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Doctor insights on: Which Patients Should Not Have An Angiogram

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Which patients should not have an angiogram?

Which patients should not have an angiogram?

Non-surgical: Patients who are unwilling to have surgery even if needed should not have an angiogram because there are risks with this invasive procedure that would outweigh the zero benefits in this setting of no plan to act on the obtained information. ...Read more

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Dr. Sanjiv Kaul
1 doctor shared a insight

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


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Can you please who may not have heart problems still get an angiogram done?

Angiogram: It is unlikely an angiogram would be indicated if there were no problems to investigate. ...Read more

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Is it possible for you to have an MRI of the brain if you have a pacemaker?

Is it possible for you to have an MRI of the brain if you have a pacemaker?

MRI: Pacemakers make MRI problematic because of their metal content. It is possible to have an MRI of the brain if necessary though safer with the specific pacers make to be MRI resistant. ...Read more

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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?

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 more

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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?

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

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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?

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 more

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If you have congestive heart failure.......Would that be seen in an echocardiogram at rest? If not, what tests or such can detect then.

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 more

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Is it possible for you to have a brain MRI if you have metat heart valves and a pacemaker?

Is it possible for you to have a brain MRI if you have metat heart valves and a pacemaker?

Not recommended: Mri is contraindicated in this situation. A ct of the brain is recommended. ...Read more

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Doctor suspects a avm or narrowing of vessels from mri. When I have an angiogram can they be wrong? The angiogram is for exploration.

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 more

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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.

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.

Depends : you probably mean decrease INR with vitamin k. So without knowing details at all, I would say that it probably depends upon how urgent it is. Maybe they want the INR to drift down on it's own and then try. You can certainly discuss this more ...Read more

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Is it safe to have Permanent eyeliner done if you have an auto-immune disease?

Is it safe to have Permanent eyeliner done if you have an auto-immune disease?

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