Doctor insights on:
What Is The Best Position To Be In After The Angiogram
I have CHF with LBBB and lvef 30-40% doc has just completed ep study and angiogram. He suggests a crt-d device. Which type and make is the best?
St Jude: St jude with the quadripolar left ventricular lead will get you the best bang for the buck. ...Read more
Will someone give me the best test besides angiogram to show blockages in arteries? Chest pain during exertion but passed ecg stress test. Will pay $
Stenoses (narrowings): Are not detected by any stress test methods until advanced (e.g. ~75%) because arterioles (constantly adjusting), not visible arteries, determine blood flow to capillaries heart & body wide. Stenoses=from plaque ruptures & clots, not atherosclerosis http://goo. Gl/aRhOU2. Better strategy Optimize disease drivers. Big 3: NMR lipoproteins (LDL-P & Large HDL-P), HbA1c & BP (& study my other answers). ...Read more
Angiogram & balloon artery left groin after developed a blood clot left groin in the vein on blood thinners what exercise is best? Tightness normal?
Or blood clots in veins is treated by blood thinners and compression. Continue normal activities. If leg is too tight you may need angiogram to evaluate the extent of clot. If clot extends up from groin, it should be treated by medicines that dissolve the clot. Also it depends on when you developed the clot.
These issues need to be discussed with your physician.
Hope that helps. ...Read more
Palpitations: Palpitations have many causes from anxiety through anatomic and physiologic abnormalities. The feeling of bounding usually relates to the volume of blood pumped with each palpitation. There is no simple single answer for the question. If you're bothered by the feeling should consult a dr. To see if the problem can be clarified. ...Read more
Diagnosis: An angiogram is an invasive diagnostic test, perfomed in a catheterization laboratory using fluoroscopy (the x-ray) and an injected contrast dye to evaluate the vasular system. It is possible to perform angiograms for different parts of the body, such as the left and/or right heart, the aorta, selective veins such as the subclavian, the renal artery and peripheral angiograms (the limbs) as well. ...Read more
Different angiograms: There are different areas that are studied with different types of angiograms. If you are having a cardiac angiogram they will be watching you for several hours after the study to make sure that the injection site is not bleeding. A pressure dressing will be applied. If that is the study you are having, it is better that you don't drive yourself. ...Read more
Heart disease: Generally the cardiologist suspects significant plaque or stenosis. There would be indicators of cardiovascular disease such as reversible ischemia, positive t-wave alternans, unstable chest pain, non-pulmonary shortness of breath and the angiogram is a diagnostic procedure to allow the cardiologist to evaluate the progress of cardiovascular disease and assess the need for revascularization. ...Read more
Generally okay: The most common symptom is anxiety just from being awake during a medical procedure. You usually get some medicine to help keep you calm. You should not feel pain due to numbing medicine. You may feel pressure while the catheter is put in and starnge feelings as it goes to the blood vessel being evaluated. When the dye is injected some folks feel flushed or warm. ...Read more
Thousands up to 20x: Angiogram means blood picture; pictures show a 2d image, still or motion, of dye added into the blood, so that the dye/blood column shows on x-ray. The equipment required to perform is expensive (100k to 4m) & experience required to perform then reasonably safely is high (translate that more money). I have seen client bills: only hospital charges, out-pt <1 day, procedures I did in past, over $30k. ...Read more
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. ...Read more
To find blockages: An angiogram images the arteries of the heart by injecting dye into them, to find blockages. It is done if someone has symptoms such as chest pain that may be due to poor blood flow. Technically, an angiogram is just the diagnostic study, i.e. The images. If a blockage exists, special catheters can be used at the same time to open it with balloons and stents. ...Read more
UNCOMMON: An angiogram is a 'map of the arteries'. It may be needed in a young person when a congential narrow (or blocked) artery is suspected or in a condition called a.V.M. (arterio-venous malformation) which resembles 'tangled' blood vessels. Both these conditions may need treatment/surgery/embolization. These conditions are rare & so are angiograms in <35 yo. ...Read more
Before & After: Before: no eating or drinking 4-8 hours before procedure. Stop Aspirin or blood thinners several days before the test. Be sure to pee! After: you will wait several hours in the recovery room. Bring music or reading. Have someone drive you home because the sedative/relaxing medicine may make you loopy for awhile. Wishing you well. ...Read more
Angiogram: There are sometimes hypotensive reaction late after the procedure from the dye or other agents used during the study. ...Read more
Depends on results.: The answer depends on the results of the angiogram, the site of catheter insertion (either femoral or radial artery) and the type of training. Many centers, such as mine, are inserting the catheter into the radial artery in the wrist which does not require any post angiogram attention. A patient whose angiogram was negative and had this method used, could return to all activities the next day. ...Read more
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. ...Read more
Blood vessel study: An angiogram is a test done to visualize the inside of blood vessels, most commonly to look for blockage or narrowing that may affect blood flow to an organ or extremity. Usually an iodine based contrast in injected directly into the vessel through a catheter in a cath lab or interventional radiology suite. Some types of angiograms can be done non-invasively in a CT or MR scanner. ...Read more
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