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Doctor insights on: Tanning Restrictions Angiogram

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Tanning (Definition)

Tanning refers to attending exposing oneself to the sun, or a tanning salon, for the purpose of darkening the skin, for cosmetic reasons. Occasionally, tanning is for medical reasons to relieve some symptoms ...Read more


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Is catheter angiography necessary before bypass surgery for someone with CAD ?

Is catheter angiography necessary before bypass surgery for someone with CAD ?

Yes: Is not possible to have bypass surgery without first having cardiac catheterization. The surgeon requires a detailed picture of the coronary anatomy to know if the patient is suitable for bypass surgery and to know where to put the bypass grafts during the operation. ...Read more

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Shouldn't 3 1/2 months be enough of being on plavix (clopidogrel) post surgery for coiling a cerebral aneurysm?

Discuss with MD: Your neuro-radiologist or neurosurgeon probably has a good reason for you to be on this, however, you should check with them. ...Read more

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Is it safe to smoke after a myocardial perfusion scan thallium scan cardiac nuclear imaging?

Is it safe to smoke after a myocardial perfusion scan thallium scan cardiac nuclear imaging?

Well...: Since you had a cardiac nuclear scan, I assume your doctors were looking for coronary artery disease. You seem to be a smoker, which makes artery disease worse. So smoking is not a good thing for you, and you should try to stop. Having said that, you are probably not in any more immediate risk for heart problem for smoking after the nuclear exam. Long term risks are greater with smoking. ...Read more

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Radiation exposure risk from nuclear cardiac stress test with thallium? Done in 2004. Also abdominal pelvis CT in 2010. Cumulative exposure risk?

Radiation exposure risk from nuclear cardiac stress test with thallium? Done in 2004. Also abdominal pelvis CT in 2010. Cumulative exposure risk?

Depends on specifics: Effective radiation dose from thalium stress test is about 17msv. Agents used today achieve much lower doses.Ct abd/pelvis radiation dose depends on many factors -automatic tube current modulation, body habitus & multi vs one phase - on average about 10-15msv.Newer techniques have significantly reduced the dose.To put it in perspective we all receive about 3msv each year from background radiation. ...Read more

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Consultant thai hospital says clopidogrel Aspirin Warafin are all indicted for 89yr Afib who had Mycardial Infarction after stroke and 50% risk True?

Consultant thai hospital says clopidogrel Aspirin Warafin are all indicted for 89yr Afib who had Mycardial Infarction after stroke and 50% risk True?

AFib + MI: The 50% number sounds high, but Coumadin would be for reducing stroke risk of atrial fibrillation, and the aspirin/Plavix are for stent placement after MI. So, triple therapy is likely indicated. This should be for the shortest period as possible then reduce to 2 agents, most commonly Plavix and Coumadin. Triple therapy of aspirin/plavix/Coumadin has a high bleeding risk, so avoid risky things. ...Read more

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Hi, flying long haul 3 flights (5, 14 & 3 hrs each) journey 4 weeks after ankle sprain. Am mobile, minimal swelling, allergic to aspirin. Dvt risk?

Hi, flying long haul 3 flights (5, 14 & 3 hrs each) journey 4 weeks after ankle sprain. Am mobile, minimal swelling, allergic to aspirin. Dvt risk?

Take precautions..: There is always a risk, even for people without an ankle sprain. Try to keep mobile, even on the plane. Walk, or at least stand, multiple times per flight. Stay hydrated and try not to kink you leg from sitting too long. ...Read more

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Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

A fib: Risk of emboli going to brain causing stroke. Rapid ventricular response(heart rate to high) may cause angina, dizziness, passing out, heart attacks, other heart irregular rhythms. Let you cardiologist manage case. Is complex to explain here. It is certainly manageable. ...Read more

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What's safer: coronary angiogram or CT angiogram?

What's safer: coronary angiogram or CT angiogram?

Both safe: Both also have risks such as radiation and contrast usage. Coronary arteriography has small bleeding risk at puncture site. Need to get the right test for your problem. Coronary arteriography is the gold standard. ...Read more

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Whats safer: coronary angiogram or CT angiogram?

