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My father`s (65 years age) angioplasty was done in 2017. From the last 6 months he had stopped all the medicines. Recently his bp shoot up to 170/120 around. We consulted a cardiologist and he suggested few blood tests along with stress echo (tmt). We got all the tests done and he has also started taking medicines again. Now bp is getting back to normal. However his blood reports shows increase in uric acid (7.7), rbc count 4.22, mch 33.40, basophilic 0.40. His stress echo test is negative for inducible myocardial ischemia. Findings of stress echo are: fair exercise tolerance, st segment depression seen inlead ii, iii avf during exercise and persisting in recovery periodperiod, no symptoms of angina, normal heart rate and bp response, frequent vpcs, bigeminy and pair noted during test and one short episode of af noted during exercise. Doctor has advised angiography. My questions are: 1. Is angiography recommend after seeing this tmt report? We are little reluctant because last time during angioplasty he contracted sepsis. And moreover the tmt report is also negative. 2.can angiography be done with the current levels of uric acid which is 7.7? 3. Is the tmt report and its findings are cause of concern or it is ok? 4. What about other findings in cbc which I mentioned earlier like rbc. Mch and basophilic. Thanks.
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Tmt shows st- t changes which are persisting and episode of af and frequent vpc which i’m not a good sign, it can’t be called normal angiography is recommended to rule out further progression of disease cbc findings are not very unusual uric acid 7.7 is not a contraindication for angiography.
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