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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Choking Feeling In Upper Neck Region. Chest X-ray, Tlc, 2d Echo Negative. Next Step?

Recently my mother aged 67 started complaining taht she feels some sort of choking sensation in her upper neck region while walking but only sometimes not always .In the recent times she had had a chest infection also .So to rule out any further problem I got her chest X ray, tlc ,dlc, ecg ,tmt .2 d echo done . Everything is fine in the reports but for one line in the tmt which says test is mildly positive for inducible myocardial ischaemia.Kindly guide me what it is and what next is to be done.
Wed, 12 Jun 2013
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Cardiologist,  's  Response
Dear patient,

This means that blockages in the arteries of the heart might be giving your mom that choking sensation. With current evidence, it may be reasonable to obtain a stress echocardiogram or nuclear study to see how big or small is the area of ischemia; if it is relatively small, then heart medications are very effective at controlling symptoms and improving outcomes; if the area is actually big, then an angiography of the heart could be indicated (look at the vessels of the heart with dye for blockages)..

Yours truly,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
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Choking Feeling In Upper Neck Region. Chest X-ray, Tlc, 2d Echo Negative. Next Step?

Dear patient, This means that blockages in the arteries of the heart might be giving your mom that choking sensation. With current evidence, it may be reasonable to obtain a stress echocardiogram or nuclear study to see how big or small is the area of ischemia; if it is relatively small, then heart medications are very effective at controlling symptoms and improving outcomes; if the area is actually big, then an angiography of the heart could be indicated (look at the vessels of the heart with dye for blockages).. Yours truly, Dr Brenes-Salazar MD Cardiology Mayo Clinic MN