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Angoplasty and Stunt in Diabaticpatient 25.00 years old
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Cardiac & Vascular Health
Question #10769
274 days ago
434

Angoplasty and Stunt in Diabaticpatient 25.00 years old - #10769

Arun Kumar Srivastava

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

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.
274 days ago
5

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.

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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.
274 days ago
5

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

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Dr. Zahir Zolih
I am a General Practitioner who kind of lives on the frontline of everything, really. From sneezes to serious stuff, I handle a mix of it all—and weirdly, that’s what I love about being a GP. I get to see newborns coming in for their first jabs, and then later that day maybe I'm talking through meds with someone who's managing diabetes or heart disease for years. There’s a lot of variety, which keeps me on my toes—nothing ever feels too routine. Most days, I’m diving into a bit of everything—diagnosing infections, keeping an eye on chronic conditions like asthma or hypertension, helping folks plan their health goals, or sometimes just being a good listener when they need to vent. Preventive care’s a big deal for me. I like to catch things early, before they grow into something more serious. Sometimes all it takes is one small observation or something a patient casually mentions—and that changes everything. What I try to do is treat people, not charts. It's about who they are, what matters to them, and what really works in their life—not just what the textbook says. Every treatment plan I make is adjusted based on the real-world challenges each person’s facing. I also explain stuff in plain language. Like, no jargon for the sake of sounding clever. If someone doesn’t understand their condition, how can they take care of themself properly? Oh, and I do my best to keep learning constantly. Medicine doesn’t pause, right? Whether it’s a new guideline, research update or clinical tool—I keep checking, reading, taking notes (sometimes at midnight, honestly). All of this helps me feel confident that what I’m offering isn’t outdated or guesswork. What keeps me going is the trust people place in me. Being someone’s go-to doctor, knowing they’ll come to me when they’re worried or confused—that’s a big responsibility. But also kinda a gift. I don’t just see symptoms, I see stories—and I get to be part of their health journey from day one to who-knows-when. It's not perfect, and yeah, sometimes I feel I missed something or could’ve said something better. But I’m always trying, always caring, and I’m really here—for all of it.
271 days ago
5

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! ❤️

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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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