Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
124 Doctors are Online

Tests to determine hypertension or gastric troubles - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi,
Doctor :   Dr XXXX here
User :   it is a lot of work to make it here... lots of emails... a battle
User :   but here we are
User :   can you see my previous chats?
Doctor :   Yes, i am going through your previous chats
User :   Thank you
Doctor :   please give me a couple of minutes
User :   sure
Doctor :   Ok, XXXX please proceed
User :   My question is: since I have had hep C for so long, is there a chance that the angiogram may damage the artery because of the possible back pressure that is caused by my liver not allowing continious and normal blood flow?
Doctor :   Not at al, because the angiogram will study the patency of the lumen of the vessels supplying blood to the heart
Doctor :   ECHOCARDIOGRAM may help you to knoe the effects of portal hypertension
User :   but as the device passes from my leg to a place near my heart, doesn't it pass through the artery that is adjacent to my liver?
Doctor :   portal hypertension means increased pressure in liver blood vessels
Doctor :   not at al,
User :   so not in any major artery?
User :   I am refering to an angiogram
Doctor :   it do pass through the major artery to enter the caronary vessels but not in the liver
User :   got it
Doctor :   yes, i am with you
User :   is there a possibility that blockage can ge to extensive for a stent to work?
Doctor :   i didnt understand
User :   During the angiogram the doctor said that if they see blockage then they will put in a stent
Doctor :   yes,it is rite
User :   can the blockage be too much for a stent to be effective?
Doctor :   yes , sometimes when block is more open heart surgery might be needed
User :   hummmm.... ok
User :   is that often the case or not often?
Doctor :   not much often, because the full block cases do present as emergency , may not survive the attack sometimes
User :   I had an treadmill EKG ... normal results... if I conbine that with an ECO... will the combination let the doctor know is I have a blockage?
Doctor :   yes, they do halp but not to the extent as angio
Doctor :   help*
User :   I understand
User :   will it give a 60% reliable reading.. Or a 50%... about what percent accuracy can the combination offer?
Doctor :   yes they do combine producing 60 % accuracy
User :   ok
User :   Ok
User :   Another thing... my AST level was 320... way high... but I never had high readings... never... I suspect the gastro meds may have induced the reading
User :   never had a high reading of any liver enzyme in many years
Doctor :   what medicines ?
User :   I don't have time to locate them... but I know that a few kinds can give high AST readings
User :   the AST confused me
Doctor :   yes there are many which do cause rise of ast
User :   I have had powerful indigestion for about 10 days.... but 3 days ago I found anticids in XXXXX and the problem lessend a lot
Doctor :   good,
User :   the indigestion and the ache in the center of my chest and the ache in my right arm all seem to go together
Doctor :   can happen, the nerves supplying the above structures do overlap causing reffered pain
User :   that makes sense
User :   your advise... do the ECO.... and then the angiogram?
Doctor :   yes, thats the sequence
User :   I am afraid of the angiogram'
User :   but it seems pretty "ordinary"
Doctor :   its common now a days
User :   is there a reasonable possibility that this is a gastro problem and not as heart problrm?
User :   hey, times up THANKS!
Doctor :   80% i do think of gastro
Question is related to
Medical Procedures
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor