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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Heart Disease

Sir, My Father (age 67) had some chest pains and problems and so he consulted a physician. All the tests were done and he was reffered to a specialist Cardiologist. The Cardiologist checked and asked him to take up the TMT Test. During the TMT test,he was only able to take that for 4 minutes 9 seconds because he experienced very dried up mouth,throat and fatigue. Finally,the Cardiologist examined the reports and confirmed that his ARTERIES are blocked and asked him that it would be good to do a ANGIOGRAPHY. VERY VERY IMPORTANT- The Cardiologist prescribed to take a medication called ECHOSPRIN-75 once daily.But after the first day,there was severe reactions like suffocation,breathing problem,very weakness and loss of balance of his body.So,we immediately stopped the medication. So,i need your help and it would be very good if you could please give your Interpretations,observations and explain me the present condition of his heart.I humbly request you all for your support as soon as possible because i dont know much about these things and is it needed to go for a Angiography. ****I have attached a DOCUMENT with HIS TMT test results,echo-cardiography.Please let me know if you need any other reports and i will attach them. Waiting for your valuable inputs God Bless you currently taking these Medications- (1) Envas 0.5 mg - Twice Daily (2)Concor AM 2.5 mg - once daily (3)Storvas -once daily (4)Aciloc - 300 mg -daily once (5)Nutriva - Once daily (6) MADHUMEHARI - effective remedy for diabetes (7) A cough Syrup-Because he has deep cough (**Dont know how he got the cough because he never takes cold water or any sort of cold items) TMT TEST RESULTS:- INTERPRETATION- Summary:Resting ECG:RBBB.Functional Capacity:markedly decreased(by 40%).HR Response to Exercise:appropriate.BP Response to Exercise:appropriate response. Chest Pain:none Arrhythmias:none. ST Changes: Depression horizontal.Overall impression:Positive stress test suggestive of ischemia. CONCLUSIONS POOR EFFORT TOLERANCE.NORMAL HR AND BP RESPONSE.NO ANGINA ARRYTHMIAS SIGNIFICANT ST-T CHANGES SEEN.TNT IS POSITIVE FOR EXERCISE INDUCIBLE MYOCARDIAL ISCHEMIA
Wed, 30 Jan 2019
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Cardiologist 's  Response
Hello,

It’s quite suggestive that he is having coronary artery disease. Now it become important to visualize the status of the coronary arteries so that further treatment can be decided accordingly. Without Angiography, it’s not possible to plan proper treatment. Get an Angiography done.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhanu Partap, Cardiologist
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Suggest Treatment For Heart Disease

Hello, It’s quite suggestive that he is having coronary artery disease. Now it become important to visualize the status of the coronary arteries so that further treatment can be decided accordingly. Without Angiography, it’s not possible to plan proper treatment. Get an Angiography done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist