
Having Cardiac Problems And Chest Pain Towards Arm, Jaw And Back. Decreased Vision, Holter Monitor Showing The Arrhythmias. Treatment?

More tests and follow up...
Detailed Answer:
Hi friend,
Welcome to Health Care Magic
DISCUSS WITH YOUR DOCTOR -
ARRHYTHMIA –
If there are no clues and if the problem is still bothering to the extent of interfering with lifestyle, there is an advanced technique of investigation – Electrophysiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and hence not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS.
PAIN –
The next step is TMT (Treadmill Exercise EKG) with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
CT angio is non-invasive study for the anatomy. The gold standard to see the ANATOMY (structure) – is catheterisation and coronary angiography… It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary artery spasm, as a cause of the problem – may need to be specifically addressed here. Coronary arteriography is invasive / generally not done unless there are suggestive clues in TMT... but it is the gold standard for this.
____________________________________________
These will rule in or exclude the role of heart, if any, as the cause of your symptom…
Still no clues! - We may have to look further – an endoscopy by the Gastroenterologist to look at the oesophagus and stomach / MRI of spine to exclude nerve root compression / Spirometry (lung function test) and CT of the chest to exclude lung pathology… / last but not least, Psychological assessment and assistance - it may be helpful, in some
Discuss with your doctor -
Take care
Wishing all well
God bless
Good luck

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
