Have heart blockage. Should I go for angiogram or angioplasty? - Online Doctor Chats
This is Dr. XXXXXXX
hello Dr XXXXXXX
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i have some questions regarding engyogram / engyoplasty
i know some people who had mild heart attacks and they then did angioplasty
somebody told me that u can do a one minute angiogram test and if there are blocakges then do angioplasty rather than wait for the heart attack to come
is my understanding correct?
Angiogram is actually a procedure where they inject a XXXXXXX and see the structure of the coronary arteries
These arteries supply blood to the heart
ok so angiogram is bascially a test to see how things are inside
If a blockage is detected, then a procedure called angioplasty is done
It depends on how much the blockage is, the extent of blockage in the 3 arteries, the age of the patient and other factors
and they take it upto the heart till the coronary arteries
ok is angiogramt test the most comprehensive and concrete test for detecting blockages?
On the catheter, there is a small balloon
They inflate the ballon and the blockage opens up
is stent the same as ring?
which is put in artillery
Its not a ring
Its like a cylinder
is ECG not a comprehensive test for heart condition?
But its an excellent screening test
Its non-invasive and can pick up a lot of abnormalities
ok...so what factors should i consider before doing a angiogram test?
first an ECG is done
If there is an abnormality then an angiogram is done
It may be normal too
Then a treadmill test is done
and what is the difference between angioplasty and open heart surgery
Open heart surgery is generally done when there are blackages in >2 of the 3 arteries
or there is extensive blockage or the patient is diabetic
so these 2 procedures cannot substitute each other
A portion of the coronary artery is cut and replaced by a vein from the leg
It again depends on the patient
There are some people who get a blockage again after an agioplasty
They are then taken for an open heart surgery
but open heart surgery remains the method of choice in some patients as I explained above
but these must be the extreme blockages cases
It is the preferred treatment if there is a blocckage of the left coronary artery
can u pls suggest some good clinics in bangalore who do angiogram test
Or there is a blockage of all 3 arteries
Or when angioplasty cant be done
Did a cardiologist recommend an angiogram fir you?
so basically....to sum up in layman language..for minor blockages, angioplasty can be done and for major ones...go for open heart
no ..not yet..i am planning to get it done for my parents..
i havent visited a doctor yet..i am just trying to understand the concept
They need to be seen by a cardiologist first
They would need an ECG, basic tests
If the cardiologist sees the need, only then a angiogram will be done
Its not a minor procedure
It has its risks
So please see a good cardiologist first
Then these decisions can be taken
well ..thank u doctor for the advise..and i will visiti a cardioloist first
i will close the caht now
Can I answer any more concerns?
Thanks for consulting me.
Are you there?
thank u very much doctor
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