What causes chest pains when walking up hills or running?
My private specialist in cardiolgy suggested for a exercise thallium scan to identify the 'extend of the area' that may be affected before deciding on the way forward on long term medication or surgery. The Government cardiologist disagrees and suggest for an angiogram, followed by a by-pass (if required).
As this is congenital and probably not covered by insurance, it is likely that I will choose to be operated by Govt doctor should open heart surgey be required. I am concerned the Govt doctor may go ahead with a by-pass even without fully diagnoising my problem.
Difficult to answer but let me give XXXXXXX opinion
Looks little tricky. both doctors and opinion are right in their own reasoning. as you are symptomatic and CT angio has shown it is likely to be significant and calls for going ahead with CAG and intervention. but sometimes the Anamalous arteries look abnormal on CT imaging without actually having lesion or block. As you will be subject to major procedure and want make sure that is cause for symptoms and you will be benefitted by surgery, thallium would help. So keeping apart financial issues my advice would be to go ahead with thallium and if it comes positive go back to govt doc and have yours treatment. if thallium shows no evidence of ischemia than you can continue medical treatment with your private cardiologist
On the other hand, I have had CT angiogram, thallium, previous chest X-ray last Aug, mammogram in XXXXXXX this year .... Am I exposed to too much radiation?
Also, recently I am getting chest pains throughout the day, but also a lot of acid in my stomach (big big burps and farts), could this be acid reflux or related to my heart?
Lastly, can a artery bypass be carried out using keyhole surgery?
Yes If the Thallium comes normal you may not have to undergo CAG. Yes Gold standard is angiogram but it would needed if there is evidence of ischemia and otherwise not.
Radiation dose should be acceptable by the tests you have mentioned
Pain that is continuously there is not generally cardiac and should be acidity as you rightly mentioned
Yes bypass can be considered through key hole but as your right coronary may require graft not everyone will be able to achieve it through key hole. You need to approach the center that specializes in Robotic key hole surgery
May be yes may be no
It may be related but not for sure. You seem to be worried and that may be worsening your acidity. just review with your doctor and have ECG done
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