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Asking for Self, Female, 26 years old, Peshawar
Assalamoalikum I want to ask any cardiologist here about my problem. M 26 yrd old I have been feeling chest tightness and heaviness on exertion. Did ett it was normal achived percent thr but was very out of breath. The symptoms still persist. A consultant cardiologist suggested to do ct cor angio . kindly tell me should i proceed with it? I fear the radiation n contrast dose might be very high on ct angio. I have heard that 640 slices ct scanners uses radiatiom even lesser than the traditional angiography. Kindly guide me in this regard that what should i do. I cant consult my cardiologist due to corona lockdown.
Aoa. given your age, sex and ETT negative there is no indication for a CT coronary angiogram.
Has your doctor done echo for you ? If not do it. MIBI SCAN Is alternative to CT cor angio but the good point with CT cor angio is that if it comes out to be normal, one can be 99% sure that you don’t have disease in the heart vessels.
Patient
Post Owner
Been hypertensive for last 8 years. Currently taking nebil 2.5 od and triforge 160/5/12.5 od. My cholesterol
Haa been borderline high whole life. No family history of CAD. I did the followimg tests
Ecg normal
Echo ivsd upper limit normal
Ett 93% thr with beta blockers normal
S. Electolytes normal
Lfts rfts normal
Plasma metanephrines normal
Plasma cortisol upper limit normal
Renal doppler normal
Cholesterol 200
Ldl 150
Thyroid profile normal
Cbc normal
Urine R/e normal
4 years ago
only ca scoring is enough on CT. full CT not required.
Some distortion of text occurring plasm marham to sort. Eg the words don’t
If ETT is normal, and with your age. No need to go for CT Angio. Would suggest you to take a Pulmonologist on board to see lungs as cause of chest tightness
plz share some Basic informations regarding your case.
1. Name:
2. Fathers/ Husband name:
3. Family History:
4. Eduction:
5. Are you working:
6. Doing Job:
7. Type of Job
8. Home city:
9. Lab tests:
- CBC &:ESR.
- ASOT
- T3, T4, TSH
- Urine DR
Patient
Post Owner
Dear Sir m a fresh MBBS graduate. Been hypertensive for last 8 years. Currently taking nebil 2.5 od and triforge 160/5/12.5 od. My cholesterol
Haa been borderline high whole life. No family history of CAD. I did the followimg tests
Ecg normal
Echo ivsd upper limit normal
Ett 93% thr with beta blockers normal
S. Electolytes normal
Lfts rfts normal
Plasma metanephrines normal
Plasma cortisol upper limit normal
Renal doppler normal
Cholesterol 200
Ldl 150
Thyroid profile normal
Cbc normal
Urine R/e normal
4 years ago
Waa alkyum Salam Do u have any risk factor like HTN ,DM Family history,raised cholesterol etc?if NO then chance of CAD is low.i suggest chest X-ray,trans thoracic echo.if all normal you can undergo stress Echo,safe from radiation with reasonably good sensitivity and specificity.
Patient
Post Owner
Sir I m hypertemsive from last 8 years. Taking nebil 2.5 od and triforge 160/5/12.5. My cholesterol has been borederline high whole life. Cxr and pfts came normal. No family history of CAD.
4 years ago
Patient
Post Owner
. Been hypertensive for last 8 years. Currently taking nebil 2.5 od and triforge 160/5/12.5 od. My cholesterol
Haa been borderline high whole life. No family history of CAD. I did the followimg tests
Ecg normal
Echo ivsd upper limit normal
Ett 93% thr with beta blockers normal
S. Electolytes normal
Lfts rfts normal
Plasma metanephrines normal
Plasma cortisol upper limit normal
Renal doppler normal
Cholesterol 200
Ldl 150
Thyroid profile normal
Cbc normal
Urine R/e normal
4 years ago
WAA. If you have no FH of early CAD, and if you are non smoker than there is low likelihood of CAD. But if you symptoms persist, get your chest examination for asthma and do spirometry, Cxray. If these are ruled out than needs to assess further cardiac investigations.
