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Suggest Remedy For Breathlessness In A Diabetic And Hypertensive Person

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Posted on Wed, 11 Mar 2015
Question: Hi
I am 43 year old diabetic & hypertensive for more than 10 years and last week I felt breathlessness during walking. I underwent tmt test yesterday found positive @8.3 mets. My doctor suggested to go for angiogram, please advice the state.Also I found discoumfort during walking.
Sastry
doctor
Answered by Dr. Anantharamakrishnan (1 hour later)
Brief Answer:
NEED ANIGIO

Detailed Answer:
Hi friend
Welcome to Health Care Magic

The pain is typical of heart pain / You need to be investigated for Coronary Artery Disease.
You need an angiogram – as soon as possible
     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. It is invasive but it is the gold standard for this. Depending on the result, you may need angioplasty (dilatation & stent) or bypass surgery.
If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up. At times, in doubtful cases, TMT is repeated 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.

Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Suggest Remedy For Breathlessness In A Diabetic And Hypertensive Person

Brief Answer: NEED ANIGIO Detailed Answer: Hi friend Welcome to Health Care Magic The pain is typical of heart pain / You need to be investigated for Coronary Artery Disease. You need an angiogram – as soon as possible 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. It is invasive but it is the gold standard for this. Depending on the result, you may need angioplasty (dilatation & stent) or bypass surgery. If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up. At times, in doubtful cases, TMT is repeated 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. Good luck God bless you