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Thursday, December 9th, 2021

All heart patients do not need angiography

INVC,, All heart patients with heart blockages do not need angiography, says,, Dr. K K Aggarwal President, Heart Care Foundation of India and Editor eMedinewS.

Dr. Aggarwal said that failure of adequate medical treatment to provide wanted quality of life is the main indication for angiography.

Quoting a formula, Dr. Aggarwal said that any person who can walk two kilometers, climb two flights of stairs or can have sex with his or her partner without any shortness of breath or uneasiness in the chest has no significant blockages inside the heart and does not need angiography.

He said that if the patient does not want angioplasty or bypass surgery no angiography is needed. Also patients with angina or unstable angina where bypass surgery or angioplasty is not feasible one should not subject these cases for angiography.

Angiography is also not indicated for asymptomatic patients with coronary artery disease as a screening test. Also after successful PTCA or bypass or in patients with acute heart attack, in absence of symptoms, angiography is not needed.

However, he said that management of acute heart attack in the first three hours required either clot dissolving therapy or opening up of the vessels with urgent angiography and angioplasty. Also all young patients with heart blockages, survival of cardiac arrest, heart disease with low functioning of the heart and symptomatic patients with heart blockages needs angiography evaluation at the earliest and possible surgery and angioplasty.

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