Angiography is an imaging technique that uses X-rays to visualize the blood vessels of the heart. It is normally carried out to see if there are any obstructions to the blood flow to the heart. In this technique, a dye is injected into the heart's blood vessels, and an X-ray machine takes images of these colored vessels.

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Can a heart attack patient be treated without bypass surgery?

Query: Hi doctor, My uncle recently got a mild heart attack, which occurred for the first time in a country where he is staying. So he was admitted to a hospital. The doctors there have suggested to get a bypass surgery done for him. But he and his family want the treatment to be done in their own country...  Read Full »

Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to Thanks for the query. There are three options for treatment in general. 1. CABG (coronary artery bypass graft). 2. PCI (percutaneous coronary intervention). 3. Only medicines. CABG will be best in your uncle's case because all the three vessels and the left main a...  Read Full »

When can I do an angiography after a heart attack?

Query: Hi doctor, Can you tell me within how many days angiography must be done after a heart attack?  Read Full »

Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to After a heart attack, angiography should be done within the first 24 hours. But, if it is not done and if the patient is on thrombolytic medicines like streptokinase medicine, and no symptoms, then it can be delayed. There is no exact time, but it is better to get i...  Read Full »

Which treatment is the best for CAD, open heart surgery or MICS?

Query: Hello doctor, My angiography report shows LMCA 30% and 50% distal lesion. LAD proximal to mid portion multiple significant calcified lesions up to 90%. D1 80% ostial lesion. LCX 90% ostial to mid part lesion, OM 1 small patent. OM 2 patent. OM 3 25% proximal lesion. Ramus 90% ostial and proximal le...  Read Full »

Dr. Isaac Gana


Answer: Hello, Welcome to I am sorry to hear about your health challenges. Please be positive you will be fine. The result indicates that three different vessels are affected or blocked with plaque. MICS (minimally invasive cardiac surgery) is a better option for one vessel blockage. If you...  Read Full »

Based on the attached reports, is angiography the right course of action?

Query: Hi doctor, Twelve years back, my mother-in-law's pulse had drastically fallen, and she was admitted to a hospital. Subsequently, a pacemaker was inserted. It was replaced four years back. Today we had gone for a routine checkup, as she was complaining of upper back pain and blackouts yesterday. The ...  Read Full »

Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to the Could you please describe her symptoms in detail, including back pain and blackouts? Did she experience interruption while getting up from sleep or while sitting? Is she experiencing back pain recently or for a long time? Any worsening of pain from movements...  Read Full »

Does my father require another angiography?

Query: Hello doctor, My father is 63 years old. He had an angioplasty before four years. From the last few days, he complained about shortness of breath. I took him to a cardiologist and the doctor just took the BP and suggested to admit my father. He said that previous angioplasty is of no use and he wi...  Read Full »

Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to Reading his case scenario and the reports (attachment removed to protect patient identity), I would suggest to initially carry on with the medical management. If it fails and he is still symptomatic, then I would recommend CT angiography instead of traditional invasive an...  Read Full »

Why do I get pain and soreness in the left leg while walking, even after angiography?

Query: Hello doctor, I have pain in left buttock, and sore left leg after walking. Please review my ultrasound report. I am currently on cholesterol, Aspirin, and blood pressure.  Read Full »

Dr. Lalit Bansal

General Surgeon

Answer: Hello, Welcome to I have seen the report (attachment removed to protect patient identity). It has occluded posterior tibial artery which is the cause of pain in the leg after walking. Also, there is a possible stenosis or block of the stent in common iliac vessels which is the possi...  Read Full »

Am I prone to get a heart attack?

Query: Hi doctor, I had a CT scan of my heart to check for calcium buildup in my arteries. The score is 5.83 cubic mm and there is a break down in left anterior descending and no detectable calcification. An approximately 2 mm calcification is present within the proximal aspect of the left circumflex coron...  Read Full »

Dr. Vivek Maroti Celerio Mandurke


Answer: Hi, Welcome to We follow so many patients, but these are just a predictor of screening patient who are at risk. Even, a low score person also gets a heart attack. You need to show your report to your cardiologist rather than doing interpretation by yourself. Even we had seen so ...  Read Full »

Which factors increase the risk of chest pain?

Query: Hi doctor, I am a 35 year old female. I have on and off sharp pain in the left upper chest. Sometimes, it radiates to the neck and sometimes shoulder and upper arm. My ECG, bloods and chest x-ray were normal. With all these tests, is it likely to be the heart? Movement does not seem to influence th...  Read Full »

Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to I have carefully worked through your case and can well realize your health worries. Thanks for uploading the details of some laboratory reports (attachment removed to protect patient identity). Your blood pressure and other parameters seem to be normal. Pain at this site...  Read Full »

How is LAD stenosis treated?

Query: Hi doctor, This patient is complaining of prolonged chest pain for three weeks now. Took medication for gastric issue and the pain has not subsided. I have attached the angiogram report. ECG performed several times and nothing abnormal in it. The angiogram report showed mid LAD 12 mm length and segm...  Read Full »

Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to I appreciate your concerns and can well realize the sensitivity of the issues. There is considerable calcification of LAD (left anterior descending artery). If it reaches up to 75% that is quite possible in the near future, then complications and consequences can be se...  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

Cardiologist, General Practitioner

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 »

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