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If I have coronary artery disease, is bariatric surgery contraindicated?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I planned to go in for bariatric surgery and was instructed to take some pre-op tests for medical clearance. It included lab work, chest X-rays, and cardiology. So, today I received my EKG test results back. What does this mean? I immediately sent an email to my doctor, but he is yet to reply. I am terrified. Diagnosis lines: Normal sinus rhythm, T wave abnormality, consider inferior ischemia. Abnormal ECG, Non-specific T wave, abnormality now evident in lateral leads. Ventricular rate - 100, BPM atrial rate - 100 BPM, PR interval - 168 ms, QRS interval - 84 ms, QT interval - 330 ms, QT corrected - 425 ms, frontal axis - 50 degrees, right axis - 41 degrees, frontal axis - 26 degrees. Please help.
Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

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Hi,

Welcome to icliniq.com.

I understand your concern. It is not a very serious matter but suggests that there can be ischemia that is decreased blood supply in one region. It can also be a normal variant in inferior leads and females. To confirm and rule out any coronary artery disease, you need to do TMT (treadmill test). I hope this helps.

Patient's Query

Hi doctor,

Thanks for your reply. If they determine artery disease, will they have to do a heart catheter? I was reading up on that. Also, if artery disease is detected, how is it treated? Do you think this will rule me out for bariatric surgery? Please help.

Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I understand your concern. For surgery, cardiac fitness is needed. It can be assessed by effort tolerance of patient like how long one can walk or jog without chest pain or breathing difficulty or by doing TMT test. If it suggests disease in coronaries, they will ask you to get the cardiac problem treated first. For CAD (coronary artery disease), if TMT is positive, then the cardiologist will first do a coronary angiogram (CAG). Then if it is significant, they may advise PTCA (percutaneous transluminal coronary angioplasty). CABG (coronary artery bypass graft) is done if the disease is present in multiple vessels. I hope this helps.

Medically reviewed by Dr. K. Shobana
Published At March 10, 2022
Reviewed At October 28, 2024

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prashant Valecha
Dr. Prashant Valecha

Cardiology

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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