Question 1

All three arteries are blocked at 90, 80, and 80. We're trying to avoid bypass surgery would stenting work in this case? If successful, how long can we expect the stents to last before needing another procedure?

Accepted Answer

For triple-vessel disease with high blockage, bypass is more durable than stents. Stents may offer short-term relief but restenosis is a risk. A cardiac surgeon should evaluate case specifics.

Question 2

I'm a bit worried about my TMT results that showed inducible ischemia and mentioned a 1 mm ST change in certain leads during exercise. My max heart rate reached 206, with a maximum blood pressure of 18580, and I'm only 33 years old. I exercised for a total of 6 minutes and 19 seconds, reaching a workload of 7.40 METS, but the test was stopped when I hit my max heart rate. My 2D Echo came back normal. Do you think I need to get an angiogram, or is there anything else I should consider?

Accepted Answer

Given your positive TMT result showing inducible ischemia with 1 mm ST depression in multiple leads, achieving maximum heart rate during the test, and normal 2D Echo results, an angiogram may be recommended to further evaluate the extent and severity of coronary artery disease, especially considering your young age (33) and high workload achieved during the test; consult your cardiologist to discuss the risks and benefits of an angiogram and determine the best course of action.

Question 3

My sister was diagnosed with an SVT problem and the doctor prescribed her calaptin 120 mg. He did an echo and an ECG and mentioned everything looked normal. But when I checked the echo report myself, it mentioned trivial MR and trivial TR. The doctor didn't mention these. Should I be concerned about them?

Accepted Answer

The presence of trivial mitral regurgitation (MR) and trivial tricuspid regurgitation (TR) in the echo report is usually not a cause for concern. These are common findings in many individuals and are often considered normal variations. Trivial MR and TR typically do not require any specific treatment and do not usually impact a person's overall health. In your sister's case, since the doctor did not mention these findings and stated that the echo was normal, it is likely that these minor regurgitations are not clinically significant. However, if you have any concerns or if your sister experiences any new or worsening symptoms, it is always best to follow up with the prescribing doctor for further clarification and guidance. As for the prescribed medication, Calaptin 120 mg is a brand name for the drug Verapamil. It is commonly used to treat certain heart conditions, including supraventricular tachycardia (SVT). The usual dosage for Calaptin 120 mg in the treatment of SVT is typically one tablet to be taken orally, once or twice daily, as directed by the doctor.

I've been using meth for 18 years and I'm about to get a pacemaker. I'm really worried about whether I can continue using meth after I have the pacemaker implanted. What are my chances of living a normal life, and what are the worst complications I could face?

More Cardiology Health Queries

All three arteries are blocked at 90, 80, and 80. We're trying to avoid bypass surgery would stenting work in this case? If successful, how long can we expect the stents to last before needing another procedure?

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