary angiogram about three years ago because I was having chest pains and my exercise capacity was low. The results showed no significant stenosis in any artery, but Im wondering if minor blockages might have been overlooked. Also, it mentioned that my circulation is left dominant, and I'm curious if that could be related to my chest pain. Do you think it's necessary to repeat the CT angio even though I'm worried about the radiation exposure?
Answered by 1 Apollo Doctors
If your CT coronary angiogram from 3 years ago showed no significant stenosis in any artery, it means that there were no major blockages detected at that time. Minor blocks may not have been mentioned in the report because they were not significant enough to cause concern. The fact that your circulation is left dominant is just a variation in the blood supply to your heart and is not necessarily a cause for chest pain. Based on the information provided, if you are still experiencing chest pains or other concerning symptoms, it may be advisable to consult with a cardiologist to determine if a repeat CT angio or other cardiac tests are necessary. However, the decision to repeat the CT angio should be based on your current symptoms and risk factors, rather than just for routine surveillance. It is important to weigh the potential benefits of the test against the risks of radiation exposure.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
More Cardiology Health Queries
View allI'm a 25-year-old female and I've been having some chest discomfort along with feeling breathless. I'm also experiencing chills and sweating. Is this something normal, or should I be worried?
These symptoms could be indicative of a variety of conditions, including anxiety, panic attacks, asthma, or even a heart-related issue. It is important to seek medical attention for a proper evaluation and diagnosis. In the meantime, you can take a pain reliever like acetaminophen and try to relax in a comfortable position.
Answered by 1 Apollo Doctors
I've been struggling with this issue for about two years now, and I'm really hoping for some insight. I'm a 27-year-old I.T. professional and this all started with sudden bouts of dizziness and sweating. I've gone through all the usual tests, like MRI and blood work, and the only thing that came up was a low B12 level at 83. Over time, I've begun feeling detached, and my doctor mentioned it might be anxiety. The problem hasnt gone away though, and now I sometimes experience fluttering, dizziness, and vomiting. It feels like I might faint, but I never actually do. I've had TMT and ECG tests twice, and both were normal. I worry it could be some kind of arrhythmia, but during these episodes, my heart rate seems stable with no major changes. It's confusing because these episodes don't seem linked to stress and only last a few seconds. I'm really anxious about this and just looking for a professional perspective on what's happening.
It sounds like you are experiencing symptoms of panic attacks, which can be very distressing. The dizziness, sweating, fluttering sensation, vomiting, and feeling like you might pass out are all common symptoms of panic attacks. Since your heart rate remains normal during these episodes and your cardiac tests (TMT, ECG) have come back normal, it is less likely to be related to arrhythmia. One possible treatment option for your symptoms could be to take an anti-anxiety medication such as **Xanax (Alprazolam)**. The usual starting dose for adults is 0.25 mg to 0.5 mg taken three times a day. However, it is important to consult with a doctor before starting any medication. In addition to medication, therapy such as cognitive-behavioral therapy (CBT) can also be very effective in managing panic attacks. It can help you understand and cope with the triggers of your anxiety. It is important to follow up with your doctor regularly to monitor your symptoms and response to treatment. If you continue to experience these episodes despite treatment, further evaluation may be needed.
Answered by 1 Apollo Doctors
My dad is 66 and had a CABG around 16 months ago. He's been really diligent with his exercises, simple yoga, and diet as advised by his surgeon. Lately, though, he's been having sudden pains on the left side that extend to his wrist, fingers, chest, upper back, and neck. Using ointment seems to help after a bit, but these pains have become more frequent. The doctor mentioned it might be muscle pain, but since it's been 1.5 years since his surgery, we're getting worried. Can you offer any advice on what might be going on?
It sounds like your dad may be experiencing angina, which is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. Given his history of CABG surgery and the symptoms you described, it's important to take this seriously. I recommend discussing with his doctor about the possibility of increasing his anti-anginal medication. He may benefit from medications such as Nitroglycerin sublingual tablets to help relieve the chest pain. It's important to follow the prescribed dosage and instructions for taking this medication. If the pain persists or worsens, seeking medical attention promptly is crucial.
Answered by 1 Apollo Doctors
Health Articles for you
View all
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.