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Lightheaded , irregular heartrate, chest tightness with normal CTANGIO.

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CC: irregular heart rate; chest tightness; SOB; lightheadded, and fatigue -- Had a CT Angio - Results were Left Coronary Artery 4mm; circumflex artery 3mm; RCA is a small caliber vessel measuring around 2mm at its origin and rapidly tapering. The conus branch and SA nodal arteries arise from the right coronary and does and acute marginal artery. Distal to that point, the right coronary is an extremely small caliber vessel and is difficult to evaluate -- Left dominant circulation--- 24 hour holter - The heart ranges from 48bpm to 128bpm with no exercise - average rate of 73 - Tachycardia noted a total of 66 minutes and bradycardia noted a total of 209 minutes - rare PVC notes representing <0.1% of the total beat count; Ventricular ectopy is notes as 1 isolated beat; Rare SVE's are noted representing <0.1% of the total beat ----- DOC states everything is fine however I am still having symptoms --- Do you think this warrants a 2nd opinion???

Category: Cardiologist

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Dr. Vivek Mahajan
Category: Cardiologist
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Expert:  Dr. Vivek Mahajan
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Hello
Thank you for your query at DoctorSpring.com
Your ct angiography report is normal. Your holter doesn't show significant arrhythmias. There doesnt seem to be any worrisome entity here. You should get a 2d echo done. Apart from that nothing more needs to be done if 2d echo is normal.
Feel free to discuss further,
Regards
Dr Vivek Mahajan
DM Cardiology

Dr. Vivek Mahajan
Category: Cardiologist
Experience: 
Fellowship: DM, Cardiology, PGIMER, 2013
Residency: MD, Internal Medicine, AIIMS, 2007
Internship: King Edward Memorial (KEM) Hospital, 2003 
Medical School: MBBS, Seth G.S. Medical College, 2002
Dr. Vivek Mahajan and 4 other Medical Specialists are ready to help you

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