Regarding heart problem need help

Question #10377

275 days ago

884

Regarding heart problem need help - #10377

Khushi

My sister age 30 years got attack last year sept 2024 doctor done angioplasty with 2 stents in one arterie two r Block with 70 to 75 % now doctors r say saying go for next two blockage. My question is can we go eccp treatment for is it safe or can we go with medicine Pl help

Age: 50

Chronic illnesses: No

300 INR (~3.53 USD)

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

275 days ago

EECP is a non-invasive therapy that improves collateral blood flow to the heart.
It may benefit patients:
With stable angina (chest pain)
Who are not surgical/angioplasty candidates
Who refuse further stenting
It is NOT a replacement for angioplasty in:
High-grade blockages (≥70%) with reduced blood flow
Unstable symptoms or high-risk ECG/Echo findings
Can be considered as adjunctive therapy if:
She is asymptomatic
Under tight medical supervision
Is not a surgical candidate
Recommendation:
Do not delay necessary angioplasty if advised by cardiologist
EECP may be added after medical stabilization or if intervention is deferred
Investigations Advised Before Final Decision:
2D Echo – LVEF (heart pumping function)
TMT / Stress Echo – functional assessment
Coronary Angiography report review
ECG, HbA1c, Lipid Profile, Creatinine
CRP/hs-CRP – inflammation marker
Lifestyle Advice:
Strict low-fat, low-sodium diet
Daily walking (30 mins minimum)
Weight control, blood pressure and sugar control
Quit smoking/alcohol if applicable
Avoid stress, practice yoga/meditation
Visit Cardiologist.

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

274 days ago

I would just as angioplasty was done within 12 month,you should go for angioplasty
You can go for eccp if blockage are stable and not critical
I would advise you to get second opinion from a cardiologist

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

272 days ago

Since your sister already has two stents and remaining blockages of 70-75%, further treatment depends on her current symptoms and heart function. EECP (Enhanced External Counter Pulsation) is a non-invasive option that can improve blood flow, but it may not replace the need for further stenting if blockages are critical. Please consult her cardiologist to assess the safety and suitability of EECP or medical management based on her overall heart condition.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

275 days ago

Hello dear
Please be aware
See as per my clinical experience,in only advanced stage of atherosclerosis you need to undergo stent application
I think medications with blood thinners can do the job
Kindly share latest angiogram with cardiologist and then go for need ful
Usually these two medicines should help
Clopidogril
Atorvostatin
Take only on confirmation
Regards

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

191 days ago

In cases of coronary artery disease, especially when blocks are significant or causing symptoms, the treatment plan often varies based on the specific circumstances and patient health status. With two blockages, even after a successful angioplasty and stents, it’s crucial to assess the overall heart function and any symptoms she might be experiencing. EECP (Enhanced External Counterpulsation) is a non-invasive treatment that might support some patients with angina or heart failures by improving blood flow to the heart muscle. However, it’s not typically a substitute for invasive procedures that may be necessary to prevent a myocardial infarction, particularly if the blockages are as high as 70-75%.
The decision to opt for further invasive treatment such as angioplasty compared to trying medication first is best made by a cardiologist who knows the full picture of your sister’s health, symptoms, and risks. Medications that can help manage heart disease include antiplatelet drugs, statins, beta-blockers, ACE inhibitors, and lifestyle modifications such as diet, exercise, and smoking cessation. These can be part of the management strategy whether or not further invasive procedures are performed.
Remember that timing can be of the essence, especially with blockages that are significant, as they can put her at higher risk of further cardiac events. It’s also valuable to consider any symptoms she’s experiencing now or in the past that might indicate a worsening of her condition. In certain cases, blockages are stable, and medications can effectively manage them, but this must be closely monitored. Always ensure to discuss the potential benefits and risks of each treatment option with her cardiologist, considering her specific health profile, comorbidities, and the fact that she is already living with stents. The goal is always to provide the most comprehensive care to stabilize the condition and prevent further cardiac events.

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