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What Does My Lab Test Reports Indicate?
Question: Hello Doc, Attached are the reports of my uncle. He recently had an heart ache and was shifted to hospital in XXXXXXX We recently had additional reports done in XXXXXXX and want your input in it.
Brief Answer:
Please do attach the reports and brief history.
Detailed Answer:
Hello XXXXXXX ,
There are no visible attached reports Along with the question. If at all you can re - attach the same I would be happy to guide you about the further plan of action. You can also send them at YYYY@YYYY and address it to my name: Dr. Priyank Mody.
Regards
Dr. Priyank Mody,
Cardiologist XXXXXXX
Please do attach the reports and brief history.
Detailed Answer:
Hello XXXXXXX ,
There are no visible attached reports Along with the question. If at all you can re - attach the same I would be happy to guide you about the further plan of action. You can also send them at YYYY@YYYY and address it to my name: Dr. Priyank Mody.
Regards
Dr. Priyank Mody,
Cardiologist XXXXXXX
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Attached. The doctors here have advised for placing a stent. Can you advice. If yes, which is the best stent. How is abbott, xience prime. Please suggest.
Brief Answer:
Yes, Stenting is a safer option , however can be managed medically .Regards
Detailed Answer:
Hello XXXXXXX ,
Thank you for uploading all the reports i have gone through the same .
i would ennumerate my observations .
1) He had attack on 20th XXXXXXX , where a clot bursting injection was given , the culprit artery was RCA , which has opened 50 % however residual stenosis is there and it may be stented . LAD is the most important vessel and has 70 % blockage at the start . So now for the above two lesions
- As both are boderline less than 70 % , they can be managed medically with blood thinners , beta blockers , ace inhibitors and high dose statin .
Perform a myocardial perfusion scan after 3 months and maybe no stent or bypass would be needed
- With diabetes and ostial LAD lesion the guidelines say bypass in better than stent , however here in XXXXXXX it is routinely stented .with good results , so make sure you cardiologist is XXXXXXX and well versed with complex procedures.
- If you are going ahead with stenting , abott is a good company stent . however apart from Xience prime , now Xience Xpedition is better and the recent most advanced DES from Xience stable is Xience Alpine .
2) His sugars must be kept under more strict control
3) Hemoglobin must be increased to atleast 13 with good diet and sos supplement
4) All medication are perfect , may consider increasing the dosage of rosuvas to 40 mg for optimum benefit , do a CPK , SGPT after 3 months and watch for any muscle ache (myalgia ).
Note > the best interpretation of angiography is by seeing the live CD as it gives better perception of the lesions
Let me know i
Yes, Stenting is a safer option , however can be managed medically .Regards
Detailed Answer:
Hello XXXXXXX ,
Thank you for uploading all the reports i have gone through the same .
i would ennumerate my observations .
1) He had attack on 20th XXXXXXX , where a clot bursting injection was given , the culprit artery was RCA , which has opened 50 % however residual stenosis is there and it may be stented . LAD is the most important vessel and has 70 % blockage at the start . So now for the above two lesions
- As both are boderline less than 70 % , they can be managed medically with blood thinners , beta blockers , ace inhibitors and high dose statin .
Perform a myocardial perfusion scan after 3 months and maybe no stent or bypass would be needed
- With diabetes and ostial LAD lesion the guidelines say bypass in better than stent , however here in XXXXXXX it is routinely stented .with good results , so make sure you cardiologist is XXXXXXX and well versed with complex procedures.
- If you are going ahead with stenting , abott is a good company stent . however apart from Xience prime , now Xience Xpedition is better and the recent most advanced DES from Xience stable is Xience Alpine .
2) His sugars must be kept under more strict control
3) Hemoglobin must be increased to atleast 13 with good diet and sos supplement
4) All medication are perfect , may consider increasing the dosage of rosuvas to 40 mg for optimum benefit , do a CPK , SGPT after 3 months and watch for any muscle ache (myalgia ).
Note > the best interpretation of angiography is by seeing the live CD as it gives better perception of the lesions
Let me know i
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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