Hi, In order to diagnose a blocked artery an the vessels of the heart need to be imaged. This is an angiogram. Dye is injected through the artery and the heart is x-rayed. Any blockage can be seen as a narrowing of the artery. Regards, Dr K A Pottinger, MBChB FRCA
No.The first thing to understand is that an ECG is not used for diagnosing a blocked artery;it's used to find out the heart's beating patterns,detects wall thickening(hypertrophy),detect heart attacks,new and old.An angiogram actually goes into the arteries and takes pictures to detect blockages. An echo-cardiogram can also be used in combination with the Doppler monitoring technique,to measure blood flow through the heart chambers,as well as flow through the pressure gradients across valves to determine the degree of narrowing.
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Can any profesional doctor can diagnosis wheter there is any blocakage in artery or not without using any ECG? Can any profesional doctor can diagnosis wheter there is any blocakage in artery or not without using any ECG?
This question is addressed to Dr. Erali only. I am a 64 year old male, retired from a 3.5 decades of marketing profession. In 1992 I had suffered from two blocs in the arteries of my heart, one 100% and the other 80%. My Dr. kept me on Ecospirin 150 (One per day), Dilzem 60 three per day, which I have been taking since then without fail. Since last about five years while walking I used to get lower back pain which will then radiate into my legs, compelling me to stop walking, and if continued, I used to get discomfort on my chest and jaws. In about one year ago I was detected to be suffering from Lymph Node TB and a bulge on my right shoulder was removed. While continuing the TB medecine, I used to get during the night discomfort at my chest and lower side of my jaws above the neck, just similar to heart attacks. On consultation with my Dr. I was told that it is due to the side effects of my TB medicine, so I continued my life, on and off suffering the pain, during the night. Later on it used to come while walking and on taking rest it used to go. Finally I suffered a massive heart attack on November 2014 last week and undergone a bypass surgery, which was actually critical. The procedure was conducted by Dr. Bejoy Kutty in Mumbai. While doing the agio Dr. Chonkar who was my Cardiologist informed me that there are blockages in my iliac arteries thereby blood circulation to both my legs are being affecgted, therefore my back pain and legs pain are happening. Even after Bypass these pains continued. Dr. Suggested that I have to place stents in my iliac arteries for which I submitted myself. While doing the angio Dr. found out that there was one more blockages at the joint of the iliac artery. So three stents were placed in my abdomen. Now I am able to walk about 10 minutes as against about 3 to 5 minutes earlier. However, by 10 minutes I start getting the pain especially on right leg calf muscle and lower back and if walking continued discomfort on the chest. Dr. Said that my body has a tendency to get blockages which has to be controlled by medicin. I am now taking Acetron 1 and 1.5 alternate days, Athorva 40, Prucelac 10 one per day, Orcibest half per day, Clopilet A 75 two per day, Stilloz 150. I am also diabetic for the last 10 years and right now under Zoril M 1 one before B/F, 1 Before Lunch and half before dinner. I would like to know whether I can get my blockages removed and I will be able to walk about 15-20 minutes. I have been a disciplined person doing yoga, pranayam and meditation right from my 16 years. However, off and on it used to be missed due to my night college education, for about 15 years, and marketing profession whereby I used to be burning midnight oil for meetings, presentations, conferences etc. I want solution to my diabetics and blockages, and want to walk. If you can answer me with your suggestions, I will be thankful to you. I am born and braught up in Trichur District, and did my schooling in GHS Peringottukara, and rest of the studies were done in night colleges at Mumbai. I am a self made person who has put in more than adequate hard work and overdrawn my body perhaps. Regards N. Gopalakrishnan 0000/0000
Hi, My dad aged 59 is advised to undergo CABG due to more than 90% blockages in two of the arteries. Other one has around 70% of blockage. I wanted to know , how safe it will be and which process the doctor should follow, a traditional with heart lung machine or without that ?? Please suggest.
