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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Angina Despite Following A Strict Diet?

I eat lots of salads everyday (big bowl for lunch) do not eat any fried foods at all. But recently I found breathing hard going up a hill (one that I usually run). I do not eat bread, nor do I eat red meat, yet my doctor said I just suffered angina. How is that possible?
Fri, 8 Jun 2018
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation: chronic anemia, a lung disorder, a cardiac disorder, etc.

For this reason, I would recommend consulting with your attending physician for a physical examination and some tests to investigate for the possible causes:
- a resting ECG and a cardiac ultrasound
- cardiac enzymes
- a chest X-ray study and pulmonary function tests
- blood electrolytes.

An exercise cardiac stress test may be needed. You should discuss with your doctor on the above tests.

Hope you will find this answer helpful!

Kind regards.
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What Causes An Angina Despite Following A Strict Diet?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation: chronic anemia, a lung disorder, a cardiac disorder, etc. For this reason, I would recommend consulting with your attending physician for a physical examination and some tests to investigate for the possible causes: - a resting ECG and a cardiac ultrasound - cardiac enzymes - a chest X-ray study and pulmonary function tests - blood electrolytes. An exercise cardiac stress test may be needed. You should discuss with your doctor on the above tests. Hope you will find this answer helpful! Kind regards.