She is a 57-year-old diabetic patient with high triglycerides. Her endocrinologist gave her preventive pills today but did not clear her heart. She has a brand-new ECG showing T-wave flattening from V1 to V4, and because of her diabetes
EECP vs Better Non-Surgical Options: 61F Post-Pulmonary Edema (TVD, 42% EF) 61F. Frail/thin. Hospitalized last week for 1st time with acute pulmonary edema (now resolved). Currently stable: lungs clear, SpO2 98%, Pulse 82-85, FBS 155, PPBS 198. Has intense thirst and fragmented sleep. Angiogram: Severe TVD. LMCA 30-40% stenosis; LAD total occlusion (filling via active collaterals); Distal LCX 90-95% stenosis; RCA total occlusion (retrograde filling). Surgeons advised against CABG/PCI due to frailty; recommended medical management as collaterals are compensating. 2D Echo: EF 42%, mild PAH, multiple hypokinetic LV segments. Chambers/IVC normal. Meds: Axcer 90mg BID, Aspirin AV 75/40, Bisoprolol 1.25mg, Angispan 2.6mg, Oxra 10mg, Tab Leni 40mg (1.5 tabs/day). NovoRapid (10-10-8) + Lantus (10u at 10 PM). Strict 1L fluid limit, zero-salt diet. Questions: Can EECP safely mature her collaterals, or does increased venous return risk re-inducing pulmonary edema so soon?
On my left centre chest side, sharp, pinching pain is occuring while i breathe deeply, yawn, burp and during bending. It started from 1-1:30 hour before..
Greetings sir my name is srihari last few days cheat pain and pressure Shortness of breath today pain is increase ECG DONE please cheak sir anything problem 🙏🏻
Dear Sir, Suffering from mid spine bearable pain, but tingling in hands and legs and face jaw, some time feel like I'll faint but not yet fainted, imbalance feeling but I can walk and drive bike normal, my body weight 108kg height 5ft 7 inch, no sugar, blood report and ecg normal, 2decho normal, ...iam just worried of tingling in hands upper skin, and imbalance feeling it's irritating. Please help with your suggestions why this happens and root cause.
Heart disease is one of the leading health concerns in India, especially in urban cities like Pune. With changing lifestyles, increasing stress, and poor dietary habits, many people are at risk of heart-related problems. In such cases, early detection is the key to effective treatment and ...
Many people experience chest pain and immediately think of a heart attack. But what creates even more confusion is when the ECG report comes back normal. So the big question is: Why does chest pain occur even if ECG is normal?According to Dr. Kartik Bhosale, a leading Best Cardiologist in Pune ...
Not all heart attacks come with chest pain. This fact surprises many people and, unfortunately, is the reason why thousands of heart attacks are missed or detected late. People often wait for severe chest discomfort before seeking help, but the heart can send warning signals in many other ways. ...
Chest pain is one of the most common and most worrying symptoms people experience. Some ignore it, thinking it is just gas or muscle pain. Others panic and fear a heart attack immediately. In our clinical practice in Pune, many patients ask, “Doctor, how do I know if my chest pain is ...
Heart disease is often associated with strong warning signs like severe chest pain or sudden collapse. But in reality, many heart problems begin quietly and develop slowly without noticeable symptoms. Because of this, people may continue their normal routine while a heart condition silently ...
