An angiogram is a diagnostic procedure where blood flow through blood vessels is assessed using X-rays. During this procedure, a contrast dye is injected into the blood vessels, which allows the doctor to see the blood flow with the help of X-rays.

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What does it mean to have a hole in the heart?

Query: Hi doctor, Our doctor said that my baby has a hole in the heart. I have attached the reports for your reference. Please explain.  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Yes, there is patent ductus arteriosus that is shunting from left to right (attachment removed to protect patient identity). As it is large, go for its closure. Consult any pediatric cardiologist or even same doctors who have done echo may be doing the closure. Medicines ...  Read Full »

My father got a heart attack and his heart is pumping only at 28 %. Can angiography be performed?

Query: Hi doctor, My father is 58 years old. He got a second attack and his heart is pumping at 28 %. Now one of the doctors says that for a month he cannot perform angiography. And the other doctor says that it is the right time for the test. He cannot get better than this point. Now we just want to know...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to I went through the echo report of your father (attachment removed for patient identity protection) it shows the cardiac chamber affected by the attack as thin and akinetic. I doubt whether an angiogram will be useful at all, it is better to do a myocardial viability stu...  Read Full »

Is there any alternative to bypass surgery in an 80-year-old patient?

Query: Hello doctor,The patient is suffering from acute heartache. According to the reports, he is reported with complete LBBB and coronary artery disease. Right now patient age is 80 years and most of the doctors recommend for bypass surgery. Is there any other alternative to provide immediate relief to t...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Angiogram pictures of the patient show disease in all three vessels and also left main vessel 30 % (attachment removed to protect patient identity). If the left main would not be having the disease, we could have thought of angioplasty of vessel of recent attack (infarc...  Read Full »

My father's ECG report suggests that he has a leaky heart valve. Will he need an angiogram?

Query: Hi doctor, My father had a heart attack 24 days ago. Now he has a weakness but no pain in the chest. He sometimes feels that his chest has become cold. He underwent an ECG. The doctor said that he had a leaky heart valve. He will recover soon. He is undergoing treatment for atrial fibrillation. Is ...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to His symptoms are not suggestive of coronary artery disease. However, they could indicate heart failure. For this reason, I would suggest performing a cardiac ultrasound and a chest X-ray. He had a heart attack lately. Suppose a coronary angiogram has not been perform...  Read Full »

My 72-year-old father's blood pressure and cholesterol are high. Is an angiogram necessary?

Query: Hi doctor, My father is 72 years old and his blood cholesterol levels are high. He is currently under medication (ASA and two other drugs) to control his blood pressure. But he does not have any other symptoms like chest pain. My father's cardiologist advised that he should get a CTA test done. Here...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to Sorry about your father's ill health. Please answer the following questions so that I can help you further. 1. Does your father have other associated diseases apart from high blood pressure? 2. How high is his cholesterol level? 3. Does he co...  Read Full »

Can you please suggest from the reports if I need angioplasty?

Query: Hello doctor, I have breathlessness while walking or taking stairs, chest congestion at times, and sleeplessness. I am diabetic and take Insulin twice a day. Please find the attached reports of ECG, echo, and angiography. Is angioplasty required? Can blockage be tackled with medicines alone?  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I have seen the reports (attachment removed to protect patient identity). Yes, you should undergo angioplasty because¬†you are having symptoms on exertion. The ECG changes are suggestive of deficient blood supply. Also, the blockage is significant 80 %. At this moment,...  Read Full »

Is it fine to not get an angiogram done before having a breast surgery in a 75-year-old female?

Query: Hi doctor, My mother is 75 years old, and she has atrial fibrillation and is on medications. She is moderately active and is on hypertensives and blood thinners. She got recently diagnosed with a breast mass. She was told to get cardiac clearance for surgery, and the cardiologist suggested doing a c...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Cardiac clearance is needed for risk stratification for any surgery. What we need are: 1) Patient history - whether she has chest pain or breathing difficulty on exertion. 2) ECG (echocardiogram). 3) Echo, and if a patient can do it, then TMT (treadmill test). Or we can a...  Read Full »

How long shall we wait for an angioplasty after a heart attack, and if the LVEF is 30%?

Query: Hello doctor, My 59-year-old mother had a heart attack a week ago. Her LVEF is 30% as per 2D echocardiogram. She has a myocardial infarction. Her sputum test is positive for pneumonia. Her HRCT showed a collapsed left lower lobe, with partial medial collapse. It has been more than 15 days since h...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello doctor, Welcome to Thanks for the query. Kindly share her ECG (electrocardiogram) report to help you better. 1) Is her condition an ST-segment elevation myocardial infarction or a non-ST-segment elevation myocardial infarction? 2) Did she had any previous cardiac issues? 3) ...  Read Full »

Does my coronary CT angiogram show any abnormality?

Query: Hello doctor, I recently went for a coronary CT angiogram. I received the following report. While my GP explained my arteries were clear, he did not explain the anomaly apparently, which is in the middle line of the page I have attached.¬†Should I be concerned about this? What does it mean exactly?¬...  Read Full »

Dr. Anshul Varshney

Answer: Hi. Welcome to We are here to help you.¬†I have studied your report (attachment removed to protect patient identity). One of your arteries is not following the normal anatomical course as in other people.¬†However, this is a normal variant as is not going to harm you. There is no blocka...  Read Full »

I have high blood pressure for a year. Can I have WPW syndrome?

Query: Hello doctor, I am a 36 year old female. I am overweight. I have BP problem since a year. I was initially taking Cilacar¬†5 mg. Later the dose of the medicine was increased to 10 mg. I¬†experienced dizziness and vague pain in left hand and severe burpings. Previously,¬†during my root canal treatment...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I have carefully reviewed your health query and can well establish how worrisome this situation has been for you. It is always troublesome for patients when it comes to the heart's health. I want to add here that there are no signs of WPW Syndrome in your case (attachment...  Read Full »

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