Hi,I am Dr. Prabhakar Koregol (Cardiologist). I will be looking into your question and guiding you through the process. Please write your question below.
Had By-pass Surgery, Stress Thellium Test. Done Angiography. Is There A Blockage? What Are The Risks?
My father in-law is 75 years old and he had gone through bypass surgery 8 years ago.Two weeks back he suffered pain and the doctor suggested Stress Thellium test and after that the reports are negative and he says that go for angiography and if there is blockage then they will do angioplastybut there is risk because of age.What do you suggest
Thanks for your health concerns. For elective diagnostic angiograms currently, the estimated risk of bleeding (most common complication) is about 5%, for heart attack, stroke, perforation of the sac around the heart and dangerous rhythms of the heart they happen in 1 every 1000 cases, and the rsik of death is about 1 every 10000 procedures; the risks are somewhat higher in patients with obesity, diabetes, chronic lung disease and chronic kidney disease.
In people with a known history of blocked arteries, if there is true suspicion about further blockages of the native vessels or bypass conduits, then a diagnostic angiogram might be indicated, since non-invasive tests are subject to error and because of his history he is by definition high risk. Increasing or modifying his heart medications might also be an option
I encourage you to discuss further with your cardiologist about the pros and cons, wish you both the best health,
Dr Brenes Salazar MD Mayo Clinic MN
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Had By-pass Surgery, Stress Thellium Test. Done Angiography. Is There A Blockage? What Are The Risks?
Dear patient, Thanks for your health concerns. For elective diagnostic angiograms currently, the estimated risk of bleeding (most common complication) is about 5%, for heart attack, stroke, perforation of the sac around the heart and dangerous rhythms of the heart they happen in 1 every 1000 cases, and the rsik of death is about 1 every 10000 procedures; the risks are somewhat higher in patients with obesity, diabetes, chronic lung disease and chronic kidney disease. In people with a known history of blocked arteries, if there is true suspicion about further blockages of the native vessels or bypass conduits, then a diagnostic angiogram might be indicated, since non-invasive tests are subject to error and because of his history he is by definition high risk. Increasing or modifying his heart medications might also be an option I encourage you to discuss further with your cardiologist about the pros and cons, wish you both the best health, Dr Brenes Salazar MD Mayo Clinic MN