hi my dad had stent placed in LAD in 2008 aug. He is on regular medication that is ecospirin, clavix, avas20, angizaar H and nitroglycerin since than and we got his angiography repeated in nov 2009. But since one week he some time feel mild congestion in throat area that is for few seconds otherwise his all test and levels are normal. he does walk also regularly. Can u please let me know the cause. His right coronary has many collaterals and LAD is Stented
Sir, My Father (age 67) had some chest pains and problems and so he consulted a physician. All the tests were done and he was reffered to a specialist Cardiologist. The Cardiologist checked and asked him to take up the TMT Test. During the TMT test,he was only able to take that for 4 minutes 9 seconds because he experienced very dried up mouth,throat and fatigue. Finally,the Cardiologist examined the reports and confirmed that his ARTERIES are blocked and asked him that it would be good to do a ANGIOGRAPHY. VERY VERY IMPORTANT- The Cardiologist prescribed to take a medication called ECHOSPRIN-75 once daily.But after the first day,there was severe reactions like suffocation,breathing problem,very weakness and loss of balance of his body.So,we immediately stopped the medication. So,i need your help and it would be very good if you could please give your Interpretations,observations and explain me the present condition of his heart.I humbly request you all for your support as soon as possible because i dont know much about these things and is it needed to go for a Angiography. ****I have attached a DOCUMENT with HIS TMT test results,echo-cardiography.Please let me know if you need any other reports and i will attach them. Waiting for your valuable inputs God Bless you currently taking these Medications- (1) Envas 0.5 mg - Twice Daily (2)Concor AM 2.5 mg - once daily (3)Storvas -once daily (4)Aciloc - 300 mg -daily once (5)Nutriva - Once daily (6) MADHUMEHARI - effective remedy for diabetes (7) A cough Syrup-Because he has deep cough (**Dont know how he got the cough because he never takes cold water or any sort of cold items) TMT TEST RESULTS:- INTERPRETATION- Summary:Resting ECG:RBBB.Functional Capacity:markedly decreased(by 40%).HR Response to Exercise:appropriate.BP Response to Exercise:appropriate response. Chest Pain:none Arrhythmias:none. ST Changes: Depression horizontal.Overall impression:Positive stress test suggestive of ischemia. CONCLUSIONS POOR EFFORT TOLERANCE.NORMAL HR AND BP RESPONSE.NO ANGINA ARRYTHMIAS SIGNIFICANT ST-T CHANGES SEEN.TNT IS POSITIVE FOR EXERCISE INDUCIBLE MYOCARDIAL ISCHEMIA
Dear Sir, My father underwent treatment for HYPERACUTE INFEROLATERAL MYOCARDIAL INFARCTION. His discharge summary is as followed: Complaint on admission: Acute chest pain and discomfort for last 90 mins. Signs on Admission: BP – 130/90MMHG: Pulse- 108/MIN Medical Summary: On diagnosed for HYPERACUTE INFEROLATERAL MYOCARDIAL INFARCTION on 13th Sept2010 , he was immediately thrombolysed with IV ELAXIM 40 MGM , he was treated with IV NTG, IV CLEXANE, IV PAN, IV EMESET, IV EFFCORLIN ETC, Post Thrombolysation he was HAEMODYNAMICALLY stable and RCG showed good reversal of ST-T changes and there was no ARRHYTHYMIAS. He was advised to undergo coronaryangiography. We did Angiography at Cumbala HILL Hospital & Heart Institute on 18th Sept10. Results of Angiography are: LMCA- NORMAL LAD – Shows Proximal 80% and Mid segment 90% stenosis. Distal LAD shows plaques. Ramus – Left Circumflex – Non dominant. A large OM shows 90% proximal stenosis. RCA – Large dominant vessel. Proximal 90% stenosis and PD has 90% stenosis. LIMA/RIMA- Normal RENALS- Normal Advice Given: Coronary artery bypass graft surgery. By Dr. Saurab Goel (MM.DM) Interventional Cardiologist.
after echo test dr. advise me for angiography and ask when i got heart attack before then i went to hospital where echo and tmt are dione and found positive i am not interested in angiography they refer me metrolol 30mg, ecosprin 100mg, isosorbide mononitrate 20mg,crestor 10mg please advise me ; my heart health and can it be cure by any means
Seeking possible explanation for tender, raw feeling soles of the foot when I am rarely on my feet. Sometimes painful enough that walking is very uncomfortable. Age 85, height 5'1", weight 123#. Have pacemaker and electronic implant stimulation...