- male
- 55 Years
- 22/01/2025
I'm really worried about my dad who's 55 and has diabetes and high blood pressure. He went for a cardiac check-up about 10 days ago. The ECG came back abnormal but the 2D echo was normal, and the TMT report was positive. They started him on clopitab 75mg along with his regular meds for BP and diabetes, and now they've advised an angiogram. But here's the thing, he has no chest pain or symptoms, and he walks daily. I'm wondering if a CT angio might be a better option since it uses barium dye, and if the calcium score is negative, wed know theres less risk for a cardiac arrest. Could you give me some advice on this?
Answered by 1 Apollo Doctors
Follow advice of your cardiologist
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0

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View allI've been smoking for the past four years and drink daily. Seven months ago, I had a stress echo, and it came back normal, even though my lipid levels, Lp(a), and triglycerides were high. Recently, I've been experiencing dizziness that comes and goes, heart palpitations, ringing in my ears, feeling my heartbeat in my ears, the sensation of my heart skipping a beat, and burping. Could these symptoms be related to a heart issue? I'm worried because of my lifestyle habits and these recurring symptoms.
"Based on your symptoms and risk factors such as smoking and daily drinking, it is important to further evaluate your heart health. The dizziness, heart palpitations, ringing in ears, feeling of skipping a beat, and burping could be related to your heart. I recommend you to consult a doctor for further evaluation and consider starting on a medication like Atorvastatin (10mg) for high lipid levels and Fenofibrate (145mg) for high TG levels to manage your cardiovascular risk factors."
Answered by 1 Apollo Doctors
I'm really worried about my father. He's been diagnosed with severe coronary ectasia and previously, doctors mentioned that a bypass surgery isn't an option for him. I'm wondering if treatments like Ace Inhibitors or the drug Entresto could be effective in his situation? Lately, he's been having more frequent chest pains and feeling a lot of unease. Could you provide some guidance on this?
For the treatment of coronary ectasia, Ace Inhibitors such as Lisinopril can be beneficial in managing symptoms and improving heart function. The recommended dosage of Lisinopril is usually starting at 2.5-5 mg once a day, which can be adjusted by the doctor based on individual response. Entresto, which is a combination of Sacubitril and Valsartan, can also be considered for the treatment of heart failure in patients with reduced ejection fraction. The usual starting dose of Entresto is 4951 mg twice daily, which can be increased to the target maintenance dose of 97103 mg twice daily as tolerated. However, it is important to consult with your father's healthcare provider before starting any new medication or making changes to his current treatment plan. Regular monitoring and follow-up with a healthcare professional are essential in managing coronary ectasia and associated symptoms.
Answered by 1 Apollo Doctors
I'm really puzzled right now. My EKG keeps coming back abnormal, but the cardiologist didnt mention any problems before. I've started having palpitations, and there's been a lot of stress in my life lately. I decided to get a second opinion from a different cardiologist, but I'm confused. My EKG shows an incomplete right bundle branch block and a left anterior fascicular block. What does that even mean? My blood work is fine, my blood pressure is always excellent, and I dont have high cholesterol. Can you help me understand this?
Patient has heart block, cardiac opinion is advised, beta blockers,calcium channel blockers are advised..
Answered by 1 Apollo Doctors
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.


