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Q. When is angioplasty needed after a heart attack?

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 17, 2021

Hello doctor,

My 59-year-old mother had a heart attack a week ago. Her LVEF is 30% as per 2D echocardiogram. She has a myocardial infarction. Her sputum test is positive for pneumonia. Her HRCT showed a collapsed left lower lobe, with partial medial collapse. It has been more than 15 days since her heart attack. And my doctors are not performing any angiography for her.

How long shall we wait for the angiograph, and what should we do next?

Thanks.

#

Hello doctor,

Welcome to icliniq.com.

Thanks for the query.

Kindly share her ECG (electrocardiogram) report to help you better.

1) Is her condition an ST-segment elevation myocardial infarction or a non-ST-segment elevation myocardial infarction?

2) Did she had any previous cardiac issues?

3) Does she have diabetes, hypertension?

4) Any history of kidney issues?

I suggest the following medicines for her cardiac issue;

1) Tablet Aspirin 75 mg once daily.

2) Tablet Clopidogrel 75 mg once daily.

3) Tablet Rosuvastatin 10 mg once daily.

4) Tablet Spironolactone 25 mg once daily

5) Bisoprolol 2.5 mg once daily.

6) Annual flu vaccine.

7) Pneumococcal vaccine after treating pneumonia completely.

Kindly wait for her pneumonia to subside. Till then, give her the medicines mentioned above and share her ECG and other reports to guide you accordingly.

Thanks.


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