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Angina Pectoris

Hello respected Doctors I am about to appear for my written exams for Cardiology for John Hopkins Medical College. I have a quick question here pls as Google is misleading I want to know the main cause of Angina Pectoris and is the solution only angioplasty?? Any input is appreciated. Regards

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This is an essay question. Refer to Texas heart institute website. ... Read More

Can I have angina , even if my heart test like ecg, echo, x-ray,tmt all are normal but cholesterol ia high?

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Yes; in some cases there can be angina even if there is no blockages in main vessel but some micro vessels have some blocks can produce angina ... Read More

I have little discomfort in left arm and ocassional chest discomfort but left arm pain persist for all days from 1 month Pain does not wrosen with even heavy exercise Niether relieve rest Is this angina or anything else My ecg echo was normal

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Consult in person ... Read More

I have angina and take pills morning and night ,I have been told I now need to work nights will it affect my medication

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Sir, Use Arjuna capsules Minimal exercise is needed for you body ... Read More

Hello Doctors, Good Evening. Past six months I have been noticing that I start getting palpitations from my throat n then all of a sudden I feel breathless. Then it moves to the other side of the throat and Chest and that side I feel breathless. Even walking I feel breathless..no which continues and goes after rest. Today I lifted two heavy water f

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Get a pulmonary function test done and revert with reports ... Read More

Is ecg and echo are enough to detect angina???or should we do any other test..?? Is tmt necessary if these both are normal???

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TMT is better to detect ECG changes ... Read More

How to determine I am having Angina attack. When to consult doctor? Am feeling pain in left shoulder, neck, arm and little uneasiness in chest. Sometimes breathing issue. Is it Angina?

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Get ecg, echo and tmt done and consult a cardiologist physically ... Read More

Hello dear doctors.. Greetings for the day.. What is the age group range people suffer from angina? And how is it diagnosed? Thanks

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Need to know more about your complaints and problem so that I can guide and help you. If you have any queries regarding your health or your family or friends you can opt for direct consul ... Read More

Do symptoms of unstable angina comes after symptoms stable angina or the symptome can come directly also without the previous symptoms of stable angina??

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Symptoms of unstable angina can come directly without prior symptoms of stable angina ... Read More

Hello Sir I am having chest pain and back pain which revolves around upper body what it would be this pain is for 4-5 months I have done some test all are normal like endoscopy throat scopy... And ecg 2D echo Actually I want to know how is variant Angina do painkillers works on angina..

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Hi. Calcium channel blockers will help in variant angina. Usually painkillers wont help much. ... Read More

Hi! My doc suspects I might have microvascular angina based on typical symptoms- pressure heavines in chest, jaw, arm ( both on rest n activity) goes away after sustained activity Clean angio with zero blocks n stress tests with no major changes- no diabetes- homocystein n crp were high but now below normal limits with supplements- deep belly br

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Cardiologist concern required ... Read More

Hello sir Can anyone suggest medicine for microvascular Angina. All blood reports are normal. Angiography n lipid profile also normal. Taking medicine for HTN. Tablet TELMIKIND 40 Please suggest medicine.

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Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusi ... Read More

Hello sir Can anyone suggest medicine for microvascular Angina. All blood reports are normal. Angiography n lipid profile also normal. Taking medicine for HTN. Tablet TELMIKIND 40 Please suggest medicine.

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Consult your cardiologist locally for further evaluation of your angina and treatment accordingly ... Read More

My Ecg is normal sinus rhythm,echo normal(ef65%), but tmt was positve but my invasive coronary angiogram report is normal arteries with slow dye clearance, microvascular angina just one year ago(2024 december,dated 21/12/24).calcium score was 0 in 2023 ct cag test report ( november, 2023)too, hs crp value is 0.48,, HDL 64, ldl 54, tg 42, cpk mb 1

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Looks non cardiac pain ... Read More

I’ve been experiencing angina-like symptoms for several months. I get intermittent chest discomfort, left arm heaviness, and jaw pressure. Today since morning, my left arm has been feeling tight and heavy, both at rest and during activity. 3 weeks ago had angiogram which showed normal arteries with zero blocks . stress echo was also normal.doc t

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Take cardiologist opnion ... Read More

I am a 49 year old male went through coronary angiography last year ( december 2024) after getting my tmt reoprt positive. Cag reports was : all normal coronary arteries without any blockage but 'slow dye clearance' microvascular angina. My calcicum score was 0 in CT cag report done on 2023. Now my hdl: 64, ldl: 52, Tg:46, total cholesterol: 122, H

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Everything looks normal ... Read More

