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Suggest Treatment For Atrial Septal Defect In A Diabetic Patient
Question: I'm a diabetic of moderate levels(fasting 85-110 and pp 130-140) and I do take medicines under my doctor's guidance. I also have ASD but doctors decided against any surgery as they felt it could repaired on its own as the whole was too minute.This was when I was in1969 when I was 14 years. Since then I had no major complication except for the fact that my heart beat can be heard by me and the beat is irregular which I can perceive. I am too scared to undergo any surgery and one cardio surgeon promised me to do non-invasive surgery with balloon therapy which ensures closure of the 'whole'. I don't face any major complication except for the fact that I get tired after walking some distance. I am 59 now. Suggest any non-invasive treatment to my problem.
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Brief Answer:
Interventional procedures are feasible / NO noninvasive way
Detailed Answer:
Hi friend
Welcome to Health Care Magic
The defect can be closed by a device / occlusion of the ‘hole’ could be achieved by catheter in many cases… The decision depends on several factors like - the size, exact location of the defect like proximity to vein or valve, the ratio of flow, the level of pulmonary artery pressure and so on. The procedure is like angiogram...and is invasive (it avoids open operation). There is no truly non-invasive way to close it. The cardiologist examining you alone can conclude better based on his findings, ECG, ECHO and other investigations…
Tiredness may need more investigations, like TMT – Treadmill exercise ECG; may be with thallium isotope – to evaluate ischemia (reduced blood flow / Coronary Artery Disease) at this age. Others like assessment of pulmonary hypertension, anaemia, electrolytes, kidney function – may also need assessment.
Irregular heartbeats need to be documented by ElectroCardioGram (ECG).
Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or is precipitated by a specific activity like exercise - one needs Holter or event monitor. These ectopic beats are not always symptomatic. The feeling depends on individual sensitivity – some do not feel them at all / some may feel every beat. Specific treatment may not always be necessary.
The treating doctor alone could conclude better, based on the total clinical picture
Good luck
God bless you
Interventional procedures are feasible / NO noninvasive way
Detailed Answer:
Hi friend
Welcome to Health Care Magic
The defect can be closed by a device / occlusion of the ‘hole’ could be achieved by catheter in many cases… The decision depends on several factors like - the size, exact location of the defect like proximity to vein or valve, the ratio of flow, the level of pulmonary artery pressure and so on. The procedure is like angiogram...and is invasive (it avoids open operation). There is no truly non-invasive way to close it. The cardiologist examining you alone can conclude better based on his findings, ECG, ECHO and other investigations…
Tiredness may need more investigations, like TMT – Treadmill exercise ECG; may be with thallium isotope – to evaluate ischemia (reduced blood flow / Coronary Artery Disease) at this age. Others like assessment of pulmonary hypertension, anaemia, electrolytes, kidney function – may also need assessment.
Irregular heartbeats need to be documented by ElectroCardioGram (ECG).
Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or is precipitated by a specific activity like exercise - one needs Holter or event monitor. These ectopic beats are not always symptomatic. The feeling depends on individual sensitivity – some do not feel them at all / some may feel every beat. Specific treatment may not always be necessary.
The treating doctor alone could conclude better, based on the total clinical picture
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. Pradeep Vitta
Answered by
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