Hello sir Please be aware See as per clinical history there are many etiological factors including diabetes, arterial blockage and advancing age. So as per my clinical experience it is justified for efficient working. However i still suggest you to please share latest angiogram,serum troponin,LDH and cpk with cardiologist for final confirmation Regards
Immediate angioplasty is needed since it’s about 90 % blockage Diabetic control- Hba1c <7 ( optimal diabetic controls is crusial before and after the procedure
Since the patient is already at Safdarjung Hospital, can proceed there or seek a second opinion at AIIMS ( among the best in India ) for further evaluation.
Stay Heart-Healthy! ❤️
Considering the findings, specifically the significant blockage in the RCA and the overall condition, managing coronary artery disease in a diabetic patient involves a nuanced approach. An angioplasty with stenting is indeed a typical procedure for significant blockages over 70% especially in symptomatic patients or when there’s high risk indicated by tests. Given the diabetic context, the choice of stent is crucial. Drug-eluting stents (DES) are generally preferred over bare-metal stents for diabetic patients. They help reduce the chance of restenosis, which is a common challenge in diabetics. In terms of government hospitals in New Delhi, AIIMS (All India Institute of Medical Sciences) is renowned for its cardiology department, offering high-standard treatments and facilities. Other options include Ram Manohar Lohia Hospital, which also provides advanced cardiac care. The most suitable facility ultimately depends on accessibility and the patient’s medical history, particularly any previous interventions or existing comorbidities. Managing diabetes is also vital; controlling blood glucose levels can significantly impact cardiovascular outcomes. With an HbA1c level of 9.1, there’s need for improving glycemic control, likely involving medications, dietary changes, and lifestyle adjustments. Regular follow-ups with both the cardiology and endocrinology departments will be necessary to monitor the heart condition and diabetes management. Always ensure discussions on treatment options remain open with your healthcare provider, focusing on individual patient needs and potential risks.
