Question 1

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?

Accepted Answer

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.

Question 2

I'm a bit worried about my dad. He's 55, has been a chain smoker for a while, but otherwise, he's in shape with no blood pressure or sugar issues. However, his LVEF is 25-30. Could you please guide me on what steps I should take? I'm especially looking for advice on diet, lifestyle, medicines, and maybe some yoga practices that could help him out.

Accepted Answer

LVEF between 25-30.. indicates severe dysfunction of the heart  Causes include uncontrolled hypertension , cardiomyopathies and myocardial infarction..pacemaker may be indicated in such cases..Reduction of salt itake ,low fat diet is advised..consumption of fruits,nuts,legumes and vegetables is advised to the patient..

Question 3

I'm really puzzled and a bit worried about what's been going on with me lately. Every time I try to catch some sleep, I get woken up by this chest pain and a rapid heartbeat. It's been happening for over a month now. Climbing stairs also brings on this uncomfortable chest feeling. I'm around 100 kg and on met XL and telmisartan for blood pressure. I had a Stress Echocardiogram and CT angiogram recently, and both came back normal. I also attached my last two ECGs for a reference. I've been reassured that this isn't cardiac pain, but it genuinely feels like angina to me. So I'm kind of confused and not sure whats going on. Could this still be related to my heart in some way, or maybe it's something else entirely?

Accepted Answer

It's good that your recent tests have come back normal, ruling out any cardiac issues. The symptoms you are experiencing could be due to acid reflux or GERD. I recommend trying over-the-counter medication like Omeprazole 20mg once daily before breakfast for 2 weeks. Additionally, you can try raising the head of your bed and avoiding heavy meals close to bedtime. If the symptoms persist, you may need to follow up with a gastroenterologist for further evaluation.

yes an ECG along with cardiac markers are advised to the patient. a psychiatric opinion is also advised to the patient

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