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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How safe and accurate is angioplasty in my case?

Iâ??m 43, 5â??8â?? and 220lbs. I donâ??t smoke, have a family history and need to improve diet and exercise. I have high blood pressure and high cholesterol â?? both being controlled by medication. I felt some lower right side chest discomfort at the beginning of May 2010. This lasted for about 1 month. Long story short is that through a series of different doctor consultations I now have had one visit with a cardiologist to review a nuclear stress test recently performed. After explaining my situation the doctor told me that the sensation on my lower right side was due to an abnormal imagining on the right side of my heart. Iâ??m not 100% convinced that what Iâ??m feeling is truly heart related due to the location being the lower right side of my chest (about where my last rib meets my upper stomach). Iâ??ve had an EKG, ultrasound for gall bladder, x-rays and blood tests. None have indicated any problem. The stress test according to the cardiologist is an indication of my symptoms. My concern after some research is that angioplasty/stents may not be the best choice at this time. How do I decide what to do? I have increased my exercise significantly, improved my diet, lost over 10 lbs in the last couple weeks and continue with medication. Thanks for your advice.                                                                 
Tue, 12 Feb 2019
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Cardiologist 's  Response
Hi,

Cardiac pain can radiate to a variety of places including the right lower chest. If the results of the nuclear stress test (which is considered a very good test) are abnormal, you should definitely go for at least an angiography.

It is just a test to confirm the results of the stress test. No stent is put in angiography. Angiography will tell you exactly if you really have cardiac disease and what treatment will you need.

You can take your time after the angiography and decide what do you want further or can share the test result with me so that I can guide you ahead.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sameer Maheshwari, Cardiologist
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