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Suggest Treatment For Anxiety

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Posted on Tue, 23 Dec 2014
Question: I WAS UNDERGONE DEPLOYMENT OF STENT (LAD) 6 MONTHS BACK. USING MEDICINES .WALKING FOR 3 KM IN WINTER.ONE DAY I AM LOOKING ACTIVE. ON SOME OTHER DAY WEAK WITH SHORT BREATH XXXXXXX AND A MILD RESISTANCE TO WALK ON THE RIGHT PART OF HEART .I AM SUFFERING WITH ANXIETY FOR 25 YRS AND ALSO GAS TROUBLE . ADVISE ME THE PRESENT POSITION I AM WORKING AS DY MANAGER IN BANK WITH HEAVY RUSH . MAIL ANSWER TO MY EMAIL ADRESS YYYY@YYYY
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Answered by Dr. Anantharamakrishnan (45 minutes later)
Brief Answer:
You will need stress test - exercise ECG

Detailed Answer:
Hi friend
Welcome to Health Care Magic

The picture can be accounted by Anxiety… yet in such a situation, the wise action is to exclude progression of the Coronary Artery Disease.
     The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) / to assess any block in the stent or progression of the problem in native coronary artery
     Nothing further to do, if it is normal. If there is any suggestion of a probable, the next step is to see the ANATOMY (structure) – to repeat catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.

The treating doctor alone could conclude better, based on the total clinical picture
The medicines are appropriate

Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Suggest Treatment For Anxiety

Brief Answer: You will need stress test - exercise ECG Detailed Answer: Hi friend Welcome to Health Care Magic The picture can be accounted by Anxiety… yet in such a situation, the wise action is to exclude progression of the Coronary Artery Disease. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) / to assess any block in the stent or progression of the problem in native coronary artery Nothing further to do, if it is normal. If there is any suggestion of a probable, the next step is to see the ANATOMY (structure) – to repeat catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway. The treating doctor alone could conclude better, based on the total clinical picture The medicines are appropriate Good luck God bless you