apollo
  • Male
  • 62 Years
  • 29/01/2025

I'm really worried about my 62-year-old diabetic relative. He's had angina for over a year, and his ECG showed some troubling signs like a Q wave with T wave inversion. The echocardiogram was apparently normal, but the treadmill test came back positive, and the coronary angiogram revealed triple vessel coronary artery disease. He's stable now, thankfully, but they recommended PCI for the LCx and RCA. I'm just wondering what all this really means and where would be the best place for him to get this treatment? I'm feeling a bit lost here.

Doctor 1

Answered by 1 Apollo Doctors

If he is having triple vessel disease,he needs to u dergo Bypass surgery if not there is higher risk of sudden cardiac arrest, visit Cardiologist and follow their advice

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really worried about this ongoing lightheadedness I've been dealing with for the past 8 months. It's like I'm under the influence of something, almost like alcohol, but I'm not. I've had these scary episodes where my chest hurts and my blood pressure shoots up to 150100. The ER told me it was a panic attack, and it's happened twice now. I've undergone so many testsHolter Monitor, ECG, EKG, chest and heart CT scans, even a brain MRI and countless blood tests. Everything comes back normal, including checks for anemia and thyroid issues. They did find H. Pylori, and I finished a 14-day antibiotic course for that, but otherwise, doctors say I'm fine. Yet, I can't shake these feelings and symptoms. I'm 30, 6 feet tall, and weigh 90 kg, with blood pressure often around 13590. I've even had ECGs during the pain episodes. Can you help me figure out what might be going on here?

It sounds like you have been through a thorough evaluation for your symptoms. Since all your reports have come back normal and your doctors have ruled out various possible causes, including panic attacks, it's important to consider other factors that may be contributing to your lightheadedness and other symptoms. One possible cause could be inner ear problems leading to vertigo-like symptoms. I recommend trying a medication called Meclizine (brand name Antivert) at a dose of 25-100 mg per day to help with your lightheadedness. Additionally, you may benefit from vestibular rehabilitation therapy to address any inner ear issues. It's also important to stay well-hydrated, maintain a healthy diet, and practice stress-reducing activities such as yoga or meditation. If your symptoms persist or worsen, it may be helpful to see an Ear, Nose, and Throat (ENT) specialist for further evaluation and management.

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I'm trying to figure out what's causing my shortness of breath. If my HRCT scan looks normal, but I'm still experiencing breathing issues and my ECG shows RBBB, what could be going on? Should I consider getting a CT coronary scan to investigate further? I'm really looking for some guidance here.

Pulmonary function test, methacoline challenge test

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I'm trying to understand what's more accurate for diagnosing left ventricular hypertrophycardiac CT or echocardiography. Which one should I trust more for reliable results? I'm a bit worried and want to make sure I get the right diagnosis.

For the diagnosis of left ventricular hypertrophy (LVH), echocardiography is generally considered to have better accuracy compared to cardiac CT. Echocardiography provides real-time images of the heart's structure and function, allowing for a more detailed assessment of LVH. In contrast, cardiac CT can also be used to diagnose LVH, but it may not provide as much detail as echocardiography. In terms of accuracy, echocardiography is typically the preferred imaging modality for diagnosing LVH due to its ability to visualize the heart in real time and assess various parameters such as wall thickness and chamber size. Therefore, if you are looking for a more accurate result in diagnosing LVH, echocardiography would be the recommended imaging test. In some cases, both imaging modalities may be used in conjunction to provide a comprehensive evaluation of LVH. However, if you are specifically looking for the most accurate result, echocardiography is often the preferred choice.

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