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Suggest Treatment For High Blood Sugar Levels And Inducible Ischaemia
Question: Hi,
I wanted to know which cardiologist to contact for the current medical conditions.
Blood glucose fasting is 181 (range is 70-100) and blood glucose - post prandial 302 (range is 74-140). TMT positive due to stress test positive for inducible ischaemia.
I wanted to know which cardiologist to contact for the current medical conditions.
Blood glucose fasting is 181 (range is 70-100) and blood glucose - post prandial 302 (range is 74-140). TMT positive due to stress test positive for inducible ischaemia.
Brief Answer:
Interventional cardiologist & Diabetologist
Detailed Answer:
Hi friend
Welcome to Health Care Magic
The aim of any investigation is to modify the treatment, based on the result. TMT (Treadmill Exercise ECG) suggests ischemia. you need Coronary Angiography. Intervention – dilatation with balloon and placing a stent (Angioplasty) - or CABG (Coronary Artery Bypass Graft) may be advised based on this. The specialist is called INTERVENTIONAL CARDIOLOGIT / most cardiologists do this... probably, the one who did TMT can do...
At times, it is an indication for further work up – because, there may be false positive or false negatives. The next step is TMT 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.
If there is a suggestion, 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. Coronary arteriography is invasive but it is the gold standard for this. CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.
In the meantime, consult a specialist in Diabetes – to control the blood sugar better
The treating doctor alone could conclude better based on total clinical picture…
Good luck
God bless you
Interventional cardiologist & Diabetologist
Detailed Answer:
Hi friend
Welcome to Health Care Magic
The aim of any investigation is to modify the treatment, based on the result. TMT (Treadmill Exercise ECG) suggests ischemia. you need Coronary Angiography. Intervention – dilatation with balloon and placing a stent (Angioplasty) - or CABG (Coronary Artery Bypass Graft) may be advised based on this. The specialist is called INTERVENTIONAL CARDIOLOGIT / most cardiologists do this... probably, the one who did TMT can do...
At times, it is an indication for further work up – because, there may be false positive or false negatives. The next step is TMT 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.
If there is a suggestion, 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. Coronary arteriography is invasive but it is the gold standard for this. CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.
In the meantime, consult a specialist in Diabetes – to control the blood sugar better
The treating doctor alone could conclude better based on 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. Chakravarthy Mazumdar
Answered by
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