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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Obese. Having Depression, Mild Asthma. Also Have Dizziness. Suggest To Get Tested For Blocked Coronary Artery?

Hi I am 48 and considered obese ( BMI around 32). I have a long history of depression and I m Venlafaxine for this. I have real difficulty losing weight and seem to have lost all athletic motivation over the last few years. My diet is probably a little high in saturated fat but I don t smoke. I do hav mild asthma . I have been feeling fairly non-specific chest pain for some time (2-3 years), usually short in duration and not especially on exertion. I also get light headed sometimes dizzy.. Would you suggest I get tested for blocked coronary and/or carotid arteries?
Mon, 1 Apr 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

You have not said of any characteristics of the pain – pain from the heart is oppressing, in central chest (and left), worse on effort, may radiate to shoulders and arms, associated with sweating and so on. You have said one location – but not which location!

Your symptoms do not suggest CAD. However, it is better to have a Treadmill Exercise Electrocardiogram (TMT). If it is normal, nothing to do – except to repeat annually. If in doubt, further work up is done..

The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - especially in the presence of tinnitus. They have special tests to confirm or exclude the contribution of the ear...

Weight is like bank account. The account grows when you withdraw less (Cut down unnecessary physical work) and you deposit more (eat more). If the weight is picking up, it only means – the exercise is not enough or the food is more. See a good dietician - you have to reduce the quantity of your food and change the quality too. You need regular exercise.

Take care
Wishing speedy recovery
God bless
Good luck
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Obese. Having Depression, Mild Asthma. Also Have Dizziness. Suggest To Get Tested For Blocked Coronary Artery?

Hi friend, Welcome to Health Care Magic You have not said of any characteristics of the pain – pain from the heart is oppressing, in central chest (and left), worse on effort, may radiate to shoulders and arms, associated with sweating and so on. You have said one location – but not which location! Your symptoms do not suggest CAD. However, it is better to have a Treadmill Exercise Electrocardiogram (TMT). If it is normal, nothing to do – except to repeat annually. If in doubt, further work up is done.. The body s balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - especially in the presence of tinnitus. They have special tests to confirm or exclude the contribution of the ear... Weight is like bank account. The account grows when you withdraw less (Cut down unnecessary physical work) and you deposit more (eat more). If the weight is picking up, it only means – the exercise is not enough or the food is more. See a good dietician - you have to reduce the quantity of your food and change the quality too. You need regular exercise. Take care Wishing speedy recovery God bless Good luck