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Angiography Questions

Asked for male, 65 years old from Delhi

I was admitted to hospital a week ago with symptom of ghabrahat from last 2 days. On several check up in hospital, I am diagnosed non diabetic, non hypertensive, non smoker. My coronary angiography was done which shows single vessel disease for which stress thallium was done and advised medical therapy. Discharge summary says final diagnosis - cad- actuate coronary syndrome, nsr- no ccf, b12 deficiency. cholesterol total - 207, triglycerides - 151, hdl - 45, ldl - 136, vldl - 26, hdl ratio - 4.60.coronary angiography report says - left main, lad,lcx are normal and rca - dominant, 80% distal stenosis, jerky movement at lesion site. Stress myocardial perfusion imaging shows global resting lvef - 56 +- 5 % with impression adequate stress and good effort tolerance, no scan evidence of stress induced reversible ischemia noted jn lv myocardium, normal resting systolic lv function with no rwma as estimated by quantitative gated spect. Stress total severity score - 23, rest total severity score - 52, reversibility total severity score - 0.tab ceruvin a 75 mg, tab rosuvas 20 mg, tab me 12 was advised. I want to know what medical procedure should we continue? Should we go for angioplasty/stent or should continue with medicine to clear the blockages? If you want I can send the report to you.

Dr. Madhu Minz

Cardiologist•Gurgaon

Hello Mr. lybrate-user,
your stress thallium report says "no scan evidence of stress-induced reversible ischemia" -,it means even under stress there was no compromise in the blood supply in the area supplied by the blocked artery (rca 80%) so no angioplasty is needed now. You should just continue with the medication advice and follow good lifestyle -- regular exercise/ daily 2-3 km walking- restricted -low-fat diet - and follow up with your doctor if any new symptoms arise. Cholesterol level...more

Asked for female, 53 years old from Mumbai

On 11/11/19 my 2d echo showed grade 2 diastolic dysfunction, mild pulmonary hypertension, concentric lvh, la is mildly dilated, aortic sclerosis and stress test positive and suggested angiography which I have not perform till now. Yesterday 09/06/20 again went for ecg and 2d echo which showed normal ecg and grade 1 diastolic dysfunction only. Rest all are normal. Taking this medicines cilacar 20 mrng telday 40 night atorva gold 10 what change in medicine should I do now? Should I go for angiography? What should I do now?

Dr. Rajiv Bajaj95%(3025 ratings)

MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi

Better to avoid angiography in such cases. Tmt is mostly giving wrong report in ladies with hypertension. Explain this to your dr, he may be forgetting and then ordering excessive invasive tests unnecessarily.

Asked for male, 35 years old from Pauri

सर मैंने मार्च 2019 मै एंजियोग्राफी करवाई थी जो की नार्मल रिपोर्ट आयी है और ct angiogram bhi karwaya normal hai 2017 मै tmt test 2 bar करवाया तथा 2d echo 4बार करवा लिया कई बार ecg trop t test xray करवा लिया सब की रिपोर्ट्स नार्मल डोक्टोर्स मुझे pentoc or clonazepam देते है फिर भी मेरी चेस्ट मै हल्का दर्द बना रहता है कभी ठीक होता फिर होने लगता है और आजकल तेज चलने मै भी छाती के बीच मै दर्द हो रहा है सर एंजियोग्राफी के एक साल बाद ब्लॉक बन सकता है blockage बनने मै कितना समय लगता है or sir ये दर्द कैसे ठीक होगा क्या सर्वाइकल से ये दर्द होता है मुझे सर्वाइकल की प्रॉब्लम है

Dr. Sambhaji Kshirsagar89%(14 ratings)

BHMS, Bachelor In Pharmacy

Homeopathy Doctor•Jalgaon

First of all your weight its 81 kg. आपला जॉब १ जगह पर बैठकर काम करने का होगा ऐसा मुझे लगता है digestion or acidity ki समस्या भि रहति होंगी कट्टे प्रारंभी पाटील भुंगे जाती में जलन के साथ दर्द होता होगा तो यह पचनकि समस्या है।

Asked for male, 51 years old from Trivandrum

Sir I am 51 years old and am healthy and hearty. I had an angio about 2 years ago and am recovering from that. I some times have absent mindedness. Some of my friends suggested to take brahmi capsules on a regular basis as effective remedy. I have not tried any medicines except brahmi capsules. What would you recommend as effective therapy for the same.

Dr. Amit Chaudhary87%(12 ratings)

Cardiologist•Lucknow

Control your bp, sugar,cholesterol if you have all these. Exercise regularly.
Take plenty of water. Try meditation. No concrete medications for it.

