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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Do We Best Treat Patients With Ischemic Heart Disease?

i am 58 year old female. i have examined as a mild MR and inducible ischaemia patient. i am under treatment for 6 months under a heart specialist. but till now i have no effect of medicines. there is swelling in my legs every time. my b.p. remains on slightly higher side 150/90 mmhg.what to do?
Mon, 1 Aug 2016
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Cardiologist,  's  Response
Dear Mrs,

You should seriously talk with your doctor to revise your treatment.
There is a need to increase blood pressure medications doses or change the treatment.
Usually when a patient has inducible ischemia we perform coronary angiography to see how many heart arteries are affected and how is the percentage of the blockage, and the further tactic of treatment of inducible ischemia depends on the results of coronary angiography. So you should also discuss the possibility of coronary angiography with your doctor.
About the swelling legs, it can be caused either by heart problems or by medications or leg vessels problems. Your doctor should examin you thoroughly to find out the cause, as the treatment depends on the cause.

Take care

Come back if you have any further questions
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How Do We Best Treat Patients With Ischemic Heart Disease?

Dear Mrs, You should seriously talk with your doctor to revise your treatment. There is a need to increase blood pressure medications doses or change the treatment. Usually when a patient has inducible ischemia we perform coronary angiography to see how many heart arteries are affected and how is the percentage of the blockage, and the further tactic of treatment of inducible ischemia depends on the results of coronary angiography. So you should also discuss the possibility of coronary angiography with your doctor. About the swelling legs, it can be caused either by heart problems or by medications or leg vessels problems. Your doctor should examin you thoroughly to find out the cause, as the treatment depends on the cause. Take care Come back if you have any further questions