- male
- 74 Years
- 20/02/2025
I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he was on Brilinta, but they told him to stop because his platelet count dropped to 58,000. He's having chest pain now, and I'm wondering what we should be doing here? Is his health in serious risk? What steps should we take to manage this situation?
Answered by 1 Apollo Doctors
Given the patient's history of angioplasty, a 70% arterial blockage, elevated creatinine level of 3.2, and low platelet count of 58,000, the current chest pain is concerning and requires immediate medical attention. The discontinuation of Brilinta due to low platelet counts increases the risk of clot formation. The patient should be evaluated urgently by a cardiologist and a nephrologist to manage both the cardiac and renal issues. Alternative anti-platelet strategies may be needed, and continuous cardiac monitoring, possibly including a coronary angiogram, should be performed. A multidisciplinary approach involving cardiologists, nephrologists, and hematologists is essential to address the complexities of his condition
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 25/07/2025
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I'm really worried about my dad. He doesn't have any symptoms of a heart attack, but his cholesterol and triglyceride levels are pretty high. His total cholesterol is at 251 mgdl, triglycerides at 625 mgdl, HDL is 46 mgdl and LDL is 110 mgdl. Do you think lifestyle changes could help bring these numbers down, or should we be considering surgery like some people have suggested? I'm really unsure about what direction we should take.
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