Cardiac Syndrome X

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(Image from Medscape) Cardiac syndrome X (CSX) is anginal chest pain with coronary artery disease involving the smallest arteries, but with normal large coronary arteries. Because of this, it is sometimes referred to as “microvascular angina”. Syndrome X is difficult to diagnose; usually it is done by exclusion of other illnesses. The most common type of angina is usually caused by …

Recovery after bypass surgery

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Submitted by Dr T on March 22, 2014 – 1:02pm in Other Question:  My father (85yrs old) had a bypass three weeks ago. He has recovered very well, but comments that he is passing much more urine than before the op. (he had his bladder removed 5 years ago as he had Ca Bladder and now wears a urostomy bag). …

Cholesterol Medicine Side Effects

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Submitted by Dr T on March 20, 2014 – 8:47am Question:  Dear Doctor, My dad has high cholesterol problems and his doctor prescribed Atorvastatin, but the side effects were quite strong: strong pain and skin discomfort in the ribs area. His doctor switched then to Fluvastatin, but he suffered from the same kind of side effects. I have to say …

Clarification following CABG

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Submitted by Dr T on March 16, 2014 – 10:19am Question:  Dear Dr T, I underwent CABG x3 in Sept 2012 and have recently had access to my medical reports and I was wondering if I could trouble you to explain some of the medical terms to me. 1. Result of catheterisation pre-op showed ‘right coronary artery had no obstructive …

Atrial Fibrillation, PVCs and Viagra?

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Submitted by Dr T on March 7, 2014 – 1:19pm Question:  Hello Doctor, Thanks for taking my question. I deeply appreciate whatever info you can tell me. History: Three bouts of Atrial Fibrillation since 1992. PVCs began in 2002. My EKG’s come back Abnormal from the arrythmias. Nothing else. No pain or shortness of breath. Lab work, thyroid, etc is normal. Had …

Persistently elevated CRP-no symptoms

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Submitted by Dr T on February 27, 2014 – 7:30pm Question:  I am a 58 yr old female -very active, all normal blood work and lipids, and don’t drink, smoke or do drugs. However, for the last 18 mo my CRP which has always been less than 1 , has gone from 3 to over 6. My PCP is very …

New palpitations

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Submitted by Dr T on February 24, 2014 – 12:59pm in Cardiac Risks Question:  hi. my question is  I have pacs and in the last 6 months they have seem to get worse,  they last for hours and are on top of each other   Somebody must have diagnosed those PACs! If not, any new onset palpitations need to be …

Concerns about Nitro patch and Nitro Spray

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Submitted by Dr T on February 8, 2014 – 10:17am Question:  As brief as can be history   I am writing this out of concern for my husband Male age 54  heart attack 1 year 4 months ago  right side arteries blockages had 3 stents inserted, there was some percentage blockage on left side but not enough for surgery.  Has family …

High Calcium Heart Scan Score

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Submitted by Dr T on February 8, 2014 – 9:24am in Cardiac Risks Question:  I had a scan and dr ssid my number was 6000. I’m 75 female with no symptoms.  Doc now wants me to have stress test.  What are possibility there is a problem and is stress test next best option.  What about echocardiogram? Father and his mother …