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Hi Dr. Please Review Below Reports Attached In Link And

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Posted on Thu, 23 Jun 2022
Question: Hi Dr.

Please review below reports attached in link and explain in detail... Have Smoking and alcohol habit.... No medical history...
https://we.tl/t-gR8WuyDiJW
doctor
Answered by Dr. Ilir Sharka (11 hours later)
Brief Answer:
Please try to upload your test reports or images again!

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I understand your concern but unfortunately I can not download and open your images following this link.

Could you please upload the images as attachment to this question?

I remain at your disposal in case of further questions whenever you need!

Kind regards,

Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 hours later)
I was waiting for your answer from almost 12 hours Doctor....I am unable to upload reports as it contains various formats .... please click on link which i have given above to view all the reports ....
doctor
Answered by Dr. Ilir Sharka (21 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

Thank you for your patience! I finally managed to see the video images in this link.

I reviewed carefully your coronary angiogramm and would explain that it seems that you have coronary lesions (stenosis) in the left coronary artery : 50-75% stenosis in the mid LAD (left anterior descending artery) and also in its diagonal branch.

Also there is a total occlusion of the left circumflex (LCX) and also stenosis in its marginal branch.

In addition there is 50% stenosis in the right coronary artery (RCA).

Considering these findings, a percutaneous revascularization may be required in the LAD.
According to the clinical symptomatology and the other clinical findings (ECG, Echo, blood lab tests, troponin, etc.) a cardiac MRI (better stress CMR) would properly help decision making.

Hope you will find this information helpful!

If you have any other questions, please don't hesitate to ask me again!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (7 hours later)
Dr. Llir Sharka,
Thank you so much for your time and review.

Here I'm attaching the summary report of angiogram.
My father passed away on 7-Feb. Immediate after 15 min of angiogram.
I wanted to understand about his condition at the time of angio and will seriously lead to death.?
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Follow up: Dr. Ilir Sharka (0 minute later)
Likely the hospital summary and your understanding LAD, LCX, RCA has some differences and hospital management might made a changes of the report
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Follow up: Dr. Ilir Sharka (1 minute later)
Please make me understand what would have went wrong.
doctor
Answered by Dr. Ilir Sharka (9 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

I read carefully your uploaded report and would like to explain that these conclusions are the same as I explained to you, but the terms used are a little more different.

I am sorry for the loss of your father!

In my opinion the cause of death could be related to cardiac arrhythmia or angiography procedure complications.

Hope you will find this information helpful!

If you have any questions please let me know about everything!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (35 hours later)
Can please explain what are the procedures before and after angiography, what are the precautions to be taken care
doctor
Answered by Dr. Ilir Sharka (7 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

There is not any specific thing to do, but usually we administrate a high dose of clopidogrel before the procedure to help reduce the blood clotting and there is close monitoring of blood pressure values.

Some sedation is used before or during the procedure and local anesthesia.

After the procedure fluids are administered (depending on the heart function) in order to push the contrast away from the body and save the kidney function.

But, in some cases some complications during the procedure may occur, like : myocardial infarction, damage to the coronary arteries, allergic reactions, increased bleeding or stroke. These are known risks during the procedure.

Hope you will find this information helpful!

Wishing all the best,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9544 Questions

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Hi Dr. Please Review Below Reports Attached In Link And

Brief Answer: Please try to upload your test reports or images again! Detailed Answer: Hello! Welcome to Ask a Doctor service! I understand your concern but unfortunately I can not download and open your images following this link. Could you please upload the images as attachment to this question? I remain at your disposal in case of further questions whenever you need! Kind regards, Dr. Ilir Sharka, Cardiologist