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What Are The Tests To Be Done For Heart Blockage?

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Posted on Sat, 5 Apr 2014
Question: Hi my father underwent heart check up . His tmt is normal, attached report with this question. However his echo says 50% ef and somexother complications . Doc strongly feels that he has had a heart attack in the past and put him on some blood thinners and cholestrol reducing tablets . He has been a diabetic for 7 or 8 years . His rest of the organs appears normal according to the check up report and as advised by doc. I have attachdd echo and tmt ( tmt he couldnt go beyond stage 2 due to leg pain and breathlesness , he generally walks slow) . Please can you advise if angiogram must be done or if he can quietly cotinue on med doc has prescribed . I wad wondering if Ct angio can be done to evaluate his block rather than angiogram right away
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Answered by Dr. Anantharamakrishnan (2 hours later)
Brief Answer: Go for Angiogram starightaway Detailed Answer: Dear friend, Welcome to Health Care Magic Your father is in good hands The investigations and management are appropriate Heart attack could be silent / especially in diabetics… Breathlessness may be a sign of failure / at times angina equivalent. Reaching the target rate in short time means added anxiety or sympathetic over activity / addition of beta-blocker is beneficial… The ECHO is suggestive He needs further investigation Thallium stress is ideal to test physiology – but he is not able to do TMT well CT tests the anatomy… if suggestive one needs angio anyway… so in this situation, GO FOR ANGIOGRAM STRAIGTAWAY / it is the gold standard… / No treatable condition should be missed / this is true especially in Diabetic Take care Wishing all well God bless
Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Are The Tests To Be Done For Heart Blockage?

Brief Answer: Go for Angiogram starightaway Detailed Answer: Dear friend, Welcome to Health Care Magic Your father is in good hands The investigations and management are appropriate Heart attack could be silent / especially in diabetics… Breathlessness may be a sign of failure / at times angina equivalent. Reaching the target rate in short time means added anxiety or sympathetic over activity / addition of beta-blocker is beneficial… The ECHO is suggestive He needs further investigation Thallium stress is ideal to test physiology – but he is not able to do TMT well CT tests the anatomy… if suggestive one needs angio anyway… so in this situation, GO FOR ANGIOGRAM STRAIGTAWAY / it is the gold standard… / No treatable condition should be missed / this is true especially in Diabetic Take care Wishing all well God bless