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Can angiography be done with a heart pumping at only 28 percent?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My father is 58 years old. He got a second attack, and his heart is pumping at 28 percent. Now, one of the doctors says that for a month, he cannot perform angiography. The other doctor said that it was the right time for the test. He cannot get better than this point. Now we just want to know what we should do.

Thank you.
Answered by Dr. Vivek S Narayan Pillai

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

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Hi,

Welcome to icliniq.com.

I went through the echo report of your father (attachment removed for patient identity protection), and it shows the cardiac chamber affected by the attack as thin and akinetic. I doubt whether an angiogram will be useful at all; it is better to do a myocardial viability study to see how the affected segments respond to stress. Only if there is significant viability present should you go ahead with the angiogram.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At March 23, 2023
Reviewed At October 23, 2024

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vivek S Narayan Pillai
Dr. Vivek S Narayan Pillai

Cardiology

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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