Doctor insights on:
Angina Heart Attack
What would be the most impportant range of treatment for chd, angina/heart attack. Medication or surgery?
Depends: Angina and heart attack is from coronary obstruction and depending on vessels involved, and other risk factors, surgery can be amazing and durable. Some respond to medicine, and some are suitable for percutaneous. Your surgeon and cardiologist will discuss risks and benefits and options. For valvular heart diseases, surgery also has a long and trusted approach. ...Read moreSee 1 more doctor answer
Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more
Actually, yes: It's amazing what anxiety can do! Have medical tests and if results are negative for lung problems or heart issues - it leaves anxiety as a prime suspect. The good news will be that 1. you now know'll you are healthy in important ways and 2. CBT therapy works well for learning anxiety mgmt skills. It's a good thing! ...Read moreSee 1 more doctor answer
Heart great condition. Pain under left pec that comes and goes. Can I still develop angina/have heart attack?
Yes: Always a possibility. Unfortunately symptoms are very poor discriminants. Talk to your doc about your symptoms. ...Read more
Given that I had a echo stress in Jan no fam his, non smoker and cholesterol tested August is normal can I have angina or heart attack in near future?
Maybe: given that u r South Asian you have a heightened risk for Coronary disease. The ACC categorizes South Asians as CAD equivalent. Having said that be sure your lipids are truly optimized for a South Asian. That your stress echo is normal certainly bodes well for u in the near term. Maintain a heart healthy lifestyle; exercise (even walking 20-25 mins daily) & Mediterranean diet as much as possible. ...Read more
Can a 36 male with no family history, non smoker, normal chol, 22.3 BMI and good results stress/echo a year ago get angina or heart attack? Scared!
Possible but unlikely: most angina occurs on the basis of hardening of the arteries which would be unlikely with a normal stress test and no cardiac risk factors There are however some types of angina is that do not occur from "hardening of the arteries such as spasm of the arteries this can be diagnosed by EKG by giving certain drugs or by heart catheterization ...Read more
35 M no fam his non smoke choles within limits. EKG, echo stress in jan 2015 fine. But I always feel I will have angina or heart attack Am I low risk?
Yes, low risk: Your testing and history you provide would suggest low risk. Continued symptoms may require further evaluation, but overall you should be reassured. ...Read more
Can any doc tell me what's the difference between an angina attack, a heart attack and a cardiac arrest?
Lots.: Angina: discomfort from imbalance between oxygen supply and demand in the heart, but no muscle death. Heart attack: supply/demand imbalance so prolonged and severe that part of the heart muscle dies. Cardiac arrest: heart function so poor (bad pumping rhythm, no pumping rhythm, electrical rhythm but no actual pumping, etc) your circulation essentially stops. ...Read more
See doctor: Angina would mean there is heart muscle which is still getting poor blood flow. This maybe from an area which can not be treated with a stent or surgery. But it could also be an area which can be treated. Only your cardiologist can help you figure that out. Go see him/her. ...Read moreSee 1 more doctor answer
Does angina usually follow a heart attack? I'm a male in his 40's who had a mild heart attack a few months ago. Ever since I have been having frequent to infrequent angina attacks. Is this normal following a mild heart attack?
Continuum: Coronary disease develops from our lifestyle and as we age real blockage develops in some or all coronary vessels. One or more plaques disrupt and obstruct. If adequate collateral pathways exist may just vagus transient angina or pain. Angina is pain without damage. If not adequate flow, or collateral, acute myocardial infarction- heart attack occurs and that is "damage". Heart failure may follow. ...Read more
Angina is chest pain that is caused by poor blood flow to the heart muscle. Angina is not an actual disease, but rather a symptom of an existing heart problem. Most commonly, this underlying problem is due to an obstruction of the coronary blood vessels that surround the heart. There are different types of angina including stable angina, unstable ...Read more
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