Atrial Septal Defect Murmur Treatment

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

Good Afternoon

During ECG, Metal, gold or iron should be removed from body or not ? ... ... ... .. .. .. ... .. . ..

High Cholesterol and Triglycerides

"Hello Doctor, I am a 30-year-old male seeking advice on my recent blood reports. Key Issues: Vitamin Deficiency: Significant deficiency in Vitamin B12 and D3. I feel frequent fatigue and low energy. Lipid Profile: My LDL (Bad Cholesterol) and Triglycerides are high and outside the healthy range. Context: I am a teacher and lead a moderately active life, but I am currently dealing with stress and overthinking. Guidance Needed: Please suggest the best supplements/medication for Vitamin B12 and D3. Suggest if I need medicine for Cholesterol or if diet/exercise is enough. What specific foods should I avoid to lower my Triglycerides? I have attached my reports for your review. Thank you."

High chest pain with m breathing problem

Hi Doctors, Good morning. I would like to inform you that, yesterday I had a moderate to high pain around my chest area, pain on back left associated with difficulty in breathing. Yesterday I had some chicken biriyani with a glass of coke. Day before yesterday I had fish curry both are home made not outside food and I had it in regular quantity not in excess. With that in mind, I searched for home remedies and had eno, warm water. I went to toilet for 2 times and I am feeling better than yesterday night. But the pain is still on and off. Breathing is ok for now. I have some Hypogonadotrophic hypogonadism, ENT issue like tinnitus,discharge, Vertigo issue. when I recently checked my BP in hospital I got 150/90. Nurse told me that's bec of speed walk. its ok.  I request you to guide me what I need to do now, within what time I need to consult Doctor. If so which specialist do I need to consult Cardiologist or Gastro or Lung specialist. I am confused and please suggest me on 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 😭😭😭😭

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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