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Medical treatment for blockages in the heart - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
Doctor :   Hi
Doctor :   How can I help yo
User :   hie...may i kow whom am i speaking to?
Doctor :   Dr XXXX
User :   Hello DR. My father has just done an angiogram...and results show that he has 3 blocks...
User :   he is suppose to do a by pass
Doctor :   Yes
User :   unfortunately the surgeon said he is too fragile to undergo it as he has other complications
Doctor :   k
User :   diabetes, hiGH RP, HISTORY OF PNEUMONIA
User :   so then he is advised to be medically treated..
Doctor :   k
User :   and later on when he has build himself up, one of the blocks may be treated by putting a strand
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   yesterday they did a temporary kemo dyliasis
User :   my father is 63, retired, about 43 kg
User :   height about 160cm
User :   my question is, can the blocks me medically treated?
User :   be medically treated?
Doctor :   Look the blocks are the main things that are to be treated now
Doctor :   after these complications
Doctor :   it can be treated either by by pass or the stenting
Doctor :   only medications wont be able to treat the blocks
Doctor :   by the way i want to know the entire angiogram report
Doctor :   you can send me the scanned reporta nd give you a more detailed
Doctor :   advice
User :   i will try n get it. so how does the medication help? to prevent further blocks?
Doctor :   The medications that the doctor gives are the blood thinners and the chol lowering agents
Doctor :   which helps further in not forming the other blocks
Doctor :   the blocks that are alredy there may not progress further but there is a chance of dislodgment also
Doctor :   of already formed ones
Doctor :   the blocks requiuire the palliative tx now with the bypass or the stenting
Doctor :   Can you please confirm your details
Doctor :   YYYY@YYYY Mobile : 6012-0000
User :   yes...those are my details. by the way Dr, where is ur location at?
Doctor :   Bangalore
Doctor :   where are you at?
Doctor :   sorry which city
User :   Malaysia
User :   Selangor
Doctor :   ok]
Doctor :   You can send the report to our mail ID
Doctor :   YYYY@YYYY
User :   ok. Should i refer it to u?
Doctor :   yes
User :   also, when u say dislodgement of already formed ones. what do u mean sir?
Doctor :   You can send it to you if you want a better way of answering the question
Doctor :   the vessels have major blocks or minor blocks at what is the percentage of the blocks
Doctor :   the block may be loosened
Doctor :   from the existing place and breaks to go further distally
User :   Breaks to go further distally, meaning?
Doctor :   the main artery splits into three arteries
Doctor :   if the three arteries are blocked
User :   the dr did say the work minor...and also thet its narrowing
User :   word minor
Doctor :   I didnot get the statement
User :   The DR did say that the block was minor...and he also used the word narrowing
Doctor :   ok
Doctor :   ok
Doctor :   so the percentage of block is minor and it is called narrowing of the arther
Doctor :   artery
User :   u were saying something earlier about the three arteries?
User :   when it splits?
User :   i was aking u what did u mean when u say brekas to go further distally?
Doctor :   the blood flows from the proximal artheries to more distal
Doctor :   capillaries while supplying the heart
Doctor :   so when the block disloges it goes from more proximal to distal capillaries and the blockage in the dstal capillaires wont affect too much of heart muscle
Doctor :   that is a good sign
Doctor :   Did yu understand now?
User :   yes DR. clear..
Doctor :   If you are not able to then I have to draw a figure
Doctor :   and show you
Doctor :   but that is not possible now
User :   yes i think i do understand. thank u
User :   so once it is disloges, will it be possible for them to do the stenting? coz at this point they said stenting wont help..only surgery
Doctor :   no
Doctor :   we cannot say that
Doctor :   it may help or may not help the patient
User :   the medicationu mean?
User :   the medication u mean?
Doctor :   Look the diabetics are better treated by surgery than stenting
Doctor :   and you say that there is kidney compromise too
Doctor :   If there is no way the person can cope up to the anesthesia and operation complications
Doctor :   or the post operation recovery wont be good enough
Doctor :   then teh doctor asks for stenting
Doctor :   are you there
Doctor :   Please fill the feedback form
Doctor :   and say done when done
User :   yes//i am done
Doctor :   anything else
User :   yes if u dunt mind
Doctor :   Please cut short the question and a long queue is waiting for the advice
User :   any advice on the diet? as his pottasium level is also high
Doctor :   I would say a nutritionist is better than a doctor in guiding the diet amount of sod, pot, calories
User :   ok. and exercise?
Doctor :   normal walking
Doctor :   twice daily for 3o to 40 min
Doctor :   you can see a cardio physio and get the guidance
Doctor :   there are some specific aerobics for cardiac patients
User :   ok...but i dunt think he is fit to do much..only very light movements
User :   he also had a minor stroke early last year
User :   is there any advice how i can help him emotionally?
Doctor :   yes
User :   as he is in low spirits
Doctor :   We have a long queue of patients waiting for our service. Please log later
Doctor :   bye
User :   sure. thank u very much
Doctor :   I have to close this chat window as you have moved out of the chat. Please log in again if you need further medical advice.
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