Heart Disease Community
Please advise is it wise to have medication and no angioplasty or CABAG...
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Please advise is it wise to have medication and no angioplasty or CABAG? specially in my case..

-----------------------------------------------------------------
CORONARY ANGIOGRAM
----------------------------------------------------------------
Catheter procedure:

Through right femoral artery. Seldinger 6F catheter passed to arota and LV. LV arotic pressures and LV angiogram recorded.

Left and right Coronary Angio done with judkins Coronary Catheter no 6F.

Angiocardiogram Report:

LCA      LMS:    Normail

LAD: Subtotal occlusion at mid course. Subcritical osteal disease in D1 and D2.

LCx: Moderate disease at mid course and in major OM.

RCA:          Dominant. 90% critical diffuse disease at mid course.

LV Angio:  Anteroapical severe hypokinesia. Impaired LV function.

Diagnosis:  TVCAD with impaired LV function.

Advised: PCI to RCA and LAD after viability scan.
                CABG surgery after viability scan.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------
MYOCARDIAL SPECT PERFUSION STUDY
----------------------------------------------------------------

Indication:

H/O MI in 2007- planned for CABAG/PCI toRCA and LAD. For viability and inducible ischemia

Stress:

Dipyridamole was infused coupled with low level excercise without any significant complaints and ischemia ECG changes. heart rate changed from 68 to 100/min and blood pressure from 130/80 to 140/90 mm of HG.

Findings:

Images acquired after stress injection of Tc-99m-MIBI showed markedly reduced to absent tracer uptake at apex,antoseptal wall,apical anterior segments and almost whole of the inferior wall. After resting injection there was no change appreciated in the defects noted during stress study.

Conclusion:

1) No evidence of any peri-infarct/residual stress induced ischemia.
2) Fixed perfusion defect at apex,antroseptal wall,apical anterior segments and almost whole of the inferior wall showing no sign of viability scan. All other segments are viable including mid and basal anterior wall,IVS and lateral wall.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------

These are the angiography and viability scan reportf my father... We consulted one of famous suregeons here and he says that my father can not have CABAG nor angioplasty and should be kept on medicine. Angioplasty will not improve his condition significantly. However, angioplasty specialist say he shld go for angioplasty and will be having 3 stents... Please advise in the light of these reports as what should we do...Thanx in advance
Related Discussions
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_f_tn
Blank
skydnsr
212161_tn?1391090750
Blank
heartfluttersflyawayplz
hoschton, GA
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
1236893_tn?1394988190
Blank
Food Safety for Both Hot and Cold F...
17 hrs ago by gymdandee
Avatar_f_tn
Blank
ejoli commented on child24angel's status
19 hrs ago
9906907_tn?1406604905
Blank
shushil commented on Attention All Mouth B...
Jul 29
Heart Disease Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_f_tn
Blank
skydnsr
212161_tn?1391090750
Blank
heartfluttersflyawayplz
hoschton, GA