Doctor insights on:
Which Patients Should Not Have An Angiogram
How can you have a blockage but not have a stemi? Why would a doctor choose a heart cath with possible balloon and stent not be treated as emergent?
Heart attack: The clinical situation dictates the treatment. There are acute, subacute and chronic obstructions. ...Read more
Do you usually have to be diagnosed with heart disease to have a heart attack or you can have one if you have risk factors?
Can have if (+) risk: Many patient with heart attack have no history of heart disease. The more risk factors you have the more your risk: (+)Family history of heart attack in a male age 55 or younger or female by age 65 or younger. (+)Tobacco smoking (+)Diabetes (+)High cholesterol or triglycerides (+)Lack of exercise (+)Obesity (+)High Blood Pressure (+)being a male over 45 years old or female over 55 years ...Read moreSee 2 more doctor answers
If you have atherosclerosis in the infrarenal aorta and the SMA should you have testing to see if you have it in other major arteies?
Artery Disease: Artery disease is driven by nicotine addiction, hypertension, diabetes, hyperlipidemia and family history. If you have artery disease in one location (infrarenal aorta), there is 70% chance you have it in other arteries. Nicotine cessation is single best long term therapy. Aspirin daily. A carotid ultrasound to assess for stroke risk is helpful. Check in with your local vascular doc. ...Read more
Can having an atrial septal aneurysm with a hole in it cause brain aneurysms which I have 3. Also is it safe for me to donate plasma?
Possibly: I cannot answer the plasma question but if you have an atrial septal defect then yes, any infected blood clots or material that gets into your veins could get around your lungs and cause it a brain aneurysm (paradoxical embolization). This should be discussed with your cardiologist to see if an atrial septal occluder device is needed. ...Read moreSee 1 more doctor answer
What to do if i heard that there can be complications with an implanted defibrillator such as infections, is it true?
Yes, but: As with any surgical procedure, there is a risk of infection but only at the time of implantation. ...Read more
If you have congestive heart failure.......Would that be seen in an echocardiogram at rest? If not, what tests or such can detect then.
Congestive aheart fa: The diagnosis of congestive heart failure is mstly clinical with edema, shortness of breath, engorged neck veins, liver enlargement and rales in lungs on auscultation.Xray chest, bnp test on blood elevated is done some times and resting echocardiogram is helpful in defining the ejection fraction and other imaging.So resting echo will be helpful along with all others. ...Read moreSee 1 more doctor answer
What tests can be done that would be able to detect if I have a arteriovenous malformation or not? Mri? Ct? Other?
If severe pulmonary hypertension is discovered in an elderly person then what, if anything, should be done to treat it? Should the condition be monitored and how would this be done?
Doctor suspects a avm or narrowing of vessels from mri. When I have an angiogram can they be wrong? The angiogram is for exploration.
Yes: An MRI is a screening tool that can detect an avm. The cerebral angiogram provides a more detailed view of the vessels in the brain. It is true that there are suspicious areas seen on the MRI which are not true avm vessels. Conversely, there may be areas that may not be interpreted as avm, but become apparent on the angiogram. ...Read moreSee 1 more doctor answer
Why would a dr not do an thoracentesis when the patient could have had the INR increased via
vitamin K and then the procedure could be performed.
Not Sure: You always have to be careful when adding dye or ink to skin when you have a history of an over reactive immune system. I would avoid it. ...Read more
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