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Diagnosis of coronary heart disease - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
User :   hi
Doctor :   how can i help you
User :   recently i was having chest pain, after a diag found elevation in lead III in my ECG,
Doctor :   could u type in the report
User :   ecg or blood test
Doctor :   both
User :   alrit give a mint
Doctor :   ok
Doctor :   r u there
User :   cholestrol - 224, hdl-44, triglydes-241, vldl-48
Doctor :   k
User :   in ecg wat is the infor you need
Doctor :   could u please type the final impression
Doctor :   or report
Doctor :   what was the diagnosis made
User :   ok, i have strees test report
Doctor :   ok
User :   conclusions is
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependants: Yes/No
User :   37yrs,male,married,engineer works some in night shift, india,depent: yes
Doctor :   ok
User :   good effort tolerance,
User :   normal hr & bp response
Doctor :   ok
User :   significant st depression seen in lateral lead during excerise & recovery .st
Doctor :   ok
Doctor :   ST depression
User :   elevation noted in lead III
Doctor :   and elevation in lead III
User :   No angina or arrhytmias
Doctor :   so often u get this chest
User :   tmt positivt for inducible ischemia.
Doctor :   do u get sweating or does the pain radiate into arms
Doctor :   ok
User :   no sweating
User :   only i pain radiate in to left arms little in jews
Doctor :   ok
Doctor :   jaws
Doctor :   it looks like inferior wall ischeamia
User :   may be
Doctor :   what medicine did the physician prescribe
Doctor :   did they suggest u to get echo cardiograph and angiography?
User :   i happen to take naturapathy medicain, now i am alrigt, i get mild pain i walk initially after some time it will be ok
User :   yes, but i decided to take this later.
Doctor :   i suggest u to get a electrocardiography and angiogram done at the earliest and consult cardiologist
Doctor :   for further evaluation and management
Doctor :   do u have diabetes or hypertension?
User :   earlier i was unable to walk 100 mts, now i am walking for more than 2 kms
User :   no i dont have diabetes
Doctor :   still its better to consult a cardiologist
User :   alright,
Doctor :   so what would u like to know about
Doctor :   now
Doctor :   echo cardiograph is needed to asses the cardiac function
User :   would let me know why did i get mild pain when i walk & i will be ok after some time
Doctor :   and also u need an angiogram to see if there any blockade in the coronary arteries
User :   alright, let me know thru diat controller, can the artries block can be cleared
Doctor :   do u feel breathless
User :   no
Doctor :   do u get this chest pain at rest?
User :   no
Doctor :   is it related to food u take
Doctor :   angina is chest pain or discomfort that occurs when an area of your heart muscle doesn't get enough oxygen-rich blood. Angina may feel like pressure or squeezing in your chest. The pain also may occur in your shoulders, arms, neck, jaw, or back. It can feel like indigestion.
Doctor :   Angina itself isn't a disease. Rather, it's a symptom of an underlying heart problem. Angina is usually a symptom of coronary artery disease (CAD), the most common type of heart disease.
Doctor :   ur chest pain might be the sign of coronary heart disease
Doctor :   Unstable Angina
User :   now i dont have the chest pain, let me tell you i got the chest pain after i lefted weight, than i have to message my calf muscles to get ride of the chest pain completely
Doctor :   ur having stable angina
Doctor :   u need to investigated further for cause
User :   do you suggest any diat controll,
Doctor :   i suggest u get echo cardiograph and angio when the problem starting
User :   i apperciate your suggestion
Doctor :   u can cut down oil
Doctor :   fatty food u eat
User :   no
Doctor :   less of salt
User :   ok
Doctor :   complete health check up is must in ur case
User :   i am taking olive oil
User :   i have done master check up
Doctor :   earlier we detect the cause
Doctor :   better for management
Doctor :   u can continue with the olive oil
User :   friuts
User :   rice
Doctor :   yes fruits and vegetables along with exericse
Doctor :   avoid taking chicken
User :   what type of excerise do you suggest
Doctor :   yoga is better for cardiac patients
User :   chicken i taking i stopped mutton
Doctor :   before that u please see physician a
Doctor :   iam very concerned about ur health
Doctor :   please do consult a physician and go by his advise
Doctor :   dont ignore this chest pain
User :   tks for the conern,
User :   do suggest to completely stop chicken
Doctor :   ur welcome
Doctor :   yes
User :   tks for the time taken to chat with me,
Doctor :   ur welcome
Doctor :   its my job
User :   very nice,
User :   bye
Doctor :   we are concerned about u as well
Doctor :   do keep us
Doctor :   informed regarding the progress
Doctor :   throu chat or u can write us
Doctor :   Thanks for Consulting Health care Magic. IF you find this service helpful please refer your friends and family members.

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