- 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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More Cardiology Health Queries
View allI'm wondering if it's really necessary to get my heart rate up by walking on a treadmill for a stress echocardiogram. When I was lying down for the test, my heart rate was already high at around 130-140 because of anxiety and stuff. The doctor mentioned that since my heart rate is already up, they wouldnt make me do the treadmill, and the stress echo would still be completed. I was told that it doesnt matter if the heart is beating faster due to stress or exercise; all they need are the images. I paid 3.5k for the stress test but ended up with just an echo report, which usually costs 1.5k. I've been having typical chest pain and in the report, they noted sinus tachycardia during the study. What should I do?
In your case, since your heart rate was already elevated due to anxiety and other factors during the stress echocardiogram, it was not necessary to further increase your heart rate through walking on a treadmill. The main goal of the test is to assess the heart's function and structure under stress, whether it is due to mental stress or physical exertion. The doctor's focus is on obtaining clear images rather than solely on increasing the heart rate. Regarding your chest pain and the presence of sinus tachycardia noted in the echo report, it is important to follow up with your doctor for a comprehensive evaluation. Based on your symptoms and the findings in the report, your doctor may prescribe medications such as beta-blockers like Metoprolol to help control your heart rate and chest pain. Additionally, further investigations or treatments may be recommended based on the overall assessment of your cardiac health.
Answered by 1 Apollo Doctors
Hey doc, I've been dealing with this sharp chest pain whenever I sneeze or have a really hard cough, and sometimes it happens if I quickly flex my chest muscles during a workout. It's been almost a year now and I notice a slight pain if I press hard on the sore spot. I'm starting to get a bit worried about what's going on. Any ideas?
You may be experiencing costochondritis, which is inflammation of the cartilage that connects a rib to the breastbone. To help alleviate the pain, you can take over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil) or naproxen (Aleve) as directed on the package. Additionally, applying a warm compress to the area may provide some relief. Make sure to rest and avoid activities that worsen the pain. If the symptoms persist or worsen, it's important to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I've had this stabbing pain right in the middle of my chest that I've been dealing with since I woke up one morning. It feels sharp, especially when I inhale deeply, sneeze, or put any pressure on my chest. I tried taking pain relievers and some NSAIDs, and after about a week, the pain mostly went away, but I still feel it when I move or squeeze my chest too much. It's been 3 months since then, and the day after this pain started, I caught influenza. I did visit a general doctor, but they said it might be from the flu or just because I slept wrong and put too much pressure on my chest. I'm really worried about what this could be. Could it actually be something more serious?
do chest xray. take one pain killer
Answered by 1 Apollo Doctors
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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.