Question 1

I'm a bit worried after getting some chest pain, and my doctor did a 2D Echo test and now suggests an angiogram. I'm really concerned if an angioplasty is absolutely necessary after that? Could you help me understand if the angioplasty is always needed after an angiogram or if there are situations where it's not required?

Accepted Answer

it is not necessary to undergo angioplasty compulsorily after angiogram ,if some defect is found then angioplsty is needed

Question 2

I'm really concerned about my mother. She had four stents put in her heart last week, around the RCA and PLVLADRI areas, and seemed to be doing okay after the angioplasty. But then she started having atrial fibrillation, and the doctor gave her nordam and an amiodarone injection, which helped for a couple of days. But after we got home, she's been feeling dizzy and seeing black spots. Now she's on amiodarone 200 mg tablets twice a day and some anti-anxiety meds, but her heart rate is still 150 bpm. Is this normal? How common is it to have arrhythmia like this after angioplasty, and how long might it last? I'm worried if this is our new normal, and if there's a chance that atrial fibrillation after angioplasty comes with any risks?

Accepted Answer

The treatment your mother is receiving is appropriate for atrial fibrillation post-angioplasty. Amiodarone 200mg tablet twice a day is commonly used to control heart rhythm. In addition to that, anti-anxiety medication can help manage symptoms related to anxiety and dizziness. A heart rate of 150 bpm is considered high, and the medications prescribed aim to bring it back to a normal range. Atrial fibrillation can occur after angioplasty, and it is not uncommon. The risk associated with atrial fibrillation post-angioplasty includes an increased risk of stroke and other cardiovascular complications. It is essential to monitor and manage atrial fibrillation to reduce these risks. The duration of atrial fibrillation can vary from person to person. In some cases, it may resolve on its own, while in others, long-term management may be required. Regular follow-up with the doctor is crucial to monitor the heart rhythm and adjust treatment as needed. Overall, the treatment your mother is receiving is appropriate for atrial fibrillation post-angioplasty. It is essential to continue following up with her doctor for further evaluation and management.

Question 3

I'm feeling pretty anxious because I recently had some chest pain and my doctor recommended a CT angiography. The report mentions something about a small segment of myocardial bridging in the mid LAD. I'm really worried about what this means. Is it a big deal? Should I rush to consult a specialist, or is this something that I can keep an eye on for now? Would really appreciate your thoughts on this.

Accepted Answer

Myocardial bridging is a condition where a segment of a coronary artery tunnels through the myocardium rather than resting on top of it. In most cases, myocardial bridging is considered a benign condition and does not require any specific treatment. However, in some cases, it can lead to symptoms such as chest pain, especially during physical exertion. In your case, since you are experiencing chest pain and have already been advised angiography, it would be best to follow up with a cardiologist. They can further evaluate your condition and determine if any additional treatment or monitoring is necessary. In the meantime, you can manage your symptoms with medications like beta-blockers or calcium channel blockers to help relieve chest pain.

What should we do when BP is high?

Seek medical help, Eat a healthy diet, exercise regularly, avoid processed foods and reduce stress

More Cardiology Health Queries

Health Articles for you

Healthy Heart Day Celebrations 2025

The link between arthritis and heart disease

What Leads To Symptoms And Treatment Congestive Heart Failure

Cholesterol Levels and Age Considerations

Heart Attacks vs Stroke