Zanax – Cardiology doctors online

Question: I am 54 years old. Three or four years ago, I asked the cardiologist complaining of shortness of breath sometimes appears, but a local cardiologist after the test told me that quite well (although a few previously stated that I did not like the tenant). Six months later, during the examination on another occasion I was raised – to analyze ECG (including repeated ECG) – the diagnosis "myocardial infarction" (though I did not complain of the heart) – and was almost forcibly hospitalized. After treatment (almost a month) in the hospital two weeks later, I was again sent to the hospital with the same diagnosis after analysis of ECG on admission cardiologist (have another). After the hospital I was sent to a sanatorium for rehabilitation. Then conducted further tests. It is now two years after that, I feel much the same as before. When there is loads of shortness of breath, which I learned to fix with the help of breathing (nitroglycerin preparations did not take). Of the medicine is taken only preduktal (from all the others refused). Now, recalling his association with other patients, describe their feelings, as well as analyzing all available information, I have a question: Was there a heart attack? And if this heart attack? ECG always clearly shows – a heart attack (this, local doctors say, and the hospital, and in the regional cardiology, and even in Bakuleva so to speak). But at the same time: – I have never experienced pain in the heart as other patients – the pressure I always like an astronaut (80… 120, maximum 140); – cholesterol – in normal conditions (the ratio of HDL and low density – better than the optimal) – cardiography showed that vessels from me – net (at least, there is no need to stenting). After becoming acquainted with all indicators of confidence in my doctors myocardial dropped sharply, thinking for a long time, but in the end – do not say anything new, but simply prescribe a course of treatment (I was already thinking in a bit, and I understand that treatment – it was a heart attack). Only the district doctor once casually dropped (said to herself), that probably is not no heart attack. In his medical records, I found a record of the survey by ultrasound that my heart has a tumor in the wall of the left ventricle, and it creates a hydraulic resistance 12. . . 14 mm Hg. column. Maybe that is the case? Even I have some problems with the liver (but not cirrhosis and hepatitis), or somewhere close to it (sometimes I feel the bitterness in the mouth). Actually, the entire myocardium saga began in the survey process of the liver, has not ended. After the meal, shortness of breath increases significantly, but in a hungry state feel good, and the ability to overcome the load increases significantly. Question – can, indeed a heart attack as such and was not? The problem – in the heart, but it is not associated with blood vessels? And should be treated accordingly? Last time I began to feel some pain in the chest area (as with some of angina, but outside of the sternum), but go to the doctor, I fear – suddenly again hospitalized for a month, then I will just end because of the inability to work ( it would have been more justified, this hospital). Show you can have any special methods of examination, or special. honey. organizations involved in these surveys to more clearly, or more specifically define what I do. Or'll show options, what could it be.

Answer: Dear Alex! Regarding infarction. Up to 20% of heart attacks – silent, painless, so no wonder. And the pressure is not necessarily to 0 falls on them. Diagnosis of heart attack is on 3 pillars – Clinic + troponin + ECG (cardiac enzymes). If 2 of these indicators is pathologically altered, then a heart attack is quite probable. Doctors then found your ECG changes related heart attack and act accordingly. Coronary angiography does not always give an accurate result, especially in relatively young (for a heart attack) age as you. You can be so-called "soft" plaque without stenosis by coronary angiography in and you can not see. This limitation of the method itself, rather than the experience of physicians. Again – all of the above – my reasoning on the basis of your story, not confirmed by objective research results, inspection. As to the "tumor" in the heart and the hydraulic resistance – for me it is just words. We need to do echocardiography, everything will be clear. There is a tumor – it is necessary to consult with heart surgeons, no tumors – forget about it once and for all. Must doobsledovat gall bladder, liver (ultrasound + biochemistry AST, ALT, GGTP, bilirubin). Sometimes, rarely, sometimes so-called cardiac form of cholecystitis, which may even appear atypical changes in the ECG. But this is an extremely rare situation. Holter ECG did not hurt – we should see if there is ischaemia during the day. And another problem you have. It is the distrust of doctors. You prescribe – you do not drink them because they doubt the existence of myocardial said, as I understood, even in bakulevskom Institute – you still are not sure. It is your right, I understand you and have no right to judge, but agree that it is very difficult to advise, knowing that the patient still will not listen and will be in doubt. And now you are afraid to see a doctor because they can be hospitalized. Dear Alex, in our free country forcibly hospitalized only the mentally ill, a threat to society, and then by a court decision. In this category you are absolutely not. You can always write a rejection of hospitalization, it is your right to insist on hospitalization, according to current law, doctors are not eligible. So I still advise you to consult your doctor, start with a general practitioner and neurologist. If still not satisfied, then a specialized cardiology center, to solve all your doubts. And without trust in the doctors did not work, is of no significance. Good luck and health!