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Dr. Andrew Rynne

Family Physician

Exp 18 years

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why Americans are at risk for heart disease ?

I wanted to know your opinion of why Americans are at risk for heart disease. Thanks :)
Thu, 17 Dec 2009
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2 words: fast food
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Hi Respected doctor, My sister in law is 62 years and general medical specialist referred her to cardiologist for stress thalliumtest/debulleaine plus minusCA-RP. She is diabetic for the last 22 years. We consulted the cardiologist who after seeing the history and on going treatment first conducted TMT and then advised and carried out angiography, Angiography report is as under HTN, DMII, CA-DOE, TMT moderately positive(21/03/11) and CAG-Triple VesselDisease(22,03.11) Past History k/c/o DMII 22 yrs on reglar Medicine , HTN since 20 yrs on regular medicine No H.o RHD/BA.TB/ other chronicillness angio graphy report as follows Lmca normal LAD MID AND DISTA lad-SEVERE CALCIFICATION,LONG TUBULAR 70 PERCENT Stenosis Ds normal LCX Co Dominent Vessel OMs-OMI-Diffused Diseased RCA Dominent Vessel- Mid RCA 75 percent stenosis PLV/PDA-Normal LV ANGIO NOT DONE FINAL DIAGNOSES CAD, Triple Vessel Disease DMII,TMT POSITIVE (MODERATELY) RECOMMENDATION Stress Thallium for Inducible Ischemia. Now we are advised to go in for Thallium Test. Kindly advise whether Thallium test only as recommended by medical specialist should have been carried out before Angiography or the cardiologist has used his discretion as we are laymen and did not know about thallium test . If thallium test was not available in cardiologists clinic/hospital why he did not refer us to another hospital where Nuclear Science test facility for Thallium test was available. ALso we shall be grateful for the correct advice at this stage to safeguard the interest of the patient ,.REGARDS