Question 1

My dad's angiogram showed a 95% block in his LAD, but the SPECT test said only 25-30% of his heart muscle is viable. The PET CT later showed 60% hibernating myocardium that's still viable. Should we go for revascularization, and if so, would a stent or bypass be better? What are the risks, or can we just stick to meds since he's stable right now?

Accepted Answer

Medicine is very important before and after procedure but it's not enough in this case Lucky no pain gives you time but few of left myocardial muscle will die if we don't give blood to it so sitting on it is not a good idea Than should not have done all scans because now they are telling you to act upon Single block easily removed by stent takes ten minutes and. 20 years results comparable to bypass . I would get myself cut for no reason Bypass is optional if stent can't be done or too many blocks

Question 2

I've been having this chest pain and heaviness, and sometimes it feels like I'm short of breath, especially when I'm walking. I got an ECG and a chest x-ray, and they came back normal. I went to a nearby clinic just a couple of days ago for the same issue. I can't help but think I might have angina, but no doctor has confirmed this. They usually just check my pulse rate and listen to my heartbeat with a stethoscope and tell me everything's fine. Should I be worried about this, or can I trust the tests and what the doctors have said so far? Would love some guidance!

Accepted Answer

Since your symptoms are persisting, it's important to consider other causes of chest pain apart from heart-related issues. One common condition that can cause similar symptoms is acid reflux or GERD. You can try taking Omeprazole (brand name Prilosec) 20mg once daily before breakfast for 2 weeks to see if your symptoms improve. Additionally, you can also take Ranitidine (brand name Zantac) 150mg twice daily for immediate relief of chest pain. However, if your symptoms persist or worsen, it's advisable to consult a gastroenterologist for further evaluation and management.

Question 3

I'm really worried about this whole ECG report thing. It showed some ST segment downslope depression during my pre-employment medical exam. Then I did an echocardiogram with a color doppler test, and it shows DRA grade 1 with this E wave A wave stuff, whatever that means. There's no RWMA but the systolic is normal. The doctor didn't give me any meds except for blood pressure medicine. Is it really okay? What does this all mean? Would love some guidance on this.

Accepted Answer

"Based on the information provided, it seems like you have a normal ECG with ST segment downslope depression and a Doppler test showing DRA grade 1 with Ewave> A wave, no RWMA, and normal systolic function. Since your doctor has only prescribed blood pressure medication, it indicates that there are no significant cardiac issues requiring specific treatment at the moment. However, to further support your heart health, you can consider taking a low-dose aspirin (75-100mg) daily for its cardioprotective benefits. Additionally, incorporating lifestyle modifications such as regular exercise, a heart-healthy diet, and stress management can also be beneficial. It's important to continue regular follow-ups with your doctor for monitoring and guidance."

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