Question 1

My mom recently had a TMT test, and it showed a mild positive for inducible ischemia. The thing is, she didnt feel any pain or discomfort during the test. The doctor suggested we should go for an angiogram, but she's planning to go abroad for six months. Is it okay if we wait and do the angio after she comes back? Should we be concerned about waiting that long?

Accepted Answer

It is important to follow your doctor's advice regarding the timing of the angiogram. However, in cases of mild positive inducible ischemia without symptoms, it may be possible to wait for 6 months before undergoing the angiogram. It is important to monitor your mother's symptoms and follow up with her doctor regularly during this time. If any new symptoms develop or if there are any changes in her health status, it is important to consult with her doctor earlier.

Question 2

So my 76-year-old mom, who's diabetic, has been diagnosed with a triple vessel block and just had an acute anterolateral wall MI. I'm really worried and trying to figure out whether a stent or a bypass would be the better option for her. Could you help me understand the pros and cons of each? I'm kind of at a loss here and would really appreciate your guidance.

Accepted Answer

For a 76-year-old diabetic patient with triple vessel blockage and acute anterolateral wall MI, treatment options include:

Stent Placement

1. Percutaneous Coronary Intervention (PCI): Stenting can improve blood flow, but may require multiple procedures.
2. Advantages: Minimally invasive, quicker recovery.
3. Disadvantages: Higher restenosis risk, potential for stent thrombosis.

Bypass Surgery (Coronary Artery Bypass Grafting - CABG)

1. Surgical option: Bypass grafts reroute blood flow around blocked arteries.
2. Advantages: Higher success rate, lower restenosis risk, suitable for complex cases.
3. Disadvantages: Invasive, longer recovery, potential for graft failure.

Question 3

I'm 30 and just had an osteoma removed from my forehead, and right before the surgery, they did an ECG. The results said "borderline ECG" and mentioned something about "widespread ST elevation." Can you explain what that means? Should I be worried about these results?

Accepted Answer

Borderline ECG findings can be normal variants in some individuals, but when combined with widespread ST elevation, it may indicate a potential issue with the heart's electrical activity. This could be due to various reasons such as myocardial injury, pericarditis, or even an electrolyte imbalance. It is important to further evaluate this finding with additional tests like cardiac enzymes, echocardiogram, and possibly a stress test. Depending on the underlying cause, medications like aspirin, beta-blockers, or nitroglycerin may be prescribed. Regular follow-up with a cardiologist is recommended to monitor your heart health.

I'm currently on Telma 40 for the past year, but my blood pressure still isnt under control. I'm also taking amlodac 5mg and Rosuvas 5mg, but I havent noticed much improvement. What can I do to get off these medications?

Continue all the medications..

More Cardiology Health Queries

I'm 30 and just had an osteoma removed from my forehead, and right before the surgery, they did an ECG. The results said "borderline ECG" and mentioned something about "widespread ST elevation." Can you explain what that means? Should I be worried about these results?

Health Articles for you

Understanding Coronary Artery Disease

Varicose Veins: Understanding the Condition and How to Treat It

How To Increase Endometrial Thickness?

Cholesterol and Its Role in Heart Health

Preventing Heart Disease: A Heart-Healthy Lifestyle