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Should My Mom Go For Angiography?

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Posted on Mon, 5 Dec 2022
Question: Hi,
My mom got a breath problem and admitted to ICU and got a treatment and Doctors told heart is functioning only 35% and asked us to take MRI scan to check the heart condition and then go for an angiogram. I take her to different hospitals and asked to go for angiogram directly to check any block.

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Follow up: Dr. Sagar Makode (28 minutes later)
Uploaded Echo reports and ECG.

Also attached MRI scan request from one hospital.
doctor
Answered by Dr. Sagar Makode (25 minutes later)
Brief Answer:
She should have angiography directly

Detailed Answer:
Hello,
I have gone through the reports. There is no need of MRI in her she should directly to go for angiography. There is strong possibility of blockages in her so she should have angiography followed by angioplasty or bypass surgery.
Her heart function is low, but not very low so avoid angiography, and infact angiography followed opening of blockages will help in preventing further decrease in heart function and may also improve function to some extent.
In treatment, you should also discuss with your doctor regarding starting ace inhibitors like ramipril along with current medicines, which will also help in preventing further drop in heart function.
So overall, she should go angiography without MRI, and medicines should be controlled regularly.
Hope this helps you and get back if you have any doubts.

Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sagar Makode (26 minutes later)
"Her heart function is low, but not very low so avoid angiography, and infact angiography followed opening of blockages will help in preventing further decrease in heart function and may also improve function to some extent."

Can you explain again this? You have mentioned avoiding angiography
doctor
Answered by Dr. Sagar Makode (2 minutes later)
Brief Answer:
Sorry, autocorrect changed the sentence meaning

Detailed Answer:
Sorry, autocorrect created the confusion.
Her heart function is low, but not very low say 20 percent, where patients may not tolerate angiography. In her case it's 35 percent, so she should tolerate angiography and infact it's a necessary procedure in her. So angiography is recommended and should be done. All the best.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Sagar Makode (34 minutes later)
Brief Answer:
Okay, welcome

Detailed Answer:
Okay..you are welcome and all the best.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sagar Makode (5 minutes later)
Really helps and Thanks lot for your suggestion.
Answered by
Dr.
Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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Should My Mom Go For Angiography?

Uploaded Echo reports and ECG. Also attached MRI scan request from one hospital.