Whats safer: coronary angiogram or CT angiogram?

Ct vs cath: In simplest terms the ct angiogram would be safer than a coronary angiogram, however, they are usually used in different circumstances. The ct angiogram is useful as a screening tool to see if coronary disease is present. A cardiac catheterization is performed when a patient has an acute coronary syndrome or a myocardial infarction to evaluate coronary disease, or even treated. ...Read more

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Family history of Carotid Artery Occlusion.Good Angiogram Clear Artery's,had Mitral Valve Repair.Is Aspirin necessary?Surgeon says not really, agree?

 Family history of Carotid Artery Occlusion.Good Angiogram Clear Artery's,had Mitral Valve Repair.Is Aspirin necessary?Surgeon says not really, agree?

Yes: When you are told "clear arteries" by angiogram, I suspect the doctors means "no obstructive coronary artery disease". That is not the same as saying as you have pristine arteries. There is likely some intimal thickening and or mild cholesterol buildup at your age, therefore one baby asprin 81 mg is probably the best thing u can do for yourself to reduce your risk of stroke and/or heart attack. ...Read more

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Cardiology :Is Aspirin indicated for life after Mitral Valve Repair 50+yr Male?(with ClearArtery's on Angiogram ).UK Surgeon explained it's Protocol.

Cardiology :Is Aspirin indicated for life after Mitral Valve Repair 50+yr Male?(with ClearArtery's on Angiogram ).UK Surgeon explained it's Protocol.

Mitral valve repair: Many mitral valve repair operations involve the implantation of a ring around the valve annulus. The ring is covered with cloth. Clots can form on the ring, or in other parts of the heart. If there is atrial fibrillation then doctors would often give an anticoagulant blood thinner like warfarin, but if not, then aspirin would often be used. There is not much hard data to say which is best. ...Read more

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Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Cataract surgery: while on anticoagulation therapy: this is a judgmental call amongst the ophthalmic surgeon and the anaesthesiologist. Generally for surgical procedures or spinal anesthesia, anticoagulaton needs to be discontinued before the surgery, as for Dabigatrean, 1-2 days prior to surgery and resumes after, while the clopedogrel you to hold 5 days prior to elective surgery. Again refer to the treating team ...Read more

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Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Dabigatran /cataract: Yes. dabigatran can cause more bleeding during surgery, which could affect the surgery .Many times they have patients in the hospital on heparin 1 day before the surgery and then stop the heparin 3-4 hours before surgery and restart meds after surgery This is an issue that has to be discussed with the cardiologist and surgeon especially since your father has had strokes f/u w/ cardiology ...Read more

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Any lethal complications to carotid endarterectomy ?

Any lethal complications to carotid endarterectomy ?

Plenty: Most dreaded complication is a stroke, and a minority of these can be lethal. In some patients, bleeding in the surgical bed can lead to a collection of blood/fluid that generate enough pressure to impair airway function, this is a life threatening condition. Heart attacks, pulmonary emboli and arterial dissection can also happen, but fairly rairly. ...Read more

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Angioplasty coronary arteries (2 stents) in April 2015, is it safe to use cross trainer for 30 min for cardio & light strength training 4/5 times/week

Angioplasty coronary arteries (2 stents) in April 2015, is it safe to use cross trainer for 30 min for cardio & light strength training 4/5 times/week

Ask Cardiologist.: The person that is the best qualified to determine the "safeness" of your exercise routine would be your cardiologist. It makes perfect sense that he/she should be involved in this decision. ...Read more

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Ct scan radiation exposure during pregnancy, anything to worry about?

Ct scan radiation exposure during pregnancy, anything to worry about?

Radiology department: Universally ask about pregnancy before any x-ray procedure. There is potential injury to developing embryo and foetus to any ionizing radiation during the first 3 months of pregnancy, and other hazard in last 2 trimesters. See your obstetrician, tell the facility that did the ct scan and follow their advice. ...Read more

Dr. James Lin
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Angiogram (Definition)

An angiogram is a picture of the inside of ones blood vessel (vein or artery) created by injecting a clear liquid (radiopaque dye) which appears to be white (or ...Read more