Question 1

I'm really worried about my 62-year-old diabetic relative. He's had angina for over a year, and his ECG showed some troubling signs like a Q wave with T wave inversion. The echocardiogram was apparently normal, but the treadmill test came back positive, and the coronary angiogram revealed triple vessel coronary artery disease. He's stable now, thankfully, but they recommended PCI for the LCx and RCA. I'm just wondering what all this really means and where would be the best place for him to get this treatment? I'm feeling a bit lost here.

Accepted Answer

If he is having triple vessel disease,he needs to u dergo Bypass surgery if not there is higher risk of sudden cardiac arrest, visit Cardiologist and follow their advice

Question 2

I've been having episodes of shortness of breath without any pain, and I'm really worried after my visit to the emergency at Medanta. They did a couple of troponin T tests; one came out negative, but the other was positiveshould I be worried about that? Then they did a coronary angiography, which came back normal, thank goodness, but they also did a CT coronary angiography, and the results are attached. Could you help me understand what's going on in the report and what my next steps should be in terms of treatment?

Accepted Answer

I see that you have undergone various tests for shortness of breath and have received conflicting results on troponin T tests. The normal coronary angiography results are reassuring. As for the CT coronary angiography report, without seeing the specific details, I cannot provide a detailed explanation. However, based on the information provided, it seems like further evaluation and monitoring may be needed to determine the underlying cause of your symptoms. In terms of treatment, it would be best to follow up with your healthcare provider for a comprehensive assessment and to discuss the next steps.

Question 3

I'm really worried after reading something about the COVID vaccine increasing the risk of blood clots and heart attacks, especially for people with high hscrp levels. My husband, who's 32, recently had an hsCRP test, and it came out to 1.7mgL. His cholesterol is also 227 with an LDL of 148. Should he think about starting ecosprin 75mg a week before he gets vaccinated and keep taking it for a few weeks after? I'm just trying to make sure we're doing everything we can to avoid any risks related to the vaccine. What do you suggest?

Accepted Answer

Elevated hs-CRP levels can indeed be a risk factor for blood clots and heart attacks. However, the decision to start taking ecosprin (aspirin) as a preventive measure should be made after consulting with a healthcare professional. In your husband's case, with an hs-CRP level of 1.7mgL, it is not considered very high. The current guidelines do not recommend routine aspirin therapy for primary prevention in individuals with low to moderate cardiovascular risk. It is important to consider the overall cardiovascular risk profile of your husband, including factors such as age, blood pressure, smoking status, and family history of heart disease. I recommend discussing these results with a healthcare provider to determine the most appropriate course of action regarding aspirin therapy before and after covid vaccination.

I've been having this pain in my left chest, and sometimes it even spreads to my hand. It's starting to worry me, and I'm not sure if it's something serious. What do you think I should do about it? Should I be concerned?

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