Dr. Muhammad Zohaib Siddiq
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
My father had chest pain 15 days ago. We visited a cardiologist. He is a diabetes patient. TMT was positive. SGPT was 215. Sugar was 143 mg/dL. TSH is 0.14 mIU/L. After doing CT, angiography LAD shows 50 to 70% blockage, LCX shows 50%, and OM1 shows more than 50%. He is taking Metformin, Aspirin, Vildagliptin, beta-blocker, and Ursocaol 300. How serious is it? Is angioplasty required, or will medicine cure it? How long should he need to take medication? Till how many dates can angioplasty be postponed if required? How many years will the patient survive by taking medicine regularly and healthy balanced diet? Kindly give your opinion.
Hi,
Welcome to icliniq.com.
TMT (treadmill test) was positive, so direct angiography should have been done. Why was CT (computed tomography) angiography done? If the patient has chest pain despite maximum medicines, then revascularization is necessary, either bypass or angioplasty, depending upon the anatomy of coronary arteries and other comorbidities. Please send me the CT angiography report. Medication has to be taken lifelong. Angioplasty can be postponed until the patient has no symptoms. Once symptoms develop despite maximum medicines, then revascularization will be needed, either angioplasty or bypass, depending upon coronary anatomy. If well managed with lifestyle modifications and medicines, life expectancy is normal. Please send me the reports for further help.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Cardiology
Related Questions
From the reports, please guide if my father requires another angiography?
Is delaying angioplasty a risk?
Is it true that a CT scan would not detect clots?
How often do I need a treadmill test?
Father died during angioplasty due to pulmonary edema. Need second opinion.
Is chemical or nuclear echo the only relevant test to determine left bundle branch block?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
