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Discharged after heart attack. Preventive things to be done to avoid further attack?

I was just discharge fr. Fr. The hospital a week ago which they told me that when I came I was diagnosed that I had a heart attack based on the level of my troponin and cardiac enzyme. They ordered scan with dye and echo cardio gram which turned out to be all negative or clear. they said my heart is healthy and they couldn't find any clot .They discharged me not knowing where else can I go to to or what prevention I need in case I have another attack.
Asked On : Thu, 10 Oct 2013
Answers:  1 Views:  16
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

It is not clear – what was the investigation (scan)…

     It is an indication for further work up – The next step is TMT (Treadmill Exercise ECG) with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
     If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. If the major epicardial arteries are normal, one has to be investigated for spasm, as a cause…. CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.

The treating doctor alone can suggest further based on his assessment of the situation.

Take care     
Wishing all well
God bless
Good luck
Answered: Thu, 10 Oct 2013
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