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Healthxchange > Forums > Ask the Specialists > Ask the specialist > Heart Disease and You

 Ask Specialists  
 Heart Disease and You
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 Aug 31st - Sep 30th 2012 
 
 

Heart disease is a leading cause of death worldwide. An international study has found that with good control of risk factors, 90 per cent of heart attacks can be prevented. The risk factors include hypertension, high cholesterol, diabetes, smoking, obesity, a sedentary lifestyle, unhealthy eating habits and stress. As World Heart Day takes place on 29 September, let’s take a proactive step to reduce our risk of heart disease and keep ourselves fit and healthy.

If you have questions related to heart health, take this opportunity to ask our expert today.

 
  How does it work?  
  Each month, we offer 2 topics for discussion. Members can post their questions online. At the end of each month, we will publish the answers from our panel of specialists here.  
  Remember to sign up or log in before you post a question.  
 
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Hosted By:    
 

Dr. Ho Kay Woon (profile)
Consultant
Cardiology
National Heart Centre Singapore

 
 
     
 

Due to tight schedules, our specialists may not be able to answer all the questions posted. However, we will try our best to answer all the most relevant and commonly-asked questions.

DISCLAIMER
This discussion forum is intended for general information and is provided on the understanding that no surgical and medical advice or recommendation is being rendered. Please do not disregard the professional advice of your physician.

 
     
 
 
 
Posted by sbdccy
Hi,
I had pneumothorax 12 years ago on my left lung. In the last few years, I get chest pain (left) when I get stressed or tired out. At times, the pain do get quite bad, although only short intervals.
 
I am worried if it might be early signs of heart attack (but my yearly health checks says I am in good shape)... I also read that it could be due to the pneumothorax I had 12years ago even though I have healed from it.
 
Can you advice? I am currently 31, married with a kid.
 
Rgds,
Claudia
 
Repost by Administrator
 
 
 
Answered by Dr. Ho Kay Woon Consultant Department of Cardiology National Heart Centre Singapore
Chest pain due to heart attack is usually severe and for a prolonged duration (usually lasts for hours) whereas chest pain due to coronary artery narrowing is generally worse on exertion and better with rest. From the description, the pain does not sound like either condition. It is unlikely that previous pneumothorax is the cause of the chest pain since it was quite remote from the current occurrence of chest pain and the pneumothorax has been resolved. If the chest pain is persistent, you should seek medical evaluation and advice.
 
 
 
Posted by sbdccy
Helo my partners name is kashif khan. HIs age is 21 yaers..He has been experincing pain in the left side of chest near heart for last  2 or 3 yaers. He went for an ECG which was normal but still he has been experincing the severe heart pain which lasts for 5 -10 mints followed by breathelessness , sweating. What can be the possible reasons for dis?. should we again go for another ECG and further tests .. WHAT TESTS WILL YOU RECOMMEND
 
AKANKSHA
 
Repost by administrator
 
 
 
Answered by Dr. Ho Kay Woon Consultant Department of Cardiology National Heart Centre Singapore
Although on ECG done at rest which is normal is generally reassuring, in cases of coronary artery narrowing, ECG done during stress testing (like treadmilll stress testing) would be more diagnostic. It is unlikely that your partner will develop coronary artery disease at such a young age but this should be further evaluated with tests like chest x-ray and treadmill ECG stress testing if the chest pain is persistent.
 
 
 
Posted by fareethamajid
Hi Doctor
I have a family history of heart disease. my father passed away due to heart attack. one of my brothers has a heart condition too. what are the early signs and symptoms of heart disease  to look out for?Are male family members  more susceptible to hereditary heart condition as opposed to females? thank you
 
 
 
Answered by Dr. Ho Kay Woon Consultant Department of Cardiology National Heart Centre Singapore
Early signs of coronary artery disease include chest discomfort that occurs during periods of exertion that resolves with rest. Both male gender and family history of early heart attack are risk factors of coronary artery disease. Family members of affected relatives with heart attacks have higher risks of heart attacks themselves, both male and female. Females are relatively protected from developing coronary artery disease due to the protective effects oestrogen and generally develop coronary artery disease 10 years later compared to males.

Of course having both risk factors of family history of heart attack and the male gender increases the risk of developing coronary artery disease compared to just having one of the two risk factors alone.
 
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