HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Angiography Report Suggests Blockage In Artery. TMT Test Report Came Normal. What Do You Advise?

default
Posted on Wed, 24 Apr 2013
Question: Hello,

My father had gone a TMT test and reports are normal. However went through Angio today and it is showing 70% blockage in artery.

Pls advice
doctor
Answered by Dr. Anantharamakrishnan (56 minutes later)
Hi friend,
Welcome to Health Care Magic

70% is significant obstruction.
He should go for ANGIOPLASTY and STENT - as early as possible..

TMT can be at times false negative / Angiogram is the gold standard.

Take care
Wishing speedy recovery
God bless
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Anantharamakrishnan (4 minutes later)
Thanks doc,

But the current doctr under whch is being treated
is suggestng medication n exercise n diet control
And would evaluate the case in anothr 6 months.

Can you pls suggest if this shuld be fine?
doctor
Answered by Dr. Anantharamakrishnan (21 minutes later)
Hello

It is a mechanical obstruction / needs mechanical relief.
Aggressive medical treatment gives symptomatic relief and buys time.

The treatment of any disease involves 2 approaches: 1- Symptomatic relief 2- Disease modification. Nothing but drastic reduction of cholesterol can produce a little reduction in the obstruction - and that is not clinically approved as treatment modality. All others are symptomatic.

The obstruction starts assuming significance at 70 %. That may be the reason for their consideration for the wait and watch policy...In borderline cases like this, some centres estimate Fractional Flow Reserve to make the decision for intervention - it is equally costly like stent placement and invasive - and after that one may need stent..

If he has symptoms, it may better to do now
If he has no symptoms and has no another disease or risk factor, then you may afford to wait.

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Angiography Report Suggests Blockage In Artery. TMT Test Report Came Normal. What Do You Advise?

Hi friend,
Welcome to Health Care Magic

70% is significant obstruction.
He should go for ANGIOPLASTY and STENT - as early as possible..

TMT can be at times false negative / Angiogram is the gold standard.

Take care
Wishing speedy recovery
God bless
Good luck