Patient
Post Owner
Sir what should i do next? Dear Sir m a fresh MBBS graduate. Been hypertensive for last 8 years. Currently taking nebil 2.5 od and triforge 160/5/12.5 od. My cholesterol
Haa been borderline high whole life. No family history of CAD. Non smoker. I did the followimg tests
Ecg normal
Echo ivsd upper limit normal
Ett 93% thr with beta blockers normal
S. Electolytes normal
Lfts rfts normal
Plasma metanephrines normal
Plasma cortisol upper limit normal
Renal doppler normal
Cholesterol 200
Ldl 150
Thyroid profile normal
Cbc normal
Urine R/e normal
4 years ago
MBBS, FCPS (Medicine), FCPS (Cardiology), MCPS (Medicine) | Islamabad | Book Appointment
24 Positive Reviews
S Renin and Aldosterone level.
4 years ago
MBBS, FCPS (Medicine), FCPS (Cardiology), MCPS (Medicine) | Islamabad | Book Appointment
24 Positive Reviews
For cardiac symptoms if you don't want CT Angio, than do thallium scan
4 years ago
Patient
Post Owner
Sir i have never been told by any Cardiologist/ medical specialist/ endocrinologist to go for serum aldo and plasma renin. They just look at eIelectrolytes lvl. wanted to do that too but as i m using arbs its not possible for me to do it. Now i have also noticed from few days that when ever theres stressful situation or when i m doing stressfull work i feel pain in the middle of the chest sometimes at rest too in stressful situations. No other symptoms along with pain
4 years ago
MBBS, FCPS (Medicine), FCPS (Cardiology), MCPS (Medicine) | Islamabad | Book Appointment
24 Positive Reviews
If you are not obese, Heart rate is between 60 to 70 and Sinus rythum, CT Angio result will have good sensitivity and specificity. Rule out secondary causes of Hypertension in this age group that's why Aldosterone and Renin level but you have to b off from ARBs and ACEI definitely.
4 years ago
Member
Yusra Owais
As salam elikum my husband is diagnosed with distolic Dyfunction he is 39 years of age with 83.5 kg weight 5.6 feet height. His treadmill test and heart enzymes test are normal please advise treatment
MBBS, FCPS (Medicine), FCPS (Cardiology), MCPS (Medicine) | Islamabad | Book Appointment
24 Positive Reviews
Please send echo result
4 years ago
For all complicated and chronic health problems contact us.
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Exercise time ?
With hx of htn borderline lvh and exertional symptoms ccta will rule out coronary occlusion if negative. The radiation exposure will be less than 3 mSv. Radiation from CXR is half a mSv
I think treadmill stress echo seems appropriate.if negative consult pulmonogist.
Patient
Post Owner
Ett was prrformed in november last year. I was taking 2.5mg nebil bd that time but somehow achived 93 percent thr.
4 years ago
MBBS, Diploma in (Cardiology) | Karachi | Book Appointment
its very less likely cardiac.. why were you prescribed Nebil ?
at best get an echo done for now and share report.
4 years ago
Patient
Post Owner
Been hypertensive for last 8 years. Currently taking nebil 2.5 od and triforge 160/5/12.5 od. My cholesterol
Haa been borderline high whole life. No family history of CAD. I did the followimg tests
Ecg normal
Echo ivsd upper limit normal
Ett 93% thr with beta blockers normal
S. Electolytes normal
Lfts rfts normal
Plasma metanephrines normal
Plasma cortisol upper limit normal
Renal doppler normal
Cholesterol 200
Ldl 150
Thyroid profile normal
Cbc normal
Urine R/e normal
4 years ago
Patient
Post Owner
Because i was having sinus tachy. Have anxiety issues and depression.m also on prozac 20mg
4 years ago
MBBS, Diploma in (Cardiology) | Karachi | Book Appointment
fine. That is quite an extensive work up done already. I don't think so right now any further testing is required to rule out coronary artery disease. what is your BP readings these days ?
4 years ago
Patient
Post Owner
Sir my bp is 135 by 60 nowadays in morning and 115 by 55 at night
4 years ago
MBBS, FCPS (Cardiology) | Peshawar | Book Appointment
Hypertensive patient, exertional symptoms and dyspnea during ETT. ETT has 70% sensitivity for picking coronary heart disease. It misses out 30%. Better to have MIBI OR CCTA. Should stop bblocker for stress MIBI.
4 years ago
Patient
Post Owner
Sir should i get ctca done in these days? M planning to go to shifa hospital for that. Is that good choice for it?
4 years ago