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Why do doctors not perform angioplasties for minor blocked heart vessels?

Cardiology

I have been told that my heart vessels only have minor blockages, and do not warrant an angioplasty procedure. I was wondering whether it’s possible to go for an angioplasty anyway to clear out all the blockages in my heart, just like a good house cleaning?

DOCTOR’S ANSWER (1)

All procedures are carried out after a clinical assessment of risk vs benefit. As mentioned above there is always a risk to any invasive procedure and angioplasties on minor vessels just do not justify a patient undergoing the risk of an coronary angioplasty as some of the risk, though of low frequency, if they do occur can be significantly life altering.

And while treating a severe narrowing in an important vessel has a favourable prognostic benefit (ie prolongs life but this is a hidden benefit) the same does not pply to smaller vessels.

As to the second part of the query, nope - a good house cleaning as such seen on “youtube” videos is not a good idea as if indeed a complication occurs this can vary from life altering to life threatening.

A better option is to undertake the boring but effective method of lifestyle changes such as exercising regularly, eating a healthy diet, sleep well and stopping smoking.

538 views 3 Aug 2018
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