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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Attack, Stroke. Anagram Done. What Can Help?

HI: My name is Duane and I already have had 6 heart attacks and the right RCA is completely closed and now another heart doctor wants to do another anagram to check my left CA and I am worried that if this is done I will have another heart attack or stroke. He said that they could use a balloon or stences but how can they do this with me only have one side that works. So can you please help me understand this!
Thank you
Tue, 18 Jun 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

     Angiogram is an investigation. A small catheter is introduced from a peripheral artery into the coronary artery (blood vessel of the heart). Small amounts of contrast (dye) are injected and the vessel is visualised in several angles. It will detect blocks – its presence, location, extent, its severity and feasibility of intervention. Subsequently, the catheter is introduced into the left ventricle (lower heart chamber) and its function is assessed – wall motion, ejection fraction, pressure, saturation are all documented. It is the only way to directly ‘see’ the block / it is the gold standard against which all other investigations are compared. / The risk is practically – if not theoretically – negligible...
     The aim of any investigation is to modify the treatment, based on the result. Intervention – dilatation with balloon and placing a stent (Angioplasty) – is done at or after the procedure – to ensure patency of the vessel. If it is not technically feasible, a CABG may be necessary (Surgery - Coronary Artery Bypass Graft).

Take care
Wishing speedy recovery
God bless
Good luck
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Heart Attack, Stroke. Anagram Done. What Can Help?

Hi friend, Welcome to Health Care Magic Angiogram is an investigation. A small catheter is introduced from a peripheral artery into the coronary artery (blood vessel of the heart). Small amounts of contrast (dye) are injected and the vessel is visualised in several angles. It will detect blocks – its presence, location, extent, its severity and feasibility of intervention. Subsequently, the catheter is introduced into the left ventricle (lower heart chamber) and its function is assessed – wall motion, ejection fraction, pressure, saturation are all documented. It is the only way to directly ‘see’ the block / it is the gold standard against which all other investigations are compared. / The risk is practically – if not theoretically – negligible... The aim of any investigation is to modify the treatment, based on the result. Intervention – dilatation with balloon and placing a stent (Angioplasty) – is done at or after the procedure – to ensure patency of the vessel. If it is not technically feasible, a CABG may be necessary (Surgery - Coronary Artery Bypass Graft). Take care Wishing speedy recovery God bless Good luck