614 people found this helpful

Asked for male, 35 years old from Nagpur

I was experiencing some palpitations during fast walk and during usage of stairs. My heartbeat is also irregular due to anxiety. I got my echocardiography done and doctor said it's all right but heart rate was 109 during the test. Later pft was also performed which was also good. Later on tmt was to be performed but the doctor said my heart rate is 134 so he didn't do the tmt test. Though I coughed high and got up fast and at that time his computer recorded the ecg. I got my ecg done very next day and it was alright then. My lipid levels are total cholesterol is below 200, ldl is 133, hdl is 48, triglycerides are normal. Doctor gave me novastat gold in afternoon and nebifid 5 at night. After using these medicine just for 2 days my palpitations are gone and I feel good sometimes I also feel pain in different areas of chest (both sides, mostly left), as if someone has pinched a pin on that area for just a second. The doctor has advised coronary angiography but has said that heart is ok. My sleep and meals are irregular. Question is what could be the reason behind ok echocardiogram and advice of doctor to do coronary angiography? Medicines are for 15. Days only.

Dr. Vishesh Sareen89%(12379 ratings)

MD(EH)/AM/Accupressure

Homeopathy Doctor•Chandigarh

As there are so many causes of these type problems in body like gastric constipation excessive weight poor digestion anxiety etc. Call back for your proper cure.

Asked for male, 65 years old from Bangalore Rural

I am a heart patient having two blocks one with 80%and another with 40% as per the angiography was done and as per the reports given. I would like to have an expert advise whether I required to do an angioplasty along with starting immediately for both or else what is the doctor's suggestion?

Dr. Sajeev Kumar91%(40820 ratings)

C.S.C, D.C.H, M.B.B.S

Cardiologist•Alappuzha

If your site of block is not a fatal portion and if you have no serious symptoms; oke angina or attacks you can wait with medicines and review after 6 months. But if the block is in a dangerous area you need immediate angioplasty.

Asked for male, 53 years old from Noida

I had felt palpitation once in 2007, 2009 2015. Ecg had been performed after palpitation episode that was normal. in 2017 ecg had been performed during palpitation that reveled psvt. I am taking angizem 120 sr once a day. In 2018 felt nervousness discomfort and tight ness in chest tiredness many times. Some times bp was 160/90. Then cardiologist prescribed tema 40 once a daily. Ecg and echocardiography are normal. Tmt has also been performed. Tmt report is good exercise tolerance no angina no arrhythmia normal bp response. No significant st t changes seen during peak exercise and recovery period. Tmt is negative for stress induvible myocardial ischemia. But some cardiologist says that tmt is positive. After seeing whole pges of tmt report. Then ct coronary angiography has been performed. This reveal essentially normal ct coronary angiography with no obvious limiting plaque or stenosis. What should to do.

Dr. Rajiv Bajaj95%(3025 ratings)

MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi

Continue bp medicines and keep bp under control. Psvt can be treated by rfa procedure if it is coming frequently.

Asked for male, 43 years old from Dehradun

I had angioplasty done in the month of September Can have non veg food and scotch now In what quantity should I take them.

Dr. Jayvirsinh Chauhan93%(35817 ratings)

MD - Homeopathy, BHMS

Homeopath•Vadodara

We cannot advise for alchol...
Take non veg food in limited quantity... with good physical exercise..

Asked for male, 51 years old from Allahabad

I am 50 years old .I am facing chest pain since last year .I have checked ECG, Echo,Color Doppler. Dr. Says that I have heart disease. They suggest me for angiography. Should I go for angiography or not.

Dr. Mahendra Yadav87%(288 ratings)

M S (ay)

Ayurveda•Varanasi

If there's any abnormalities in your ECG and 2d echo. Specialy in 2d echo if any regional wall motion abnormalities present go for angiography to rule out any narrowing or blockade in coronary arteries.

20 people found this helpful

Asked for male, 52 years old from Mumbai

HI, I am 50 years. ANGIOPLASTY 8 month back 90 mid LAD 70 proc LCX 60 PROX RCA 80 MID RCA PCI LAD 2DES RCA 1DES ON brilinta ASPIRIN atorva NEBICARD METFORMIN TELMA GETS PALPITATIONS AND BREATHLESSNESS ON WALKING ONCE A MONTH TOTAL HAPPENED 4 times after angio recent stress says borderline positive for inducible isch is anything to worry should I go for CT ANGIO.

Dr. Rajiv Bajaj95%(3025 ratings)

MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi

Avoid CT Angio, it not very accurate after stent. Some breathlessness may be side effect of brilinta. It cannot be stopped. Ask you Dr. about substitutes. Too much diet restrictions also causes palpitations. What is your present diet?

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