Diagnosed with microvascular angina and pots (Postural Orthostatic Tachycardia Syndrome). Angiography shows clear vessels. My doctor has given me following medicines 1) inderal-la 20 mg bd 2) ranexa 500 bd 3) rosuvas cv 20 night 4) trimetazidine 80 mg od Now earlier for few months i was feeling better but sunce 1 month angina symptoms are back Du

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Is it truly micro vascular angina . Change to metoprolol ... Read More

Hlo doc m having angina like symptoms on exertion from last 3 years but cardiac workups r negative.. now doc referring me to rheumatologist.. cud it b cervical angina?? Pain comes on climbing stairs or walking fast from upper back to chest there s also neck stiffness pain , nd sometimes headache neck pain arm pain

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your symptoms are suggestive of Angina, is a cardiac evaluation is conclusively normal, Including ECHO and TMT? If yes can look for alternative causes ... Read More

Can i hv angina even with normal echo ecg and tmt?? Hving exertional chest pain from last 3 years..pain starts from upper back..

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Yes ... Read More

Been dealing with angina like chest discomfort radiating to left arm since 2 years- had this tmt n then ct angio done in november. It was normal but still angina symptoms- taking telimsartan, betablocker, gastric meds, anxiety meds but no relief What shud I do for it? Cardiologist doesnt listen much to my symptoms these days ever since my report c

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Get a chest x ray, it can be musculoskeletal pain as your ct is normal . Take tab zerodol twice daily, Cap Cyra D empty stomach If no relief then you may need certain blood test to rule out any rheu ... Read More

Diagnosed with microvascular angina. On ranolazine 500 mg bd,with rosuvastatin and metoprolol. Now as ranolazine not reducing angina totally , doctor wants me to take trimetazidine 35 mg bd with ranolazine. Is it safe to take both together ?

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Connect please ... Read More

I have angina like symptoms since 2 years- both on exertion n resting state. Like right now left arm paining n bit stiffness in jaw since 3 hours Symptoms worsened in october 2024- admit in er 2-3 times- ekg, trop, echo normal Sent for tmt- negative.. had high bp, obesity, stress so doct wanted ct angio in nov 2024 But symptoms persist- i read

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The reports that you have attached are incomplete and are not displaying the complete report. Although I would assume that the angiogram must have been a normal study in view of the complaints describ ... Read More

I have been having angina like symptoms- my shoulders, upper chest, throat feel tight n hurt badly.. my left elbow pains mildly.. my forehead n skin feels cold n moist... happening since 5 days- got 2 ekg done- normal.. today met cardiologist- he did echo- normal (65% ef).. chest xray normal.. Doc didnt do tmt since my symptoms are at rest or with

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Yes, you need further evaluation to rule out any other causes. ... Read More

Please Any Cardiologist Dr who has had Diagnosed Microvascular angina or Cardiac syndrome X ! Please let me know Your Contact and Digital Consultant fees.

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You can select yourself for online consultation ... Read More

Hello doctor, my mom who is 69 years old has angina pain while walking & sleeping , she did 2 D echo test and following was the report , requesting you to kindly explain .

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Echo is normal. ... Read More

How can we distinguish if angina is stable or unstable? And if patient is under medications like aspirin, rosuvastatin, is he still vulnerable to attack?

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Chest pain which is increasing on exertion also present at rest is the differentiation between unstable and stable angina. Medication will prevent the events but still patient is at risk ... Read More

Is there any diagnosis for non obstructive microvascular angina? I am a 34 year female with normal ecg , echo , HR and BP. However I have been getting chest pain , pressure and breathing difficulty on slight exertion. I can't walk fast , can't run. Walking in elevation and stairs also gives me chest pain . I was unable to complete the TMT test. Doc

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Please tell us about your weight and BMI ... Read More

I had left side chest pain and arm pain with nausea last night. I went for ECG today morning (though pain was not in the morning)and HS Trop I. Reports are attached. It says normal. I want to ask whether this can be unstable angina and can ECG detect unstable angina ?

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U can do further testing for angina ... Read More

My ecg Echo and tmt and holter are normal Still hve chest discomfort and slight pressures on very top of chest just below shoulder How to make sure its not Angina?? Any cardio doc available?

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If echo tmt are normal than nothing to worry ... Read More

Hello Doctor, Please let me know if my symptoms are angina or muscle spasms. I have sudden sharp pricking pain below left side breast bone, back side, shoulder and radiating to neck. Rarely on side side breast as well.Its happening randomly whether i am walking or sitting doesnt matter. Last for less than 5 mins.I recently did ECG and 2D echo will

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Ecg is normal. Pain is non cardiac. ... Read More

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