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Blockage in 2 arteries, Low EF. Suggestions ? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Valvular Heart Disease
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1229 Questions
Doctor:Good morning
Doctor:Please proceed with your query
User:there is an urgency
User:my father is having heart blockage
Doctor:Sorry to hear that
User:in 2 arteries
Doctor:He is having an acute attack now?
User:80% and 90%
User:he had silent heart attack
User:as per reoprt
User:we showed at XXXXXXX XXXX
User:and XXXXXXX hospital at bbsr
User:is asking to do pt scan
User:before procedceeding
User:he is having trouble
User:while XXXXXXX previously refred fordirect operation
User:so can i know is it very necessarry to through pt scan
User:now as it will take around whole day
Doctor:Are you saying PET scan?
Doctor:I am sorry
User:plese be fast i have less time
Doctor:Usually for double vessel disease with 80% and 90% block, we recommend angioplasty directly
User:with me
User:pf is shwing 35%
Doctor:It is better for him to go ahead directly with the angioplasty
User:while at XXXXXXX it was52 %
User:means stantic
Doctor:The EF is definitely low
Doctor:He needs an intervention at the earliest
User:there might be spellig mistake in that(stantic)
User:intervention means
Doctor:yes, I can understand though
Doctor:As I said, Double vessel disease will require intervention in the form of Angioplasty
User:is it same with stantic
User:or stantic and angioplasty are same
Doctor:I am sorry, I think it is stenting
Doctor:Stenting and angioplasty are same
User:there doctor says if the report in pet is negative then stanting even wont help
User:and life long medication need to be taken
User:so they want to check it before angioplaty
Doctor:Stenting is must as far as I see it, to prevent future attacks
User:so if i go for angioplasty before pet
Doctor:and patients are usually put on medications for lifelong after the surgery
User:will it be ok
User:at different centre
Doctor:PET is a costly investigation and ultimately points to Stenting
Doctor:It is better for him to go for stenting directly
Doctor:However, if the cardiologist insist on PET, please go ahead with it
Doctor:I have not examined the patient, I am not sure how stable his condition is
Doctor:I am sorry on this
User:then i donthave time
Doctor:Are you there?
Doctor:Are you following me?
User:so how much percent you feel a person with 35% pf and silent heart attck will have
User:means will the report say neagtive
User:in pet scan
User:or there r good chances that one will pass the test
Doctor:A person with 35% EF will mostly show a positive test on PET scan
User:and will go for angioplast
User:one more thing
Doctor:Yes please
User:my father has already taken a medicine in the morning
User:for gastic problem
User:and wants to for breakfast
User:but suppose in the case the new doctor ask for pet scan
User:can he undergo now
User:as he has already taken
User:a medicine
Doctor:Yes, he can undergo it
Doctor:There should not be a problem with it
User:should we avoid taking breakfast
User:befroe meeting doctor
Doctor:It is better for him to stay on empty stomach, in case the doctor asks for PET scan
User:thnks doctor now i will be leavingfor hospital
Doctor:I wish your father quick recovery
Doctor:do you have more queries?
Doctor:Seems like you left
Doctor:Do log in back to chat with our doctors
Doctor:Bye for now
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