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What Do These ECG And CT Angiography Test Reports Indicate?
Question: Please suggest line of treatment based on the reports and history. Had backache with sweating for fifteen minutes last tuesday 24.02.2015
Brief Answer:
Needs follow up...
Detailed Answer:
Hi friend
Welcome to Health Care Magic
Mr XXXXXXX XXXX ECGs – resting and exercise – are within normal limits..
Coronary arteries, by themselves are normal… the CT angio shows a muscle bridge, compressing one of the arteries at certain times. The problem is not in the artery itself, but outside.
The episode last week can be accounted by ischemia – diminished blood supply to an area supplied by the particular artery… could have been compression or spasm… Fortunately, there was no permanent damage to the area supplied …
Surgery to release the constricting muscle band will be the definitive treatment – it eliminates the cause of the problem…
Calcium Channel Blockers (like Amlodipine) and/or vasodilators (like Nitrates) may be of help
The treating doctor is the one best placed to follow up..
You are in good hands and the treatment is appropriate.
Good luck
God bless you
Needs follow up...
Detailed Answer:
Hi friend
Welcome to Health Care Magic
Mr XXXXXXX XXXX ECGs – resting and exercise – are within normal limits..
Coronary arteries, by themselves are normal… the CT angio shows a muscle bridge, compressing one of the arteries at certain times. The problem is not in the artery itself, but outside.
The episode last week can be accounted by ischemia – diminished blood supply to an area supplied by the particular artery… could have been compression or spasm… Fortunately, there was no permanent damage to the area supplied …
Surgery to release the constricting muscle band will be the definitive treatment – it eliminates the cause of the problem…
Calcium Channel Blockers (like Amlodipine) and/or vasodilators (like Nitrates) may be of help
The treating doctor is the one best placed to follow up..
You are in good hands and the treatment is appropriate.
Good luck
God bless you
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
In your opinion do you feel a fresh TMT be a better option than an angiography.
Brief Answer:
TMT (thallium stress) is my choice, as the next step
Detailed Answer:
Hi
Generally, if one wants to see the ANATOMY (structure), catheterisation and coronary angiography is the definite option – 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, against which all other investigations are compared. CT angio has already been done here; the arteries appear free, and the problem is muscle bridge outside causing compression.
Hence, I will prefer 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 level of the heart muscle.
Regards
TMT (thallium stress) is my choice, as the next step
Detailed Answer:
Hi
Generally, if one wants to see the ANATOMY (structure), catheterisation and coronary angiography is the definite option – 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, against which all other investigations are compared. CT angio has already been done here; the arteries appear free, and the problem is muscle bridge outside causing compression.
Hence, I will prefer 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 level of the heart muscle.
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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