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Low Heart Rate. Equip A Pacemaker, Angiogram. Risks?
Hi Doctor this query is for my relative who has been diagnosed with low heart pump rate (About 20%). He had consulted a cardiologist and they have taken the few basic tests. But they say that he is now not ready for doing angiogram and needs to do that after medication for a couple of weeks. My query is whether angiogram is a must to detect any heart ailments. In fact one year back he had consulted another cardilogist from a leading hospital and they had advised him to get equipped with a pacemaker. But the current cardiologist has not suggested it. Can you help to advise whether he is on the right process as each hospital or specialist give different feedback / importance of certain parameters and he is not sure if he has already come back to normal or still at risk etc..
Tue, 19 Mar 2013
your relative"s heart pumping power is less( LVEF= 20%), NORMAL IS ABOVE 55 %
many patients of low ejection fraction remain in sub clinical heart failure , in this state angiography will precipitate profound heart failure , thats why your doctor advice him angiography after stabilization with medicines.
another doctor suggested you about pacemaker , i think doctor advice you ICD ( INTRA CARDIAC DEFIBRILLATOR) with or without CRT. because it prevent sudden cardiac death due to VT/VF , which is very common in patient with low ejection fraction.
many patients of low ejection fraction remain in sub clinical heart failure , in this state angiography will precipitate profound heart failure , thats why your doctor advice him angiography after stabilization with medicines.
another doctor suggested you about pacemaker , i think doctor advice you ICD ( INTRA CARDIAC DEFIBRILLATOR) with or without CRT. because it prevent sudden cardiac death due to VT/VF , which is very common in patient with low ejection fraction.
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