- male
- 65 Years
- 14/08/2025
I've been diagnosed with blockages in my LM and RCA arteries and my angiography report shows the details. I also have diabetes for the last 18 years. Should I go for angioplasty or bypass surgery? What would be the better option for my condition?
Answered by 1 Apollo Doctors
CTVS opinion advise.
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 14/08/2025
0
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View allI'm wondering if I should consider getting an angiography. This morning I had a TMT, and back in 2012, I had a stent surgery because of a blockage. I have all the screenshots of my TMT report. What do you think?
Based on your history of stent surgery in 2012 and the recent TMT conducted in the morning, it is important to assess the current status of your coronary arteries to determine if there is any blockage or narrowing that may require intervention. Angiography is a common procedure used to visualize the coronary arteries and identify any blockages. Considering your history and the recent TMT results, it would be advisable to proceed with angiography to get a clearer picture of the condition of your coronary arteries. This will help in determining the appropriate course of action, whether it involves medical management, further interventions, or monitoring. Please consult with your healthcare provider to discuss the next steps and to schedule the angiography procedure. It is important to follow up on any recommendations based on the results of the angiography to ensure optimal management of your cardiac health.
Answered by 1 Apollo Doctors
Im 18 and experiencing palpitations out of nowhere, like my heart races hard even when Im just chilling. Its weird because Im not anxious, and all my tests like ECG and chest x-ray are showing normal results with normal sinus rhythm. My cardiac shadow came out normal too. So what could be causing these palpitations when Im just at rest?
It's good that your ECG and chest x-ray results are normal. Palpitations can sometimes occur without any underlying heart condition. In your case, since there is no apparent cause for the palpitations, you may consider taking a beta-blocker medication such as Metoprolol (25-50mg) to help reduce the palpitations and the sensation of your heart beating fast. Additionally, practicing stress-reducing techniques such as deep breathing exercises or yoga may also help alleviate the symptoms.
Answered by 1 Apollo Doctors
I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?
Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
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