Patient's Query
Hello doctor,
My father, who is 61 years old, suddenly experienced chest pain, excessive sweating, and vomiting yesterday at 6 AM. Currently, he is stable, but he is still having chest pain, so the doctor administered oxygen today. According to the doctor, he had a heart attack, and the pain should subside after some rest. The doctor has kept him under observation for another day. We live in a remote village with very limited medical facilities.
Could you please suggest any other options?
Hello,
Welcome to icliniq.com.
If he had a heart attack, it would be better to transfer him to a higher center with facilities for cardiac care, such as angiography. He may require further tests and treatment, including echocardiography, angiography, and possibly stenting if there are significant blockages. His medical treatment also needs to be optimized. Please check if the troponin test is positive. I would also like to know his CK-MB (creatine kinase-MB) levels, which indicate heart damage. If possible, request a clinical summary and reports, including the ECG (electrocardiogram) and details of the treatment he is receiving, and you can upload them here for a more informed opinion.
I hope this helps, and feel free to reach out if you have any questions.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
I have attached my dad's angiography report; could you please provide your suggestions?
Hello,
Welcome back to icliniq.com.
I have reviewed the report (attachment removed to protect patient identity), which indicates significant blockages in multiple vessels. It would be challenging to place multiple stents, so he should undergo bypass surgery as soon as possible to preserve heart function.
Please reach out if you have any questions.
Patient's Query
Hello doctor,
Thank you for the reply.
Can we wait for two to three days? I would like him to have the surgery closer to my location.
Hello,
Welcome back to icliniq.com.
Yes, we can wait since there has not been a repeat attack after the recent one until today. However, I cannot guarantee that nothing will happen in the next two to three days. Please continue his medication, including the injection, until the surgery, as this will help minimize the risk of a repeat attack.
Wishing you all the best.
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