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Have heart blockage. Should I go for angiogram or angioplasty? - Online Doctor Chats

Date : 01-Mar-2013
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 1980
Answered : 1 Question
Doctor:This is Dr. XXXXXXX
User:hello Dr XXXXXXX
Doctor:How are you doing?
User:i am good thank u
User:how r u
Doctor:i am good thank you
Doctor:Please proceed with your query
User:i have some questions regarding engyogram / engyoplasty
Doctor:You are talking about angiogram/angioplasty right?
User:ya..cardiac related
User:i know some people who had mild heart attacks and they then did angioplasty
User:somebody told me that u can do a one minute angiogram test and if there are blocakges then do angioplasty rather than wait for the heart attack to come
User:is my understanding correct?
Doctor:Angiogram is actually a procedure where they inject a XXXXXXX and see the structure of the coronary arteries
Doctor:These arteries supply blood to the heart
User:ok so angiogram is bascially a test to see how things are inside
Doctor:Thats right
Doctor:If a blockage is detected, then a procedure called angioplasty is done
Doctor:It depends on how much the blockage is, the extent of blockage in the 3 arteries, the age of the patient and other factors
Doctor:In this, they put a catheter into an artery in the thigh
Doctor:and they take it upto the heart till the coronary arteries
User:ok is angiogramt test the most comprehensive and concrete test for detecting blockages?
Doctor:On the catheter, there is a small balloon
Doctor:They inflate the ballon and the blockage opens up
Doctor:Sometimes, they put in a stent also
User:is stent the same as ring?
User:which is put in artillery
Doctor:Its not a ring
Doctor:Its like a cylinder
User:is ECG not a comprehensive test for heart condition?
Doctor:Not always
Doctor:But its an excellent screening test
Doctor:Its non-invasive and can pick up a lot of abnormalities what factors should i consider before doing a angiogram test?
Doctor:first an ECG is done
Doctor:If there is an abnormality then an angiogram is done
Doctor:It may be normal too
Doctor:Then a treadmill test is done
Doctor:or a nuclear stress test depending upon the condition of the patient
User:and what is the difference between angioplasty and open heart surgery
Doctor:Open heart surgery is generally done when there are blackages in >2 of the 3 arteries
Doctor:or there is extensive blockage or the patient is diabetic
User:so these 2 procedures cannot substitute each other
Doctor:A portion of the coronary artery is cut and replaced by a vein from the leg
Doctor:It again depends on the patient
Doctor:There are some people who get a blockage again after an agioplasty
Doctor:They are then taken for an open heart surgery
Doctor:but open heart surgery remains the method of choice in some patients as I explained above
User:but these must be the extreme blockages cases
Doctor:It is the preferred treatment if there is a blocckage of the left coronary artery
User:can u pls suggest some good clinics in bangalore who do angiogram test
Doctor:Or there is a blockage of all 3 arteries
Doctor:Or when angioplasty cant be done
Doctor:Did a cardiologist recommend an angiogram fir you?
User:so sum up in layman language..for minor blockages, angioplasty can be done and for major ones...go for open heart
User:no ..not yet..i am planning to get it done for my parents..
User:i havent visited a doctor yet..i am just trying to understand the concept
Doctor:They need to be seen by a cardiologist first
Doctor:They would need an ECG, basic tests
Doctor:If the cardiologist sees the need, only then a angiogram will be done
Doctor:Its not a minor procedure
Doctor:It has its risks
Doctor:So please see a good cardiologist first
Doctor:Then these decisions can be taken
User:well ..thank u doctor for the advise..and i will visiti a cardioloist first
User:i will close the caht now
Doctor:Can I answer any more concerns?
Doctor:Thanks for consulting me.
Doctor:Are you there?
User:thank u very much doctor
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