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

Is it necessary to take angiography for stress induced ischemia?

User rating for this question
Very Good
Answered by
Practicing since : 1966
Answered : 4499 Questions
my friend has been diagnosed in stress thiallum test ...stress induced ischemia mid septal infero,,,lvef 65,,, lipid profile very normal ,bp under control ,,, is there a need for angio??? he had no symtoms other than swelling in feet after exercise ,,,he is 59
Posted Tue, 24 Dec 2013 in Hypertension and Heart Disease
Answered by Dr. Anantharamakrishnan 17 minutes later
Brief Answer: Yes / definitely needed Detailed Answer: Hi friend, Welcome to Health Care Magic Yes, he needs angio, for sure Angio is an investigation; The aim of any investigation is to modify the treatment, based on the result. Absence of symptoms is no proof of absence of disease. In a quarter of patients, the first manifestation is sudden death / in another quarter, heart attack is the presenting symptom Your friend needs to be investigated further for Coronary Artery Disease. TMT (Treadmill Exercise ECG) with thallium isotope is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. And your friend has a problem here The next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway. He must have angio / that too as early as possible Good luck Take care Wishing all well God bless
Above answer was peer-reviewed by
Follow-up: Is it necessary to take angiography for stress induced ischemia? 1 hour later
but he has good lvef??and only reversible ischemia of stress induced ,,what is mid septal infero septal?? Moderate stress induced ischemia in mid septal infero septal. Good systolic LV function Emory cardiac tool box shows no evidence of reversible ischemia in entire LV myocardium LVEF stress. 65 percent This all written in report
Answered by Dr. Anantharamakrishnan 4 hours later
Brief Answer: Go for angio Detailed Answer: Hi Emory Toolbox is a software program for computer analysis. The interpretation has to be reviewed by the treating physician and correlated with total clinical picture – it is to supplement not supplant clinical impression LvEF is one parameter of function / the global function is well / there could still be focal problems Septum is the portion (partition between right and left) of the ventricle (lower chambers). Inferior wall is the lower wall of the ventricle. This is usually supplied by LAD (left Anterior Descending) artery Reversible indicates that the area is in jeopardy, but not damaged yet. It is not able to get its blood supply during stress (increased demand); and the flow resumes when the stress is off and is sufficient at rest… Angio is the gold standard, against which all other investigations are compared. It is like seeing the substance and the shadow. It is just an investigation to help in better decision making. It is better to be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise Regards
Above answer was peer-reviewed by
Follow-up: Is it necessary to take angiography for stress induced ischemia? 2 hours later
Thanx a ton doctor ,, so thAt means my friend has a disease which can be treated but should be treated immedietly
Answered by Dr. Anantharamakrishnan 12 minutes later
Brief Answer: Yes Detailed Answer: Hi True There is an extremely high probability It should be managed so, until and unless proved otherwise Good luck
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask a Cardiologist

© 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