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Treatment of coronary artery disease with stents and angiogram - 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 : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   hi Dr.
Doctor :  
please proceed with your health query
User :   I need to get few details for my fathers Treatment
Doctor :  
ok
Doctor :  
please proceed
Doctor :  
what symptoms you father is having?
Doctor :  
what problems have been diagnosed?
Doctor :  
and what treatment is he on now?
User :  
since last month he is diagnosed with Coronary Respiratory Symptoms
User :  
he had an mild attack
Doctor :  
ok
User :   and the dr with whom he was treated said, he need to go for an angiogram
User :  
to check for any blockages
User :  
since i have insured for my father ,,,for Rs 1 lac,
User :   i need to know, how much the claim be done
Doctor :  
ok
Doctor :  
this will be answered by the insurance company
Doctor :  
since when have you insured your father?
Doctor :  
and how many premiums have you paid?
User :   4
User :   ok cant the blockages be detected thru ECG
Doctor :  
if heart disease is listed in the aggrement, they will pay back the entire expense
Doctor :  
for more details
Doctor :  
the agent whom you took the insurance from
Doctor :  
will help you out
Doctor :  
in checking the list
Doctor :  
Blockages cannot be detected by ECG
User :   ok
User :  
Dr. Cant the blockages be detected thru ECG
Doctor :  
ECG is a surface investigation, it will detect abnormalities in signal transmission
Doctor :  
of areas that are not responding well
User :   ok ..so for exact result going for angiogram is best
Doctor :  
these usually happen due to loss of blood suplly and ischemia in heart muscle
User :   ok

Doctor :  
Angiogram will show the blocks in arteries
Doctor :  
as the dye used with outline the arteries whereevr the blood goes
Doctor :  
so the blocks can be easily identified
Doctor :  
if the block is there
Doctor :  
then it can be cleared by placing a stent
User :   stent means ?
Doctor :  
A stent is a small mesh tube which is used to treat narrowed or weakened arteries in the body
Doctor :   it is placed where the block is
Doctor :  
and then inflated to clear the block
User :   ok
Doctor :  
and prevent block in the same place again
User :   does any further treatment req depending upon the blockage s
Doctor :   yes, it may be required
Doctor :  
generally the patient is put on anticoagulant drugs along with placing the stent
User :   how can we determine on this
Doctor :   to prevent clots forming again and leading to blocks elsewhere
User :  
ok
Doctor :  
this requires constant monitoring and follow ups
Doctor :  
so in case a block is detected on angiogram
Doctor :  
depending on the block and its location
Doctor :  
stent placement shuld be taken into consideration
Doctor :  
and further treatment initiated with the ancoagulants
Doctor :  
the Cardiology doctor will guide you more on this
User :   stent placement comes within angiogram treatment or its the extension of this treatment
Doctor :  
to know more about stents, kindly visit the following link
Doctor :  
WWW.WWWW.WW User :   ok..
Doctor :  
it is usually an extention of the angiogram done
User :   ok is that the angioplastery so called
Doctor :  
it will give you more details on what to expect
User :  
for Stent Treatment
Doctor :  
out of the stents
Doctor :  
Angioplasty is a minimally invasive clinical procedure, performed for widening the blocked arteries
Doctor :   it will consist of placing a stent also
User :   ok
Doctor :  
Angioplasty is the technique used to dilate an area of arterial blockage with the help of a catheter that has an inflatable small sausage-shaped balloon at its tip.
User :   what z the % rate if this is cure thru medication
Doctor :  
sometimes stents are also placed during the procedure
User :   ok
Doctor :   cure rates varies a lot
Doctor :  
as other factors also vary from patient to patient
Doctor :  
each person has various risk factors which may not be same for everyone
User :   frankly saying, my dad doesnt smoke, drinnks,
Doctor :  
usualy good cure rates are seen with the procedure and drug therapy
Doctor :  
and regular follow ups
Doctor :  
with monitoring
User :  
or dont have any bad habits like chewint tobacoo
User :  
so what will be the % rate for cure
Doctor :  
this is really good, it will also reduce the risk factors in your dad's condition
Doctor :  
the prognosis of the treatment will be better
Doctor :  
with very less repetations
User :   ok ,.....usually he adds more salt while having lunch / dinner
Doctor :  
or repeat attacks
User :  
ok
Doctor :  
this should be stopped
Doctor :  
it is not good
Doctor :  
the salt intake has to be controlled
User :  
yeah he used to do that before he had an attacks
Doctor :  
with salt permitted only in cooking
User :  
now he is in strict diet
User :  
complete Veggie
User :  
too
Doctor :  
The recommended Daily Allowance of Salt, not exceeding the range of 1,500 and 2,400 milligrams (mg) a day for healthy adults.
User :  
as we r Veggiie
Doctor :   The sodium content of food has important implications for health. Salt contains about 40 per cent sodium, and a teaspoon of salt, which weighs about 5 grams, contains about 2 grams of sodium.
User :  
ok
User :  
so this can be the cause of attack,
Doctor :   the salt we consume also comes from the natural content in foods that we take
Doctor :  
so any additions over that will lead to extra intake
User :   yeah thatz true

Doctor :  
it could be precipitating cause for it, though not the exact cause
Doctor :  
as high salt intake affects Blood pressure
User :   ok
Doctor :  
which puts pressure more on the heart
Doctor :  
Have you followed what i have said uptil now?
User :   yes
Doctor :  
Is there any thing else I can help you with?
User :   Nothing .....thatz all
Doctor :  
Please fill the feedback form, and comment box, and say done when done.
User :  
Thanks for U r guidence.....
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :  
Sure, Done
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