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What Do These ECG And Echo Reports Indicate?
Question: Hello Doctor
My Father is 63 Years old , had an Angioplasty in July - 2012.From last few days he complained about shortness of breath.
I took him to a cardiologist in good hospital in XXXXXXX and the doctor just took the BP and suggested to admit my father in the hospital and said that previous angioplasty is of no use and he will do angiography again and if required angioplasty .
To take a second opinion I visited another Cardiologist and he asked us to do X-ray , ECG and ECHO.
As per his suggestion there is no need of another operation and the present condition will be treated by medicines only.
Now after 10 days , my father has recovered from the breathing problem and doctor suggested to continue with the current medication.
Now I am really confused whom to believe .
Please guide me if there is need of any other operation .
I have attached copies of latest prescription , ECG , ECHo and copy of documents of angioplasty done in 2012.
Thanks in advance.
My Father is 63 Years old , had an Angioplasty in July - 2012.From last few days he complained about shortness of breath.
I took him to a cardiologist in good hospital in XXXXXXX and the doctor just took the BP and suggested to admit my father in the hospital and said that previous angioplasty is of no use and he will do angiography again and if required angioplasty .
To take a second opinion I visited another Cardiologist and he asked us to do X-ray , ECG and ECHO.
As per his suggestion there is no need of another operation and the present condition will be treated by medicines only.
Now after 10 days , my father has recovered from the breathing problem and doctor suggested to continue with the current medication.
Now I am really confused whom to believe .
Please guide me if there is need of any other operation .
I have attached copies of latest prescription , ECG , ECHo and copy of documents of angioplasty done in 2012.
Thanks in advance.
Brief Answer:
Angiography is not needed at this point of time .
Detailed Answer:
oncern. I went through the history and attachments and based on information I would suggest
1) What your father has is called ischemic cardiomyopathy , So because of the previous heart attach either the damage had occurred before the stent could be put due to time that passed from rye onset of chest pain or afterwards , leading to fall in in the pumping to 20 %
2) This fall in pumping resulted in fluid overload, with fluid in the lungs causing breathlessness
3) Medical treatment is appropriate for the diagnosis and should be continued
4) The leak across the valve ( again because of fall in pumping ) may have added to cause of breathlessness
5) There is a scope of optimisation of medicine yet furthur for maximum benefit, however had to be done under observation
6 )
Angiography is not required for this condition , as the territory supplied be the stent is already damaged as per echo , however it may be done once patient is stable to rule out any other blocks and if there is enough viable area consider some revasularisation
7) send me the ecg so other options can be discussed .
However the corner stone here would be medicine and lifestyle rehabilitation.
Lastly it's a situation for which detailed discussion is needed to avoid any furthur miss conception and finalising the future course of action .
A consultation with a good cardiologist at your place and follow up with him would be most helpful.
Hoping I could help .Regards Dr Priyank Mody
Angiography is not needed at this point of time .
Detailed Answer:
oncern. I went through the history and attachments and based on information I would suggest
1) What your father has is called ischemic cardiomyopathy , So because of the previous heart attach either the damage had occurred before the stent could be put due to time that passed from rye onset of chest pain or afterwards , leading to fall in in the pumping to 20 %
2) This fall in pumping resulted in fluid overload, with fluid in the lungs causing breathlessness
3) Medical treatment is appropriate for the diagnosis and should be continued
4) The leak across the valve ( again because of fall in pumping ) may have added to cause of breathlessness
5) There is a scope of optimisation of medicine yet furthur for maximum benefit, however had to be done under observation
6 )
Angiography is not required for this condition , as the territory supplied be the stent is already damaged as per echo , however it may be done once patient is stable to rule out any other blocks and if there is enough viable area consider some revasularisation
7) send me the ecg so other options can be discussed .
However the corner stone here would be medicine and lifestyle rehabilitation.
Lastly it's a situation for which detailed discussion is needed to avoid any furthur miss conception and finalising the future course of action .
A consultation with a good cardiologist at your place and follow up with him would be most helpful.
Hoping I could help .Regards Dr Priyank Mody
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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