- male
- 50 Years
- 29/01/2025
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?
Answered by 1 Apollo Doctors
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.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
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I'm really concerned about my mom. She had a heart attack at the end of October and initially had some anginal pain, but the meds seemed to help for a couple of months. After an angiography, her doctor found an 85% blockage in the LCX OM artery and decided to do an angioplasty. I was hoping that would improve things, but a month later, her LVEF dropped from 45 to 32. Before the angioplasty, her heart was stable, and the dimensions of the left atrium and ventricle seemed normal, but now they're dilated. I was expecting her to get better after the angioplasty and I'm really worried. It's just me and my mom, and I need some guidance on what could be happening. Can you help?
The drop in LVEF after angioplasty may be due to various factors such as the extent of the heart muscle damage from the heart attack, the response to the stent placement, or potential complications post-procedure. To help improve her heart function and prevent further deterioration, her doctor may consider adding medications like Carvedilol (Coreg) to help improve heart function and reduce strain on the heart. Additionally, medications like Lisinopril (Zestril) may be prescribed to help reduce the risk of future heart-related events. It's important for your mother to follow up regularly with her cardiologist for monitoring her heart function and adjusting her treatment plan as needed. Encouraging her to maintain a healthy lifestyle with a balanced diet, regular exercise, and stress management can also support her heart health. Stay positive and supportive for your mother during this challenging time
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So I've been having this cough for the last couple of days and it's making my heart race and flutter, even when I'm trying to sleep. I got some tests done like an ECG, echo, and chest X-ray back in March. Should I be doing all those tests again? Every time I cough, it feels like my heart is either trying to jump out or like it's getting all tight, and it's really freaking me out. There's also this pain now and then, plus twitching in my feet and neck, and it's making me super anxious about my health. Is Benadryl syrup gonna help with all this? I'm also burping a lot, and my heart feels like it's pounding out of my chest. With all those tests coming back normal before, Im just wondering if I need to repeat them. And while I'm at it, what exactly is the main reason people get heart attacks? It's been like this since February, and I'm feeling really low and freaked out. My blood pressure is usually 11090 and my pulse is often above 100. I'm 25, by the way. Any ideas what's up with all this?
The fluttering and pounding sensation in your heart could be related to the increased pulse rate and coughing. Given your history of normal tests in March, it may be beneficial to consult with a doctor for a thorough evaluation. Benadryl syrup may help with some symptoms, but it is important to address the underlying cause. Considering your symptoms and history, it is advisable to try a combination of medications. You can take Benadryl syrup for cough relief and consider taking a proton pump inhibitor like Omeprazole 20mg for burping. Additionally, you can take Propranolol 10mg for heart palpitations. However, it is crucial to consult with a healthcare professional before starting any new medication. The main reason for a heart attack can be due to various factors such as smoking, high blood pressure, high cholesterol, obesity, lack of physical activity, and stress. It is essential to maintain a healthy lifestyle to reduce the risk of heart attacks, especially at a young age. If your symptoms persist or worsen, please seek medical attention promptly for further evaluation and management.
Answered by 1 Apollo Doctors
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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.