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Suggest Remedy For Irregular Heart Beats And Tightness Of Chest

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Posted on Mon, 3 Aug 2015
Question: Good afternoon, how are you?
I was admitted to ho disease hospital with irregular heart beats and tightness of chest. The results were mild coronary artery disease plus 3 x 3mm pulmonary nodules. It was also noted that ASD 2mm L - R shunt. Could you please explain. In an earlier holter monitor it was said that my upper chamber was 800 x more and lower chamber 200 x more than should be in the 24 hr period.
Thank you, I appreciate your opinion. Kind regards XXXX
doctor
Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
A direct review of your cardiac tests is necessary.

Detailed Answer:
Hello!

Thank you for asking on HCM!

Regarding your concern, I would explain that it is important to directly review all the three performed cardiac tests (cardiac ultrasound, Holter monitoring and coronary angiography reports).

Please, could you upload them, so I would be able to correctly give my opinion?

Nevertheless, generally speaking, I would explain that a mild coronary artery disease (that is clinically nonsignificant coronary stenoses, lower than 75%), doesn't need any coronary interventions, just a regular medication treatment and to avoid coronary risk factors.

The same could be true for that 2mm ASD,
if no important structural and hemodynamic consequences have been developed so far. Is is an ostium primum or secundum ASD, or elsewhere? ECHO report is necessary.
If criteria are met, percutaneous device closure or surgery are available strategies.

It doesn't seem that Holter monitoring shows any clinically important ectopic beats amount, Nevertheless, a direct review of the Holter report would be helpful.

Waiting for your uploads!

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (1 hour later)
Thank you Dr Illiri

I appreciate your assistance and will ask for more information and tests results so I can ask you more detailed questions.

Regards

XXXX
doctor
Answered by Dr. Ilir Sharka (1 minute later)
Brief Answer:
You are welcome!

Detailed Answer:
Hi again XXXX!

I am at your disposal whenever you need!

Greetings! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9545 Questions

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Suggest Remedy For Irregular Heart Beats And Tightness Of Chest

Brief Answer: A direct review of your cardiac tests is necessary. Detailed Answer: Hello! Thank you for asking on HCM! Regarding your concern, I would explain that it is important to directly review all the three performed cardiac tests (cardiac ultrasound, Holter monitoring and coronary angiography reports). Please, could you upload them, so I would be able to correctly give my opinion? Nevertheless, generally speaking, I would explain that a mild coronary artery disease (that is clinically nonsignificant coronary stenoses, lower than 75%), doesn't need any coronary interventions, just a regular medication treatment and to avoid coronary risk factors. The same could be true for that 2mm ASD, if no important structural and hemodynamic consequences have been developed so far. Is is an ostium primum or secundum ASD, or elsewhere? ECHO report is necessary. If criteria are met, percutaneous device closure or surgery are available strategies. It doesn't seem that Holter monitoring shows any clinically important ectopic beats amount, Nevertheless, a direct review of the Holter report would be helpful. Waiting for your uploads! Regards, Dr. Iliri