Ask Dr T

Ask Doctor T. Blog

Posted by Dr T on June 18, 2013 - 10:58am
Hi Tonia,
It is unlikely to be your heart or angina, but with your history of GI problems, I suspect another problem such as esophageal spasm may be an issue. This can only be resolved with an examination and appropriate testing.
Hope this helps,
Dr T
Posted by Dr T on June 12, 2013 - 8:40pm
Hi Chuck,
As you can read in this list, there is no need for prophylactic antibiotic therapy after coronary artery bypass surgery, thus your dentist is incorrect. This is only necessary in case of a problem or procedure inside your heart such as a heart valve operation. 

Antibiotic prophylaxis is used to prevent an infection inside the heart (called Infective endocarditis) of...

Posted by Dr T on June 3, 2013 - 4:07pm

No present treatment can cure Coronary Artery Disease (CAD)! If you have heart disease your present heart-healthy lifestyle will slow down the progression of disease or even control your symptoms but will not reverse the process of atherosclerosis that caused your heart disease. However, you can live a long and symptom free life if you continue like this.

Although some proclaim occasionally the disease process...

Posted by Dr T on May 26, 2013 - 12:25pm
Hi Aritra,

Triglycerides are a form of fat found in the body, blood and in food. Our bodies use them for energy, so they are necessary for good health, but when triglycerides are high it increases the risk for Cardiovascular disease and may indicate that you suffer from metabolic syndrome which raises the risk of heart disease, stroke and ...

Posted by Dr T on May 25, 2013 - 9:28am

The monitor read-outs reflect a variation in your son's heart rate, not an interpretation of what it means. A normal heart rhythm in children varies quite a bit based on age as well as activity level. A resting heart rate is typically between 60 - 100 bpm. With activity, the heart rate may get as high as 200 bpm. During sleep, the heart rate can occasionally drop as low as 30-40 bpm. An EKG will show whether this a normal variaition or the result of abnormal...

Posted by Dr T on May 23, 2013 - 9:58am

Time to see your doctor! At your age (46 years) these symptoms could have many causes and be related to these palpitations, or an underlying heart problem (or nothing serious). Without a consultation and testing there is no way to diagnose whether you have a problem that requires treatment, or whether these are related to early menopause. You should check your cardiac risks and calculate whether you are at risk...

Posted by Dr T on May 22, 2013 - 10:58am

Hi Fred,

Has coronary artery disease (CAD) been ruled out? It seems you have a number a cardiac risk factors for CAD, assuming your COPD/sleep apnea as related to heavy smoking in your past. These variations in your heart rate - if related to these new symptoms of fatigue and lightheadedness - are definitely something that needs further investigation and probably treatment. The slow heart rates you describe are usually not a cause the...

Posted by Dr T on May 16, 2013 - 8:23am

Hi P,

I agree you with that the Mitral Valve Prolapse (MVP) is probably not a serious condition in your case. Antibiotic prophylaxis is used to prevent an infection inside the heart (called Infective endocarditis) of susceptible patients. As an example, even a minor infection, such as a tooth abscess can cause severe bacterial endocarditis. However, recent recommendations for prophylactic antibiotic therapy before a procedure  in patients with...
Posted by Dr T on May 15, 2013 - 4:52pm

Hi Louisa,

I doubt the procedure/anesthesia have anything to do with these new symptoms. Since these skipped beats are new, and - depending on your age and cardiac risks, you should be checked for underlying heart disease. If you are concerned about your heart, you can try this questionnaire for the Prediction of Coronary Artery Disease (CAD).
 
Hope this helps,
Dr T
 
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Posted by Dr T on May 14, 2013 - 5:19pm

An 80% obstruction of the ramus branch of the circumflex coronary artery means you have coronary artery disease, but not  necessarily that your chest pain is angina, caused by this blockage. For that, other tests such as a stress test are necessary. Considering this lesion was discovered in 2011 and the ramus is as small as described by you, the volume of blood that flows through is also very small and therefore unlikely to cause much trouble even now, and an even less likely reason for angina since 1996. Meanwhile, you should review ...