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?

Answered by 1 Apollo Doctors

Dr Chandra P

General Practitioner

MBBS
5+ Yrs

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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.

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Answered 25/07/2025

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I'm really confused about what's going on with my heart. My ECG came back positive, but my TMT, Echo, and CT Coronary Angiogram are all normal. I constantly feel this pain that seems to start in my left hand and move to my chest. What could this mean? Should I be worried about this combination of results and symptoms?

The pain radiating from your left hand to your chest could be indicative of musculoskeletal pain, such as costochondritis or muscle strain. I would recommend taking over-the-counter pain relievers like acetaminophen or ibuprofen for pain relief. Additionally, applying a warm compress to the affected area and practicing relaxation techniques may also help alleviate your symptoms. If the pain persists or worsens, it is advisable to follow up with your healthcare provider for further evaluation and management.