Takes about an hour and a surgical doctor will be on standby in the event there is a puncture, etc. My complaint is an interventional cardiologists is inclined to implant stents during the procedure. Sometimes stents are not really necessary, and statistics indicate there are many stents and could have been successfully treated with medication.
t know the results of that untill next week. The cath test is very good, no more pain except the insertion of the IV, and with the meds they give you, you do not really remember much. Even though I was awake, I still do not remember much and it was over before I knew it. the worst part in my case, is if you have any kind of back problem , having to stay on my back and keeping the leg straight for 6 or more hourse was the real problem.
An angiogram is not looking for electrical conduction problems like an EKG or holter monitor test. An angiogram rules out major blockages in the heart from plaque, etc.. Please ask your doctor for an event holter monitor that you can wear to check on the rhythm and electrical conduction of your heart.
Cardiologists have to limit the number of patients having a nuclear scan but those that do have already had an angiogram. With the results of the scan, it can be seen if an area is short of blood supply but it doesn't show why. It could be tiny vessels, it could be larger vessels. This is where the angiogram comes into play and should give obvious reasons to the cardiologist. But at least he knows where to look. Just my personal opinion.
I am gonna make an appointment with another cardiologist and bring both my 2007 angiogram and the CT heart scan and see what he thinks. I really think I need to stent that LAD 70 percent blockage but so far I am really not having any pain from it. I am just afraid it will rapidly become a 100 percent blockage and I don't want to even think about bypass surgery.
What kind of risk you mean? You won’t die from that EF . You don’t need hospitalization with that.
Medication is always best if the heart situation is not life threatening. An angiogram at the age of 70, can have more risks than for someone who is younger. Sometimes the arteries become thin or weak, which increases the risk of an artery tearing during an angiogram. Does he have diabetes? If so, this would increase his risk. His LVEF is great! Left main artery is normal, which is the most important artery.
I had a NSTEMI 27/10/08. !7/11/08 I was admitted for chest pain and my troponin levels were 1.3 then 1.1 four hours later.They treated me for NSTEMI heprin drip. The ecg showed changes but after having another angiogram the Doctor told me I didn't have another heart attack, the stent looked good as well as the other arteries, and said sometimes the heart can leak troponin.
Usually, doctors ordered an EKG test for heart rthymn, then an echocardiogram to check the heart valves and listen to them, then off to the stress test on the trendmill and another echocardiogram to see what it shows during exercise. If these tests look abnormal, the doctor will order an angiogram. The angiogram is the best procedure and provides the most knowledge for blocked arteries. If needed, they can also measure the pressures in the valves during the angiogram.
and she asked about my diagosis as ASHD. The woman doing the intake was some sort of nurse...but she didnt know what ASHD was..she told me a hole in my heart!?!?!? I came home, and looked it up on Google..and it states its Arteriosclerotic Heart Disease. I was NOT told I had this. I was told I have "areas of plaque"..and "areas of narrowing" in my arteries...but this? No... and what does that mean? Whats ARTERIO...versus Athero...???
Help!
You could ask for a ct angiogram if you are worried, which is basically a non invasive scan.
However, to answer your questions, the angiogram is very safe as far as invasive procedures go. The biggest risks are stroke and heart attack, but for this to happen the cardiologist would basically have to disturb a chunk of blockage material in the arteries with his catheter wire.
It isn't really about odds, are you the likely or unlikely odd?
I had a PET stress test which showed an area of my heart was not recieving increased blood or oxygen during stress. I underwent an angiogram on the 13th of November and the main coronary arteries were clear (two had 30 percent blockage) and the doctor told me that I had one small thread sized vein blocked and he suspected that some of the veins in the muscle in the affected part of the heart were blocked so he increased my Toprol to 50 mg.
The only real way to know what needs to be done is with an angiogram where they can go and look at the blood as it flows through his arteries. The treatment depends on the severity of the blockages. Most doctors will stent at blockages over 70%. If it is under 70% they may just treat with meds. If there are blockages that can't be stented then he may need bypass. This depends greatly on his symptoms.
For instance consider fluid dynamics as it relates to hemodynamics (it is fluid, degrees of viscosity). For an anology there is water flow down a channel (river) and the banks of the river have different sized barriers. The river flows with a given velocity (movement) and it will have a different sectional flow patterns and velocity based tortuousity,etc. Add volume and pressure at the mouth of the river and because of tortuosity, shear stress, velocity, etc.
I'm curious, how was his heart artery blockage diagnosed? Did he have a stress test, or angiogram? I'm guessing that a recent blood test showed evidence of a recent heart attack, but that's just a guess.
I'd question the doctor why your father isn't having an angiogram, it's the gold standard to determine if there is a blockage. Given the fact that your father isn't active, I'd think a once a week blood test would be very intrusive.
The only TVD I am aware of is Tricuspid Valve Dysplasia which is typically a congenital defect of the tricuspid valve which allows severe regurgitation back into the right side of the heart causing a fluid overload which can cause the right atrium and ventricle to become enlarged. Basically, the leaflets of the valve are thickened and can not close properly allowing blood to get pushed back in with each beat.
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