Can we avoid going through angioplasty even though there are two clots in the heart? The patient seems fine, so I'm wondering if we could just start rehab without surgery.

Understanding the Condition

• Heart clots (thrombi) can obstruct blood flow, posing serious risks. Assessing their size, location, and impact is crucial.

Role of Angioplasty

• Angioplasty is often recommended to restore blood flow in blocked arteries. It can be critical if clots significantly impair circulation.

Considerations for Avoiding Angioplasty

• Conservative management might be possible if symptoms are stable and clots are not severely obstructive. However, risks include potential clot dislodgement or heart damage.

Rehabilitation and Medical Management

• Cardiac rehabilitation can improve heart health. Medications like anticoagulants may be used to manage clots. Close monitoring is essential.

Importance of Specialist Evaluation

• A cardiologist should evaluate the patient to tailor treatment. Diagnostic tests like echocardiograms or angiography may be necessary.

Patient-Centered Decision Making

• Decisions should balance risks and benefits, considering the patient’s health and preferences. Shared decision-making with healthcare providers is vital.