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Dr .Saeed ahmed
Dr .Saeed ahmed, Doctor
Category: Cardiology
Satisfied Customers: 4403
Experience:  MBBS/FCPS(R)/MRCP U.K(R), Senior Registrar Cardiology
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My family history is this-2 brothers both 37yrs, died of heart

Customer Question

My family history is this-2 brothers both 37yrs, died of heart issues. 1 sister 47, died heart attack and 2nd sister died following a by-pass and valve replacement. Although it was known that there was a heart attack in each case records for cause of death state cause unknown. Sister number 3 now being investigated and found artery 60% blocked-damage to valves left side noted. She has no recollection of severe pain as with heart attack. She and I have low pulse -48 resting. We are not athletes. Is there anything regarding the pressurse of the heart that is being missed. I am on Beta blocker-Ramipril-Statin-Allopurinol-Naproxen. My sister being a nurse has and is avoiding medication. I get pain like fluttering in heart have had treadmill etc-no dye test. Any thoughts.
Submitted: 3 years ago.
Category: Cardiology
Expert:  Dr .Saeed ahmed replied 3 years ago.

Dr .Saeed ahmed :

Hello, Thank you for your question. I will try my best to help you with your questions.

Dr .Saeed ahmed :

The history you have mentioned fits into possible congenital atherosclerosis process, other possible cause is arrythmias which can be tachy arrythmias or brady arrythmias causing sudden death in a young person.

Dr .Saeed ahmed :

I would recommend Holter or event monitor as the next best test to see if we are missing possible arrythmias which are causing sudden death, these can occur due to congenital defects and can be secondary to the narrowed arteries which can be secondary to congenital atherosclerosis.

Dr .Saeed ahmed :

So holter or event monitor if not done are the best option to diagnose the possible cause of death...

Dr .Saeed ahmed :

I hope this answers your questions.

Dr .Saeed ahmed :

Let me know if you have more questions.

Dr .Saeed ahmed :

Have a nice day.

Dr .Saeed ahmed :

Do rate the answer as excellent if i have answered your questions.

Dr .Saeed ahmed :

Use reply to ask more questions.

JACUSTOMER-vkv2xghp- :

I have had a monitor for 24 hours fitted also debutamine injection with monitoring at the time. Since the debutamine injection which raced the heart and during the test was short of breath,I am aware of an ache sensation in left side chest area and the fluttering as I had stated in chest also. All these tests to date have revealed nothing that would alert a doctor. Is this the case that may have some other issue which as you have said a slight blocked artery and yet one that has gone undetected to date.

Dr .Saeed ahmed :

If holter was normal then longer duration of holter for 4-7 days or an event monitor is needed. We cannot let this go because the history is very strong.

Dr .Saeed ahmed :

We need to do all the possible tests to make sure we do not miss anything like in other cases in your family.

Dr .Saeed ahmed :

You have questions. ?

Dr .Saeed ahmed :

Let me know...

Dr .Saeed ahmed :

In your case congenital anomalies like heart conduction defects causing arrythmias leading to young death and congenital atherosclerotic disease are two main possibilities.

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