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What are the side effects of myocardial ischemia?

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Posted on Thu, 14 May 2015
Question: Is it mandatory for open heart surgery if TMT positive inducible ischemia or it can be cure by medicine. Patient has high suger and his age is 57, pls advise
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Answered by Dr. Benard Shehu (3 minutes later)
It depends upon report of angiography... If you can upload it then i will be able to give you a better opinion if stent can be placed then its best but in uncontrolled diabetics ... if two or more vessels are blocked then Heart surgery is better than stents..

Dr.Muhammad Ahmad.

Resident Cardiologist.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Benard Shehu (9 minutes later)
As requested by Dr. XXXXXXX XXXXXXX im attaching the report.
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Answered by Dr. Benard Shehu (57 minutes later)
Brief Answer:
Following answer to your query.

Detailed Answer:
Hi back,

After reviewing your data I found that you have a three vessel disease (a blockage of 80% on mid LAD and mid RCA, a blockage of 90% on distal LCX)and based on the current guide lines for the treatment of these cases is to go for CABG.

CABG is the treatment of choice because you are a diabetic patient and CABG has the best long term results on overall morbidity and mortality.

However coronary stent is a possibility if you refuse to do CABG , but it will require more revascular (re stenting) procedures in the future.

Hope this will be of help.
Wish you health!
Dr. Shehu

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

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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What are the side effects of myocardial ischemia?

It depends upon report of angiography... If you can upload it then i will be able to give you a better opinion if stent can be placed then its best but in uncontrolled diabetics ... if two or more vessels are blocked then Heart surgery is better than stents.. Dr.Muhammad Ahmad. Resident Cardiologist.