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Information on cardiac catheterization - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   i am scheduled for a heart catheterization to see if i have any blockages. i had a nuclear stress test done and my cardiologist states that the test showed during exercise there is part on the back lower part of my heart getting less blood flow. she states it was normal during rest but not during exercise. she wants to do the catheterization to see if there is in fact blockage. she said there are three outcomes to this procedure. either it comes back normal or there is blockage and they will either place a stent that day or suggest bypass surgery. i am just wondering if i should get a second opinion before doing the catheterization?
Doctor :   Hi
Doctor :   Let me read your query
User :   good morning
Doctor :   Ok
Doctor :   I read through your query
Doctor :   May I know your age and the reason for which you underwent the tests?
User :   i am 38, only current health condition is acid reflux, blood pressure normal, cholesterol is 212 and triglycerides are 140. was having shortness of breath and my left arm was feeling tired, like i had lifted weights but had not.
Doctor :   Ok
Doctor :   Was the shortness of breath worse on exertion?
User :   no, that night i had just finished supper.
Doctor :   Ok
Doctor :   With acid reflux as well, it does produce similar symptoms
Doctor :   it is good that you have got your EKG done
Doctor :   and stress test did show up some variations
Doctor :   How about the echocardiogram, was it done?
User :   i am scheduled for that next week. she reviewed the thallium images and called me yesterday asking me to come in. she then suggested the catheterization for Friday morning.
Doctor :   Ok
Doctor :   But echo should be done before catheterization
Doctor :   Is that the same with you?
User :   i have not had an echo done
Doctor :   Ok
Doctor :   That would be good before catheterization as per my knowledge
Doctor :   There is also something called as CT Angio
Doctor :   which is non invasive test
Doctor :   Are you aware of it?
User :   no
Doctor :   Ok
Doctor :   You can discuss about it with your cardiologist
Doctor :   it shall give the pictures of your heart
Doctor :   wherein the assessment can be made if
User :   the cardiologist took all of maybe 10 minutes explaining what she saw from the stress test and suggested the catheterization
Doctor :   there is requirement for catheterization
Doctor :   Ok
Doctor :   For now, I would suggest you to get our Cardiologist's opinion on this
Doctor :   You can send the scanned ECG film
Doctor :   both resting and the stress one
Doctor :   along with description
Doctor :   and our cardiologist shall assess it
Doctor :   and tell you what is essential to be done
Doctor :   as next step
Doctor :   I will give you the link for the sam
Doctor :   'same
User :   do i just have my cardiologist sent it or do i?
Doctor :   Sorry I could not get you
Doctor :   I meant you to send the soft copy of the EKG films
Doctor :   to our mail
Doctor :   I am giving you the link here
User :   okay, so they will give me a copy?
Doctor :   You can ask for it I guess
User :   okay will do
Doctor :   or ask your doctor to send you a soft copy
Doctor :   and you can forward the same to us
Doctor :   Does that make sense?
User :   yes
Doctor :   Fine
User :   it has all seemed so rushed
Doctor :   I do understand
Doctor :   Cardiologist is like that
Doctor :   it is a hurry speciality
User :   thank you, i appreciate your help
Doctor :   and is important as well
Doctor :   Is there any thing else I can help you with?
User :   that's all, thanks again have a great day!
Doctor :   Wish you the same
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