Peripheral Interventions

Health Q&A
Chest pain & heaviness

My Ecg is normal sinus rhythm,echo was normal done 4 months ago(ef=65%), .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, apoa1 is 141, apoB is 50.3 HDL 54, ldl 64, tg 55, cpk mb 19( ref was <25), hb1c 5.2 done all tests in october'25 I feel discomfort and tightness, discomfort & heaviness like feeling & pain and heaviness with tightness the left chest and & at sometime even at rest.moreover feel palpitation & pain & discomfort type of sensations sometime in stress .high bass sound makes me feel very uncomfortable feeling in chest. Taking clopidogrel 75 od & rosuvastatin 10 od. Non smoker, non alcoholic, non diabetic. Is it a heart related problem? Do i need to go for another angiogram? How to get rid of this? Plz suggest doctor. Reports are attached. Thank you

High Esonophile count

Hi my father went for angioplasty on March 25th last month and now he is doing well and recovering fine. Today we had the blood tests done and his esonophile count is too high. Please can you suggest anything.attaching the report .

Please review my reports

Hi sir,kindly review my reports . I already don't eat so much of red meat .still pls guide me.help me to come out of this.

Fetal heart issue seen in 17th week

I did anotomy scan at 17 weeks everything seems to be completely normal except the heart related findings. Below are the findings. Small pulmonary artery Vsd and overriding arota Is this normal at 17 weeks ? The Doctor who did my ultrasound scanning over stomach  asked me to follow up again after 20 week as it is not clear in 17th week scanning but the gynaecologist who is checking me said to terminate the pregnancy immediately. What should I do please help 😭😭😭😭

Query regarding medication  higher pulse

I have a query regarding medication for pulse.Iam 44 year old male taking bp medicines since almost 10 months.It started with telmisartan 40 mg then transitioned to 25 mg till it got changed again a week ago.Iam taking Rivelol 40/50 for bp and one medicine Betaloc 25 has been prescribed sos in case there are palpitations and higher pulse.Now my query is Iam checking my bp almost every other day the bp reading is normal but the pulse hovers around 90/91/92.Is this concerning.Also is it required to take Betaloc 25 in case the pulse is around 90/91/92 or should it only be taken if it crosses 100? Pls advise

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Doctors
Dr. James Karas - Cardiologist
Dr. James Karas Cardiologist (Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Doctor of Medicine, Residency - ID, Fellowship 2, Medical degree, DO, Fellowship in Cardiovascular Medicine) 36 years experience Cleveland Clinic
Columbus 43212, COLUMBUS
Dr. John P Kovalchin - Pediatrician
Dr. John P Kovalchin Pediatrician (Medical School, Fellowship in Pediatric Cardiology, Residency in Pediatrics, Residency - ID, Fellowship 2) 37 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS
Dr. John Jay Warner - Internal Medicine
Dr. John Jay Warner Internal Medicine (Medical School, Residency) 34 years experience The Ohio State University Wexner Medical Center General Surgery
Weinland Park, COLUMBUS
Dr. Fareed Raza Shaikh - Cardiologist
Dr. Fareed Raza Shaikh Cardiologist (Medical School, Class of 1999, Residency - ID, Fellowship 2) 29 years experience Mount Carmel Medical Group
Columbus 43213, COLUMBUS
Dr. Lee R Davis - Internal Medicine
Dr. Lee R Davis Internal Medicine (Fellowship, Medical School, Residency, Internship, Residency - ID, Fellowship 2, Class of 1973) 53 years experience Knightsbridge Int Med & Car
Columbus 43214, COLUMBUS