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When is angioplasty needed after a heart attack?

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

Patient's Query

Hello doctor,

My 59-year-old mother had a heart attack a week ago. Her LVEF is 30% as per 2D echocardiogram. She has a myocardial infarction. Her sputum test is positive for pneumonia. Her HRCT showed a collapsed left lower lobe, with partial medial collapse. It has been more than 15 days since her heart attack. And my doctors are not performing any angiography for her. How long shall we wait for the angiograph, and what should we do next? Thanks.

Answered by Dr. Muhammad Zohaib

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

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

Hello doctor,

Welcome to icliniq.com.

Thanks for the query. Kindly share her ECG (electrocardiogram) report to help you better. Is her condition an ST-segment elevation myocardial infarction or a non-ST-segment elevation myocardial infarction? Did she had any previous cardiac issues? Does she have diabetes, hypertension? Any history of kidney issues? I suggest the following medicines for her cardiac issue. Take Tablet Aspirin 75 mg once daily, Tablet Clopidogrel 75 mg once daily, Tablet Rosuvastatin 10 mg once daily, Tablet Spironolactone 25 mg once daily, Bisoprolol 2.5 mg once daily, Annual flu vaccine, Pneumococcal vaccine after treating pneumonia completely. Kindly wait for her pneumonia to subside. Till then, give her the medicines mentioned above and share her ECG and other reports to guide you accordingly. Thanks.

Medically reviewed by Dr. K. Shobana
Published At October 17, 2021
Reviewed At July 14, 2023

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

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

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.

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

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

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

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