Hello doctor,I have a very localized discomfort under my sternum when I exercise. Generally, it does not occur with just walking on level ground but on even a gentle slope (incline) I begin to notice it. I have had an echocardiogram. The cardiologist recommended an angiogram and possibly an angioplasty. I would like to communicate with a second cardiologist and discuss the possibility of just doing diet changes plus some kind of drug regimen. I am prepared to pay for the consultation independent of any insurance. Two consultations where there was a general discussion about the issue and a second consultation where the physician has reviewed my medical records is what I am thinking might be best. I would like a cardiologist to review the details of my condition and test results and provide a recommendation as to the best course of action for me. Right now I am just trying to understand that this is something that you do and that going forward from here is useful. I would like to be able to see something about the physician who would be reviewing my case.
Hello. I have reviewed your health query and have understood you may be having what is called ischemic heart disease. In this disease, the vessels supplying blood to the heart muscles itself, get clogged due to any reason. When there is the partial blockage (incomplete blockage) the patient does not feel pain all the times. But when there is more demand (as you walk on the inclined area, do strenuous physical work, climb stairs, etc.), the heart has to pump more and more blood to the body. But there is no much blood supply to the heart's own muscles. This causes a debt of blood and so oxygen to the heart itself and causes ischemic pain in the heart. You feel a discomfort due to all of this (this is the pathophysiology of this issue in simple words). You may feel free to add your latest reports to assist in this case. I would definitely be happy to review and get back to you as soon as possible. We may proceed from there later on. Regards. For further queries consult a cardiologist online -->