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Ischemic Heart Disease, advised angiography - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3593 Questions
User :   i am 53 woman,working hypertensive diabetic,obese,had ecg indicating inferior infarct,had echo-normal had tmt positive for induced ischemia,advised angiography?
Doctor :   Hi
Doctor :  
Let me read it
Doctor :   Ok

Doctor :  
I have read it
Doctor :  
So when was the TMT done?
User :   31/01/2010
Doctor :   Ok

Doctor :  
Have you undergone treatment?
User :   no. i take aten-25,polytorva,galuplus50/1000.do ineed angio or proceed with medication ,excersise,iweigh 80kg,ht 152
Doctor :   Ok

Doctor :  
Now Angiogram shall be indicated
Doctor :  
to know the extent of blockage
User :   risks
Doctor :   The risks for angiogram, you mean to say

User :   yes
Doctor :  
Ok
Doctor :  
Angiogram is an invasive procedure
Doctor :  
and can be done without much risk
Doctor :  
You will need to follow some precautions
Doctor :  
before angiogram
User :   any non invasive alternative
Doctor :   Yes, there is

Doctor :  
There is Angio CT
Doctor :  
which is good enough to see the extent of blockage
User :   effective
Doctor :  
but conventional Angiogram is of gold standard
Doctor :  
yes CT is effective
Doctor :  
and the heart can be seen in 64 slices
Doctor :  
and the blockage determined
User :   a surgery essential
Doctor :   That is decided only after the Angio

Doctor :  
Angiogram is not a surgery
Doctor :  
and is not a complicated procedure
Doctor :  
Just a prick in your thighs or hands
Doctor :  
thats it
Doctor :  
and after that it can be decided if at all you require any treatment
Doctor :  
and after that it can be decided whether Angioplasty/Surgery
User :   thanks
Doctor :  
First I shall advise you to take CT angio
Doctor :  
And after that you can decide upon further
Doctor :   Have you got your Lipid profile done?

Doctor :   Are you with me?

Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.

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