Question 1

I'm really worried about my mom who's 62. She recently had some chest pain, and her ECG came out abnormal. We consulted with a cardiologist, and they did a TMT test, which was strongly positive. She's also had an echo test done. Now we've been told she needs to go for a CAG angiogram test. I'm just trying to understand how serious her condition might be. Could there be a severe blockage? What do these tests tell us about her heart health?

Accepted Answer

Given the information that your mother's TMT (treadmill test) result is strongly positive and she has had chest pain along with an abnormal ECG, it suggests a significant likelihood of coronary artery disease (CAD). An angiogram (CAG - coronary angiography) is the next appropriate step as it will provide a detailed view of the coronary arteries to identify the presence, location, and severity of any blockages. This test is crucial for determining the best treatment plan, which may involve medications, angioplasty, or coronary artery bypass grafting (CABG) depending on the findings. Please follow your cardiologist's recommendations and proceed with the angiogram for a definitive diagnosis and treatment plan.

Question 2

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 3

I've been feeling some pressure and tightness in my chest after eating, and my stomach gets really bloated. Sometimes it even feels like I'm having an anxiety attack. I'm not sure what's going on. Could there be a link between these symptoms, and what might be causing this?

Accepted Answer

GERD is the probable diagnosis , advised pan d ,orally before food for 14 days and syrup sucralfate 10 ml thrice daily ,Avoid spicy foods..

as you have family history you are at risk sooo do not stop them,its because of those medicines your BP is normal,follow healthy lifestyle and do follow your doctors advice

More Cardiology Health Queries

I've been feeling some pressure and tightness in my chest after eating, and my stomach gets really bloated. Sometimes it even feels like I'm having an anxiety attack. I'm not sure what's going on. Could there be a link between these symptoms, and what might be causing this?

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