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What Do My Echo Test Results Indicate?

Posted on Mon, 30 May 2016

Question: My Father had Heart attack last week and being treated with medicines so far , 2D echo done after 3 days showed no major Heart damage but after angiography done today it showed double vessel arteries blocked . Doctor have suggested bypass surgery , please advice if bypass is really necessary or angioplasty can help to recover . He is diabetic from 20 years .

Answered by Dr. Anantharamakrishnan (30 hours later)

Brief Answer:
YES - of course

Detailed Answer:
Hi friend
Welcome to Health Care Magic, I have gone through your query and reviewed the reports as well..

Any obstruction 70 % or more needs intervention [There are 3 of them here]

It is a mechanical obstruction and needs mechanical relief..

Dilatation and stent is an option in some… but is notorious for recurrence of the problem in most diabetic people. Bypass is the ideal approach in this situation. So I'd advice to go ahead.

You are in good hands…

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Anantharamakrishnan (11 hours later)

Thanks sir for your guidance , I just found over Internet on minimal invasive bybass surgery whether that is feasible in this case and how effective it is compared to conventional open heart surgery ?

Also can you please suggest some good cardiac surgeon in XXXXXXX ?

Answered by Dr. Anantharamakrishnan (22 hours later)

Brief Answer:
I shall suggest conventional surgery

Detailed Answer:
Welcome to HCM

Minimally Invasive Surgery is equally effective; may be feasible, but routine conventional open surgery is here preferable because of the comorbidity (Diabetes) and distribution of the block…
There are several hospitals in XXXXXXX .. and your cardiologist will be able to guide you better….. XXXXXXX Hridayalaya is well known

Regards

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

Follow up: Dr. Anantharamakrishnan (1 hour later)

Thanks sir ,

Just last question , how soon do you feel we should go for surgery based on blockage condition ,whether it's required immediate surgery ?

Can we wait for a month or so .

Answered by Dr. Anantharamakrishnan (11 hours later)

Brief Answer:
As soon as possible

Detailed Answer:
Welcome to HCM

Earlier the better
The aim is to prevent heart attack – whose timing and severity cannot be predicted

Regards

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

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