Question 1

I've just been told I have an atrial septal defect that's 27mmI found out by chance at age 20. I exercise regularly, like swimming every day for 30 minutes along with doing push-ups and pull-ups. I don't have any symptoms, but I'm curious if I should get this fixed. If so, would it have to be open-heart surgery or is there another less invasive method available?

Accepted Answer

Based on the size of the atrial septal defect and your age, closure may be recommended to prevent any potential complications in the future. One common method for closing an atrial septal defect is through a minimally invasive procedure called transcatheter closure, which does not require open heart surgery. However, the decision on whether to close the defect and the choice of procedure should be discussed with a cardiologist who can evaluate your specific case in detail.

Question 2

Can a TMT test really detect heart blockages? Like, if my TMT test comes back negative, should I be concerned about blockages not being detected? Also, what if I have a blockage that's, say, around 10%would the TMT still show positive in that case? I'm just trying to understand how reliable the TMT is for these things.

Accepted Answer

If your TMT is negative, but you're still concerned about potential blockages or symptoms, its essential to follow up with your doctor for further evaluation and possibly more specific tests (like angiography) based on your risk factors and clinical symptoms.

Question 3

My dad's angiogram showed a 95% block in his LAD, but the SPECT test said only 25-30% of his heart muscle is viable. The PET CT later showed 60% hibernating myocardium that's still viable. Should we go for revascularization, and if so, would a stent or bypass be better? What are the risks, or can we just stick to meds since he's stable right now?

Accepted Answer

Medicine is very important before and after procedure but it's not enough in this case Lucky no pain gives you time but few of left myocardial muscle will die if we don't give blood to it so sitting on it is not a good idea Than should not have done all scans because now they are telling you to act upon Single block easily removed by stent takes ten minutes and. 20 years results comparable to bypass . I would get myself cut for no reason Bypass is optional if stent can't be done or too many blocks

No need to stop medications , all the medications are to be continued including ecosprin.

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