Cardiology deals with disorders of the heart as well as parts of the circulatory system. Heart disease leads to a significant number of deaths worldwide.

How can I differentiate the symptoms of Angina and Coronary Artery Disease when I'm experiencing pressure on the left side of my chest?

So coronary artery disease is the cause of angina. Basically, you are talking about pressure on the left side of the chest due to coronary artery issues. Number one, it can be caused by what we call a heart attack, that means it's due to blood rupture and then there is a sudden occlusion of your coronary artery ...

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Why do I feel a sharp pain in the chest area when I breathe and who should I consult?

Well, it depends on the type of medication you are taking. In general, most medication is ok with heart medications but there are some specific ones we look out for. For example, if you are taking nitrates, isosorbide dinitrate, or even a Glyceryl trinitrate spray, then try not to take things like Viagra, ...

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What affects my resting heart rate?

There are a lot of things that can affect your resting heart rate. Let us break it up into physiological and pathological factors. So if you exercise a lot, your resting heart rate can be quite low. The normal heart rate is 60 to 100.  Less than 60 is a low heart rate, above 100 is a fast heart rate. ...

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does SCAD always show up on an ECG or x-ray?

So, as the name suggests, SCAD (Spontaneous coronary artery dissection) is spontaneous. It happens suddenly, so if we are talking about whether it shows up on ECG, then yes, only if you happen to do the ECG at the moment of symptom. Spontaneous Coronary Artery Dissection depends on when or where it occurs. If it ...

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For someone diagnosed with coronary artery disease and on medications, why are regular check ups necessary and how often are they required?

For this question, I will split coronary heart disease patients into two groups. The first group will be those patients with coronary heart disease but have not had an event yet. For example, when you come for health screening, then we do some checks like the CT Scan like an Angiography before finding out ...

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What are the possible causes of orthostatic hypotension?

There are several causes actually. When talking about hypertension, there are various types of causes. Basically, postural hypertension is a general category or a broad heading. Under postural hypertension, there are various types of things like Vasovagal, things like POTS (Postural orthostatic tachycardia ...

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Can all the symptoms of a myocardial infarction be present in gastritis?

Typically, chest pain from a heart attack is triggered by exertion or emotions although it can occur without any warning. The hall mark features of angina is chest tightness or pain, especially on the left side, together with breathlessness, dizziness or sweating. If there is no improvement over the following few ...

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Dr Quan Wai Leong

"A specialist in Digestive Health and Advanced Endoscopy"

How do I know if heart palpitations are caused by an irregular heart rhythm?

My general approach to palpitations involves a detailed history and examination, followed by investigations tailored to each patient’s clinical presentation. As there are many causes of palpitations, a detailed assessment is needed to distinguish the various causes.  When looking out for irregular heart ...

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What are the main side effects of taking blood pressure medication to control hypertension?

Hypertension is a common chronic health condition that people tend to overlook as the damage inflicted on the body is usually insidious in the early stages. By the time you start experiencing symptoms, there is usually already damage from the exposure to prolonged untreated/poorly treated high blood pressure or ...

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What are the complications of over-dependence on aspirin/acetylsalicylic acid?

Aspirin is just as effective as paracetamol in the treatment of trivial acute pain (e.g. headaches, dental pain, or colds). However, it is also used for chronic states of pain, e.g. for cancer patients and (in high doses) for rheumatic fever. For other rheumatic diseases (chronic polyarthritis, osteoarthritis, ...

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Dr Beng Yeong Ng

"Psychiatrist with over 20 years of experience"

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All content posted is for general informational purposes only and is not a substitute for professional medical advice. This Q&A is not a patient consultation and any information provided herein is not intended to replace consultation with a qualified medical professional. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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