Angoplasty and Stunt in Diabaticpatient 25.00 years old - #10769
Suffering from Diabatics for 25.00 years getting treatment at Safdarjung Hospital New Delhi Endocology Department they suggested consult Cardology Department Dr they advised ECG,ECO 3 D,TMT ,CT CaronographyAngography which shows RCA 80.00 to 90.00 percentage blockage but patient don't having much uneasiness all Valves and heart chambers are Normal but in some viens 30.00 to 40.00 percentage blockage there so Doctors treating patient has decided Angoplasty and Stunt must be inserted if blockage more than.70.00 percentage which Stunt best for Diabatic patient and best Government Hospital in New Delhi only Government Hospital treatment for 63.00 years old patient patient Hbac1 09.1 and RBS 191.00 please advise by return email
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Doctors’ responses
Yes RCA blockage >70% with diabetes is a Class I indication for angioplasty + stenting, even in the absence of severe symptoms. This is to prevent future heart attacks, especially given your high cardiovascular risk.
Please visit Cardiologist.
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.
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