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What causes SOB, chest pain, and numbness in arm?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 23 years old, I am a married female, and has one kid. My symptoms are shortness of breath (for a year), severe chest pain a month ago, numbness in the left arm for one month, and fatigue with little exertion. There is no previous history of the same issue. Kindly explain the attached echo report.

I hope this helps.

Thank you.

Answered by Dr. Vivek S Narayan Pillai

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

There is an atrial septal defect (attachment removed to protect patient identity), which needs closure as it is causing symptoms of breathlessness and fatigue. According to the echocardiogram, there is also right heart enlargement. As advised in the echo report, she should undergo a TEE (transesophageal echocardiogram) to decide whether this defect can be closed by a cardiologist or a cardiothoracic surgeon.

I hope this helps.

Thank you.

Patient's Query

Hello doctor,

Thank you for the answer. I need to know what is the approximate cost of both procedures, percutaneous and surgical closure.

Answered by Dr. Vivek S Narayan Pillai

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

It varies according to the location you live. At the center, where I work percutaneous ASD closure is high, and surgical closure is high above the previous procedure. In a private set up both these options would be around the same amount.

I hope this helps.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At February 4, 2017
Reviewed At September 26, 2024

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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