Doctor insights on:
Symptoms Of Coronary Occlusion
Can a 450 lb man with sob after walking 20 ft be having symptoms of coronary artery occlusion? He becomes sweating profusely and very short of breath
Definitely: Symptoms of coronary ischemia (poor blood flow to heart) can be quite variable. Many people do not have the classic symptoms of squeezing chest pressure shortness of breath etc. Some people have just shortness of breath or belly pain or no symptoms at all. A 450 pound man is certainly at risk. Get to a doctor asap. ...Read more
Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more
Rarely: Un cases such as a spontaneous coronary dissection but these are very very rare. ...Read more
What does coronary occlusion acute, arterio-sclerotic cardio vascular disease and acute myocardial infarction mean?
Could death at age 45 in 1960 due to coronary occlusion after 3 years of angina been aortic dissection/aneurysm in undiagnosed marfan's? No autopsy.
Very Possibly if...: If the patient was a non smoker and had characteristics suggestive of marfan's, then I would think that aortic dissection would be the more likely cause of demise in a 45 year old. ...Read more
61 yr old hypertensive male has total occlusion of right coronary andom. Stenting of om1 done. Ejection fraction is 45-50%. Is CABG indicated for rca?
Likely no: The damage that could have been done from the occluded rca has already happened, and the vessel can't get worse than totally occluded, so, provided that anginalsymptoms symptoms are controlled there is no need to do anything. Overtime, compensation typically occurs for an occluded vessel in the form of progressive collateral circulation. ...Read more
I have coronary ramus artery occlusion. The md wants tomanage it medically rather than putting a stent. Your opinion?
Stent: You should ask your doctor to explain the therapy of CAD and when procedures like stenting are indicated and not indicated. The presence of the occluded ramus does not necessarily imply stenting is indicated. ...Read more
Have chronic radial artery occlusion. Having pain. When is coronary bypass done. Good flow in ulnar artery. Advice.
When needed: Having occlude radial artery no major problem ulnar art is there as for pain is it chest pain? Then u should be w/u for that with ur cardiologist with stress test or other, there are other options other than ur radial art for bypass ima r or l saph vein r or l but neede to c ur dr for DX and rec"s. ...Read more
Can be no symptom: Left elbow pain is an odd one I've seen. Isolated, painless, exertional shortness of breath (dyspnea) is a fairly common but atypical presentation. Pain lasting for hours is very unusual but I've seen it. Painless confusion in the very elderly is another odd presentation that sometimes happens. Strange presentations tend to occur in the very elderly-young people are more typical. ...Read more
Can vary: Classic symptoms are chest tightness with shortness of breathe with exertion. Pts have sweating, nausea, and have left arm pain. Pts may also have jaw pain. The symptoms resolve with rest. However most pts don't have such clasic symptoms. Diabetics may have no symptoms at all and they are among the highest risk group. Women tend to have atypical symptoms too. If your concerned w/ risk factors see ur dr. ...Read more
What is coronary microvascular disease? What are the symptoms of coronary microvascular disease, and is it true that it is more prominent between women?
In the heart there are larger epicardial vessels that we bypass and stent, and smaller vessel dz that are too small to mechanically intervene. They both can cause pain but small vessel dz is treated with medications and risk factor modification.
And yes its more commonly diagnosedin women. ...Read more
There are many symptoms, including chest pain, neck and shoulder pain, shortness of breath, numbness, dizziness and nausea with exercise.
Or, there may be no symptoms, which is why we try to limit or treat your risk factors such as high cholesterol, low hdl, high blood pressure, obesity, diabetes, etc. ...Read more
Chest pain: Symptoms from coronary artery disease (CAD) can vary. The most common is angina and can include chest pain as well as pain in the arm, jaw, or abdomen. The pain typically gets worse with activity and better with rest. Shortness of breath can also develop, especially as the heart muscle begins to weaken from inadequate blood flow. ...Read more
Atherosclerosis: Or cholesterol plaqueing.Get a more detailed answer ›
CAD in women: Often women have the same symptoms as men, however, women can more frequently than men have atypical symptoms such as nausea, shortness of breath or heart failure. This is because women develop heart disease at an older age and with other illnesses such as diabetes, hypertension and kidney disease. ...Read more
Sometimes none: Coronary disease may have no symptoms until a heart attack occurs. The most common symptom is chest tightness, felt under the breastbone, though it may be felt in the jaw or left arm. "angina" is chest pain that comes with physical or emotional stress, when the heart is working harder. The pain o a heart attack is similar but can come at rest and lasts longer. ...Read more
A warning: A partial obstruction likely will not cause symptoms of chest pain. However, it certainly may progress and cause problems later on. This means that you have coronary artery disesae albeit mild. Aggressive risk factor modification is critical. Treat blood pressure, diabetes, stop smoking, exercise and lower cholesterol as low as possible. ...Read more
Microvascular diseas: Symptoms: chest pain, shortness of breath, lack of energy, sleep problems and fatigue. If you are suggering from these discomfts, it could increase your heart rate. Any physicial discomfort could raise your heart rate. It doesn't cuase acute death. But it has long term sequele of end organ damage. ...Read more
Is a coronary angiography the next test after echocardio for investigating basal septum hypokinesics. I have no symptoms and am worried as invasive?
Hypokinesis: An exercise echocardiogram could show whether the wall motion in the septum changes with exercise implying the muscle needs more blood flow. A nuclear perfusion study could show the rest and exercise blood flow to the area as well as other parts of the heart. A ct angiogram could show the vessels to the area. Best to discuss with your dr. There are lots of options. ...Read more
CAD: By reducing the demand and increasing the coronary blood supply we can pharmacologically reduce anginal symptoms and manage CAD medically. Beta-blockers, nitrates, and calcium channel blockers can help. Aspirin reduces the risk of mi by making platelets less likely to stick together and cause clots. Lipi-lowering meds like statins can stabilize and slow progression of blockages. ...Read more
Symptoms of CAD: Usually, there are no symptoms of coronary artery disease (cad). Contributing factors include hypertension, obesity, lack of exercise, stress, high cholesterol. If you or your doctor suspect cad, then you should get checked. Sometimes, however, the first symptom is a heart attack or a stroke. ...Read more
Chest pain: Coronary artery disease will generally cause chest pain, often described as pressure or felling like someone is standing on your chest. The pain or pressure may radiate down the left arm or give you feeling of numbness. Other symptoms include shortness of breath, increase fatigue, or symptoms often attributed to GI upset, like nausea or reflux. ...Read more