- Male
- 57 Years
- 20/02/2025
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.
Answered by 1 Apollo Doctors
Angioplasty may be necessary to treat the clotting in the heart to prevent any potential complications. However, if the patient is stable and asymptomatic, a conservative approach can be considered. It is important to closely monitor the patient's condition and follow a strict medication regimen. Rehabilitation can be started under the supervision of a healthcare provider. Medications such as antiplatelets (e.g. Clopidogrel) and anticoagulants (e.g. Warfarin) may be prescribed to manage the clotting. Regular follow-up with a cardiologist is essential to assess the need for any further interventions.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Understanding the Condition
- Heart clots (thrombi) can obstruct blood flow, posing serious risks. Assessing their size, location, and impact is crucial.
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Role of Angioplasty
- Angioplasty is often recommended to restore blood flow in blocked arteries. It can be critical if clots significantly impair circulation.
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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.
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Rehabilitation and Medical Management
- Cardiac rehabilitation can improve heart health. Medications like anticoagulants may be used to manage clots. Close monitoring is essential.
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Importance of Specialist Evaluation
- A cardiologist should evaluate the patient to tailor treatment. Diagnostic tests like echocardiograms or angiography may be necessary.
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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.
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Consult a Cardiologist
Answered 20/08/2025
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View allI've been really concerned about my atrial fibrillation lately and was wondering if there's any actual cure for it. Also, do you think practices like yoga or acupuncture could be effective in managing it? I'm curious about whether there are any food or lifestyle changes that might help too.
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I've noticed that my resting pulse rate usually hovers around 90, although it can dip slightly below that sometimes. Is this normal for me? Also, I've observed that my pulse rate spikes to around 120 after I eat and take a light walk, like after lunch. Is this something I should be concerned about? Just a month ago, I went for a health check-up, and both the ECG and 2D echo turned out normal. I'd love to get your thoughts on this.
A resting pulse rate of around 90 beats per minute can be considered within the normal range, although it is on the higher side. It is normal for the pulse rate to increase after eating or during physical activity. A pulse rate of around 120 beats per minute while walking after lunch is also within normal limits, especially if you were engaging in mild physical activity. Since your ECG and 2D echo results were normal one month back, it is reassuring that there are no underlying heart conditions causing these pulse rate variations. However, if you continue to have concerns about your pulse rate, it would be advisable to monitor it regularly and consult with your healthcare provider for further evaluation and advice on managing your pulse rate.
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I've been dealing with some chest pain for a few days now, and I decided to get an X-ray done. I'm really anxious and can't help but wonder if there's something serious going on. What do you think?
Do ECG AND PROCEED
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.