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What Do These Following Lab Reports Indicate?
Question: I am 71 years male. My angiography shows 70 % stenosis in Left Main and 50% blockage in LAD. 2-D Echo is excellent. I walk about a mile briskly, climb five stories and do 12 XXXXXXX Namashkar everyday without any symptom such as chest pain or breathlessness. Nor do I have diabetes or kidney problem. One cardiologist has suggested angio-plasty; another has suggested by-pass. A third cardiologist has suggested that before considering these options, I should get Thallium stress test done. Is there any value addition to be gained by Thallium Stress in my case? - XXXX
Brief Answer:
See the description
Detailed Answer:
Hello,
Left main artery is the most important artery of heart, so if any complications occurred during Stenting or if stent blockage occurred then consequences will be grave. So Bypass takes the upper hand over angioplasty. So I think you should undergo bypass.
Secondly, stress thallium is also is stress test which you have already underwent and it was positive. so I don't think there is any more need of stress thallium. Only role of stress thallium is to asses whether you should undergo either procedure or just wait till percentage of blockages increase.But I think blockage is significant and it's in important artery. So you should go ahead with Bypass.
Hope this helps you and get back if you have any doubts.
See the description
Detailed Answer:
Hello,
Left main artery is the most important artery of heart, so if any complications occurred during Stenting or if stent blockage occurred then consequences will be grave. So Bypass takes the upper hand over angioplasty. So I think you should undergo bypass.
Secondly, stress thallium is also is stress test which you have already underwent and it was positive. so I don't think there is any more need of stress thallium. Only role of stress thallium is to asses whether you should undergo either procedure or just wait till percentage of blockages increase.But I think blockage is significant and it's in important artery. So you should go ahead with Bypass.
Hope this helps you and get back if you have any doubts.
Above answer was peer-reviewed by :
Dr. Prasad
1. I forgot to mention that I generally keep a low BP. My average BP is 110/75. Even after exercise, it barely goes up to 135/98 and returns to my normal in a matter of minutes. Given this, would by-pass entail a higher risk of a stroke than stent or is the risk same for both stent and by-pass?
2. How is it that there is such a high blockage despite the fact that I do not have any symptoms?
3. Is it possible that after by-pass or stent, I may develop blockage again and yet not develop any pre-warning symptoms? Do I have to undergo stress tests periodically to monitor my cardiac health after stent/by-pass?
2. How is it that there is such a high blockage despite the fact that I do not have any symptoms?
3. Is it possible that after by-pass or stent, I may develop blockage again and yet not develop any pre-warning symptoms? Do I have to undergo stress tests periodically to monitor my cardiac health after stent/by-pass?
Brief Answer:
See the description
Detailed Answer:
Since bypass is a major procedure, the risk during surgery and early post operative period is more than stent, but there are chances the stent may get blocked with time and sometimes may occur suddenly, and in such situations there will no alternative channel for blood to heart.
You are having blockages in main artery but not critical. Blockages become symptomatic usually over 80%, yours is 70-75. since it is caught earlier, better to intervene. You might have became symptomatic after sometime.
Re blockages can occur, but routine periodic testing in not needed. If you have any symptoms then it should be done.
See the description
Detailed Answer:
Since bypass is a major procedure, the risk during surgery and early post operative period is more than stent, but there are chances the stent may get blocked with time and sometimes may occur suddenly, and in such situations there will no alternative channel for blood to heart.
You are having blockages in main artery but not critical. Blockages become symptomatic usually over 80%, yours is 70-75. since it is caught earlier, better to intervene. You might have became symptomatic after sometime.
Re blockages can occur, but routine periodic testing in not needed. If you have any symptoms then it should be done.
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
No it will put you at increased risk
Detailed Answer:
It's a normal blood pressure for you. Because your heart function at the moment is normal, that means this much blood pressure is sufficient for your body. This will not put you at an additional risk of any complications just because of lower blood pressure because it's not an abnormal blood pressure.
If someone has got decreased heart function and low blood pressure or any other abnormal causes for low blood pressure say severe infection then it will increase the risk, not in your case. Hope this helps you.
No it will put you at increased risk
Detailed Answer:
It's a normal blood pressure for you. Because your heart function at the moment is normal, that means this much blood pressure is sufficient for your body. This will not put you at an additional risk of any complications just because of lower blood pressure because it's not an abnormal blood pressure.
If someone has got decreased heart function and low blood pressure or any other abnormal causes for low blood pressure say severe infection then it will increase the risk, not in your case. Hope this helps you.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
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