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What Symptoms Would Predict A Future Cardiac Risk?

Posted on Thu, 9 Feb 2017

Question: Dear sir I just want to know is there any signs like days before getting a heart attack ? My father has grown old he is now 67 years old and I am worried very much about him though he don't have heart problem till now but he has diabetes for which he is taking regular medicine and is in control no other problem and recently his bad cholesterol come 201 rest nothing my fathers father had heart attack mild one when my grandpa was 85 yr so I am worried about my father also is it tru heart attack is always life threatening or what should I do as I don't want to loose my parents please help me and suggest me something I am crying all day night thinking this only and also not able to concentrate anywhere else please help me doctor

Answered by Dr. Dr Sameer Maheshwari (57 minutes later)

Brief Answer:
please see detailed answer

Detailed Answer:
Hi,
This is Dr XXXXXXX cardiologist from Fortis Hospital.
I can understand the concern for your father and is overwhelmed to see such affection.
Risks factors for getting a heart disease are diabetes, high bp, smoking, abnormal lipid profile.
Such patients have symptoms like chest heaviness on exertion & breathing difficulty on exertion.
I will recommend you for a test called Stress Echo, which is a very good test in predicting future cardiac risk. We generally recommend it to every diabetic male who has diabetes for more than 5yrs.
If that is negative, than the chances of a getting a heart disease is very rare. So you can get that test done & be assured after the result.
I wish a good health for your father & you.
Thanks
Dr XXXXXXX Maheshwari

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr Sameer Maheshwari (24 hours later)

my father is diabetic since only last 3 years actually i am worried because todays int he news there's alot of news of peoply getting heart attack and sudden death so i am worried earlier there was saying that before heart attack people have symptoms like chest pain hand pain or jaw pain and some people use to say 3rd heart attack is fatal but today now days a 1st heart attack itself taking peoples life so i am worried i want my father to live happily more years similarly i want to safe my mom also from heart attack like my father my mom doesnt have any sugar or BP problem so can my mom also be prone to heart attack ? and i also wan to know why people both male and female now days have sudden heart attack without any earlier warning prediction? how to safe from them and what medicine shall i keep at home froms aving person if sudden heart attack occurs?

Answered by Dr. Dr Sameer Maheshwari (8 hours later)

Brief Answer:
Diabetes affects nerves

Detailed Answer:
Hi,
Welcome back.
Diabetic patients generally do not have chest pain as diabetes affect the nerves ( diabetic neuropathy) & they present directly in emergency as heart attack.
3 yr old diabetes is not that bad & I'll still advice you for Stress Echo for both your father & mother which is a very good test. But if you still want more accurate result than a Better test than this is CT Coronary Angiography & if that does not show any blockage, their is no chance of getting a heart attack.
Now the medicine part - You can keep Tab Disprin, which is a blood thinner, at home which we regularly give to every heart patient. If anyone gets a chest pain Tab Disprin is to be chewed immediately which helps in decreasing clot formation. Than you have to reach nearby hospitalas soon as ppossible.
I hope i answered your query.
Thanks
Dr Sameer Maheshwari

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

Follow up: Dr. Dr Sameer Maheshwari (38 hours later)

Thank your I also have another query I used to smoke but I quit and I am sober from last 1 yr but I have a question I quit because I am scared of lung cancer can occasionally smoking also cause lung cancer and why it hit common person man only like there are also big celebrities like Shahrukh XXXXXXX who smokes 100 cigarettes a day like he said in a interview and XXXXXXX XXXXXXX also who smokes 60 cigarettes a day why those people do not get cancer and why common people only get it and I do start smoking can I also get one or tell me the way how can I smoke a cigarettes in manner so that I do not get cancer and do you also smoke ?

Answered by Dr. Dr Sameer Maheshwari (8 hours later)

Brief Answer:
Please see detailed answer

Detailed Answer:
Hi,
Welcome back.
Lung cancer a condition which occurs because of abnormal genetic makeup of an individual (means some have abnormal genes in their dna which causes cancer).
Now this gene is activated by smoking. So every person will not get lung cancer as everyone does not have this abnormal gene.
Their is no specific way of smoking which will prevent lung cancer & I'll recommend you to not smoke as smoking causes a variety of other diseases also.
I will recommend you to meet a lung specialist who will explain you in a better way.
If you have any further query, I'll be happy to help or you can choose to close the discussion.
Thanks
Dr Sameer Maheshwari

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng