Doctor insights on:
What Does An Inconclusive Angiogram Test Mean
Borderline: Not everythng is black or white. You could have a blockage in an artery which is not severe so that maybe it has nothing to do with your symptoms. The result then would be inconlusive. The test is not totally normal but the problem may not be severe enough to cause symptoms or require treatment.See 1 more doctor answer
My coronary arteries are highly calcified. Does this mean that there is blockage? Other than angiogram, is there a less invasive test to show block?
Question unclear...: I am not sure what your question is because I don't know the context. Angiograms are done to look at the heart vessels, the plumbing so to speak of the heart. This analyzes the blood flow to the heart muscle. EPS/RFA refers to procedures that are done to analyze and treat electrical functions/problems of the heart. Usually angiograms and EPS are not discussed in the same breath-different topics.See 1 more doctor answer
Back from angiogram really normal, but with borderline 1 degree block what does this mean and advise accordingly please.
1st degree block: Atrioventricular (AV) block refers to the conduction of the cardiac electrical activity through the AV node. Borderline 1st degree block is usually a minor finding, but the meaning for a particular patient would depend on your age, symptoms, medicines, and other factors.See 1 more doctor answer
No: An angiogram is a minimally invasive examination of the blood vessesl used to make a diagnosis or treat a problem diagnosed by prior noninvasive studies. It can be performed on any age as long as there are indication and the risks of the procedure outweigh any the risks.See 1 more doctor answer
What is hypertrophy: When heart is stiff it doesn't relax to function at the full capacity. You might have long standing hypertension or other reasons to have stiff heart muscle. Your risk is high if BP is not well controlled and will need close monitoring with specialist in the field of hypertrophy cardiomyopathy specialist consult with your cardiologist who you are being cared by. I am glad to be helpful.
Angiogram test showed 2 blocks of 90% blockage which needs to be treated by angioplast. Is it necessary to do urgently? Or can it be treated by med?
Angioplasties: These procedures are indicated when the symptoms are not controlled by medical therapy. If it's indicated, the symptoms severity would dictate the acuity of the procedure.See 1 more doctor answer
Brain angio: An MRA of the brain is very robust. With MR you can have a 3-dimensional picture of the vascular anatomy. MR does not have any radiation, the contrast less commonly has adverse reaction and is noninvasive. The only compelling reason not to do MR is if you have other contraindications or need actual intervention (ex. embolization)
If a percentage could be assigned, how accurate are coronary angiograms and nuclear stress tests? Strengths and weaknesses of both?
Gold standard: Nuclear stress tests in experienced hands have a sensitivity of 80-85% and specificity around 90%. If done with exercise (as opposed to pharmacological), the sensitivity and specificity are a bit better, worse without exercise. Angiograms are the gold standard and rarely miss significant disease - accuracy is 99%. Angios are invasive with mortality of 0.1% Mortality w stress is. 01%.See 1 more doctor answer
Acute symptoms?: Heart attack symptoms can include: chest pressure, pain or tightness that can radiate to arms, neck, jaw or back; nausea, shortness of breath, sweating, lightheadedness, dizziness, fatigue, anxiety or a sense of impending doom. Some heart attacks can be silent. Seek urgent medical evaluation if you think you may be having a heart attack.
20 months ago coiled aneurysm. I am worried about electrodes being placed on my head for retina angiogram test incase it affects my platinum coils.?
No effect: I am guessing you are being tested for retinal function. This will involve flashing lights and electrodes to pick up the signal. An alternative test is for nerve transmission with flashing lights and electrodes on the back of the head. Neither of these tests will interact with your platinum coils. Enjoy the flashing lights.
I had a MRI done on my spine and brain. And it came back abnormal. I am asked to do a angiogram, wht could this mean. I have a cluster or blood vessel?
Answering why: Most doctors rule out or ensure the absence of life threatening events. A typical problem with a tumor that is cancerous is "angiogenesis" which is developement of new blood vessels. It does not mean that a cancer is there. It means that bads things are ensured to not be there.
I had an echo twice. A CT heart angiogram. Stress test. And a chest CT with double contrast. Could all of this miss a artery that is, blocked or partially blocked? Chest pain is bad so I am not sure why?
Highly doubtful: You have had many high tech procedures aimed at evaluating your chest pain: ct angiogram, stress test, and double contrast ct. If looking for a coronary artery obstruction, these should be sufficient. The likelihood of finding a blockage in a person this age range is already exceptionally low, for heart vessel blockages don't occur in this age gp. Must be some other process causing the pain.See 1 more doctor answer
Just that: I assume it is the anterior communicating (posterior duplications are very rare). This may represent just an incidental finding, a normal anatomic variation. Lots of people may have this and live a perfectly normal life without ever knowing it. Your neurologist or general dr will explain the implications, correlating it with your individual case and clinical presentation / symptoms.See 2 more doctor answers
What does mildly elevated at 17mmhg end-diastolic pressure mean when diaganosed in an angiogram.?
Not much: Measure of stiffness of the ventricle. Maybe you have had hypertension in past?
Could a person request an angiogram without a specific referral from the physician if he/she agrees to pay for the test?
No: No reputable doctor would perform an invasive test that carries a small but measurable mortality risk without a proper indication. (ability to pay does not constitute a proper indication).
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