apollo
  • Female
  • 35 Years
  • 22/01/2025

Hey, I was wondering at what point of heart or coronary artery blockage do doctors usually recommend angioplasty? I've been reading up on it and I'm a bit worried. Appreciate your insights on this!

Doctor 1

Answered by 1 Apollo Doctors

ngioplasty is recommended depends not just on the percentage of blockage, but also on symptoms, overall heart health, and the location of the blockageIn patients with symptoms like chest pain or shortness of breath, a blockage of 70% or greater is usually considered significant enough to benefit from angioplasty to restore blood flow to the heart.

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Consult a Cardiologist

Answered 04/07/2025

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  1. Understanding Coronary Artery Blockage

    • Coronary artery blockage restricts blood flow to the heart, potentially leading to chest pain or heart attacks.
  2. Thresholds for Angioplasty Recommendation

    • Angioplasty is typically considered for blockages of 70% or more.
    • In some cases, blockages of 50-70% may warrant angioplasty if symptoms or test results indicate significant risk.
  3. Factors Influencing Decision in a 35-Year-Old Female

    • Symptoms like chest pain or shortness of breath are critical.
    • Other factors include diabetes, hypertension, or family history.
  4. Diagnostic Tests Guiding Treatment

    • Coronary angiography is used to assess blockage.
    • Stress tests or CT angiography may also be utilized.
  5. Treatment Options Besides Angioplasty

    • Medications and lifestyle changes are alternatives.
  6. Importance of Personalized Medical Advice

    • Consult a cardiologist for tailored assessment and treatment.
  7. Relevant Medical Specialties

    • Cardiology and Interventional Cardiology are key.
  8. Common Angioplasty Procedures and Medications

    • Angioplasty often involves stenting.
    • Antiplatelet medications are used before and after the procedure.

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Answered 20/08/2025

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I'm experiencing this odd sensation in my chest where it feels like my heart is having a spasm or beating irregularly for a few seconds. It's not exactly painful, just really weird, and it's been happening every few months. Sometimes it even feels like its happening in my right chest or arm, which made me think it might be nerve-related. I've had heart tests done in the past, and everything came back normal, but this sensation worries me. Also, whenever I stand up or walk upstairs, my heart rate jumps up to 150 bpm and then drops back to 100 bpm shortly after, which makes me wonder if I could have POTS. I often forget to check my pulse when this happens because it scares me so much. Could these spasms be related to muscles or nerves instead of my heart? Is it normal to experience this kind of chest pain and heart sensations for just a few seconds?

It sounds like you may be experiencing palpitations and chest pain, possibly related to your heart or nervous system. Given your history of normal heart tests and symptoms like random spasms and irregular heartbeats, it may be worth considering a condition called supraventricular tachycardia (SVT). SVT can cause sudden, rapid heartbeats and chest discomfort. In your case, since you also mention the possibility of POTS (Postural Orthostatic Tachycardia Syndrome) and nerve-related symptoms, it would be important to discuss these new symptoms with your healthcare provider. For symptomatic relief, you can consider taking a beta-blocker medication like Metoprolol (e.g., Lopressor) at a starting dose of 25mg once daily, as it can help regulate your heart rate and reduce palpitations. However, it is crucial to consult with your doctor before starting any new medication to ensure it is safe and appropriate for you.

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I'm kind of worried about my recent heart echo results after having a COVID infection. It says I've got mild tricuspid and mitral regurgitation and borderline concentric hypertrophy. But it also mentions that my systolic function is good with an LVEF of 66, and that my cardiac valves look normal. There's no pulmonary arterial hypertension, intracardiac shunt, or pericardial effusion. Sometimes I get this weird feeling, like something's stuck on the left side, and then when it goes down, I can breathe a lot better. Other than that, I'm feeling okay. Should I be concerned about these findings? What do you suggest I do next?

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