What Does This Lipid Profile Test Report Indicate?
I am non-diabetic, non smoker.
the TMT result also stated Fair Effort Tolerance MET- 7.5 @ 109% of THR
Re evaluation of the coronory arteries is reasonable step
Detailed Answer:
Hi,
There are no details about the previous angiogram or medical history. What is your blood pressure. Do you have family history?
Since the lipid profile is not up to the mark with higher cholesterol levels there is a need for checking the patency of the blood vessels supplying the heart. You can go in for coronory angiography. If you do not want intervention technique there are other non invasive techniques like CT Angio / MR Angio gram, where they inject the contrast and put you in the machine which flows through. It helps detect the patency. 95% of the times there is a block but how much we do not know.
The disadvantage here is if there is any block you have to undergo invasive technique to lyse the block. That is why your doctor may not want a second procedure he insists on angio.
With the brief info you provided this is my opinion.
what do you advise and what are my further options?? Any risk of immediate nature?? any medication or methodology to open up the blockage?? BP is around 90/120 with medication metroprolol 25mg BD and Losartan 2.5mg OD.
complex nature needs to be addressed by interventional cardiologist
Detailed Answer:
Hi,
Although collaterals and retrogradings are good sign and they will perfuse the remaining heart muscles, they viability is doubtful long term.
If the opening attempts were not successful I think they will consider a CABG (Bypass graft) procedure. This time they can consider an arterial graft rather than a venous one.
I think my expertise is not sufficient beyond this context. I do patient education in cardiology but do not know the protocols and standards followed after unsuccessful attempts.