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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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 »

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 »

I have persistent cough and fast breathing. Should I get angiography?

Query: Hi doctor, My mother is 62 years old. She is under regular medicine for BP. Since five years she is taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from prolonged cough and fast breathing after long walk and climbing stairs. I am attaching her recent ECG, echo and x-ray reports. Pl...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Your mom is hypertensive. On Olmy-D (Olmesartan), if her blood pressure is controlled then the treatment is fine. Cilapam (Escitalopram) is for anxiety (grossly). Is she having chest pain like symptom on exertion or at rest? If no then no need of GTN (Nitroglycerine). Che...  Read Full »

My father had pain below the heart which was on the rib side. What is the cause?

Query: Hi doctor, My father had mild chest pain. The doctor did an angiogram, and they told there is a block in the blood pumping vessel and it is closed. We planned for placing a stent. The next day, the doctor tested again and told the blood vessel is opened and it is normal. So, the stent was not place...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Your cardiologist would have done ECG (electrocardiogram), echocardiogram, and TMT (treadmill test). If all these three tests are normal, then the cardiac problem is unlikely to occur. If this pain is not increased during walking or any other physical activity, then it ...  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 »

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