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Asked by : giftu on Sat, 16 Apr 2011
Asked in :Diet, Lifestyle and Heart Disease
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I would like to have your expert opinion for the one case where the patient have undergone routine checkups with below procedure
1. ECG - Normal
2. ECHO DOPPLER TEST – Normal
3. Treadmill Test :
Exercise Duration: - 7:17 minute
Max. Heart Rate: - 140bpm, 93% of target heart rate 150bpm
Max Blood Pressure: - 180/80mmHg
Max Work Load: - 8.35 METS
Reason of Termination: - Fatigue
Result: - Test is Positive for Exercise induced Reversible Ischemia
4. Angiography: - During Angiography Doctor found appx 90% blockage in 2 heart Arterial and whereas for the 3rd Arterial 70% blockage exists.

The existing diseases with the patients are
1. Diabetics: - is in control with exercise
2. Enlarged prostate glands (Grade-III) :- No Medicine yet started

Presently even in the past there are no symptoms with the patient relating to heart problem like Chest Pain, Respiratory Disturbance, Nausea, Weakness:, Verbal Disruptions:, Blindness etc.The patient is age is 70 yrs.
As per doctor the patient should go with Angioplasty with stunt for arterial (with 90% blockage ) and for the 3rd one will take care by medicine.
I would need your expert advise here ..is there really need to go with the Angioplasty or we should go for re-checkups.

.



Answered by : rajiv0207 on Tue, 06 Sep 2011

patient need surgical correction i.e. coronary artery bypass grafting at earliest


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Answered By :

Dr. rajiv sitaram srivastava

Cardio Thoracic & Vascular Surgery

 

Total Answered : ( 7 )

i am a cardiac surgeon in mumbai,india
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