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Cardiology

Angiogram

This is a common question that often confuses my patients, because they sound similar! An angiogram is merely a diagnostic tool used to reveal blockages in heart vessels. On the other hand, an angioplasty is a treatment that involves inserting heart stents to improve b...
16 Oct 2018
Yes, those with diabetes have a two to fourfold risk of developing Coronary Artery Disease (CAD) and the extent and severity of CAD depends on the duration of diabetes. Whether the extent of coronary disease will warrant a stent or other treatment depends on the results of the cor...
11 Aug 2018
The coronary angiogram is the current gold standard to establish the degree of coronary artery disease and with experience one can usually determine the stenosis with just “eyeballing”. However, I do use adjunct imaging inside the blood vessel itself, and this helps...
8 Aug 2018
Yes indeed, CT coronary angiogram (CTCA) and cardiac MRI are non-invasive but are not as accurate as a “normal” angiogram though the sensitivity can be as high as 96%. Current guidelines generally recommend using a CTCA when there are: Symptoms (chest pain, pa...
6 Aug 2018
It depends on what you mean by a “failed “exercise test. When cardiologists report an exercise test, we usually look at many factors such as: Does your heart rate and blood pressure go up appropriately with exercise How far you are able to exercise (time and distance) ...
3 Aug 2018
A coronary angiogram is performed whenever a patient has symptoms such as breathlessness or chest pain on exertion (not always) which usually indicate poor blood flow in the heart blood vessel due to blockages. This could a non-invasive angiogram (ie CT coronary angiogram) or an ...
3 Aug 2018
Both angiogram and angioplasty procedures are quite safe in this day and age. But any invasive procedure does carry a small risk. Some of the major risks of the procedure would be risk of heart attack (0.05%), stroke (0.07%), need for emergency cardiac surgery (0.05 to 0.3%) an...
3 Aug 2018
Thank you for a very insightful and important question, the answer to which, interventional cardiologists such as myself have been battling with for the last few decades. Essentially, we can break up your question into three parts: Significance of the location of the narr...
1 Jun 2018
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