unstable angina and stress test



Coronary Angiography in India: a Cost Effective Solution

Coronary angiography in India is one of the cost effective solutions for the international patients who wish to have their Coronary angiography at affordable cost. Hospitals of Coronary angiography in India are providing special affordable packages to abroad patients for Coronary angiography in India. India is one of the world’s leading destinations for medical tourism. The country has the best super specialty hospitals that offer the best in terms of cardiology and treatment of heart ailments. The Hospitals in India , , has state of the art cardiac care facilities, and offers excellent preventive and intervention care that is at par with the best in the world. Coronary angiography is offered by most super specialty hospitals in India. This is an effective method for taking x Rays of the veins and arteries, or the more inaccessible chambers of the heart. In this procedure, a catheter tube is inserted into the heart or arteries close to it, and a fluorescent dye is injected into the bloodstream, which is picked up by x ray machines. The x ray photograph thus obtained is known as an angiogram.

Cornory Angiography:

Coronary angiography is an X-Ray procedure to show up the arteries that supply blood to the heart muscle (the coronary arteries). If these are narrowed or blocked they can result in angina or heart attack (myocardial infarction), and coronary angiography enables us to better work out how to treat the patient.

The procedure involves putting a tube into the heart via an artery in the arm or leg, and injecting a liquid into the coronary arteries which shows them up when viewed with X-Rays.

Who is an ideal candidate for Coronary angiography?

Your doctor may recommend that you undergo coronary angiography if:

  • You have symptoms of coronary artery disease, such as chest pain (angina)
  • You have unexplained pain in your chest, jaw, neck or arm, and other testing has been inconclusive
  • You have new or increasing chest pain (unstable angina)
  • You don’t have symptoms, but other tests have suggested you may have heart abnormalities
  • You’re going to have surgery unrelated to your heart, but you’re at high risk of having a heart problem during that surgery
  • You’re planning to have heart valve surgery
  • You have congenital heart disease
  • You have congestive heart failure
  • You have certain other heart or blood vessel problems or certain traumatic chest injuries

Because of its risks, angiography often is done only after certain other heart tests have been performed, such as an electrocardiogram, an echocardiogram or a stress test.

The cost of coronary angiography in India is very affordable as compare to other western countries. Many international patients are turning to India for affordable Coronary angiography, with the help of medical tourism in India these patients are getting best medical services at very low cost. Hospitals of coronary angiography in India are located at Delhi, Mumbai, Chennai and Hyderabad; Indian hospitals combine the latest innovations in medical electronics with unmatched expertise in leading cardiologists and cardo-thoracic surgeons of India. Medical centers in India have the distinction of providing comprehensive cardiac care spanning from basic facilities in preventive cardiology to the most sophisticated curative technology. The technology is contemporary and world class and the volumes handled match global benchmarks. They also specialize in offering surgery to high risk patients with the introduction of innovative techniques like minimally invasive and robotic surgery. For more details visit on http://www.forerunnershealthcare.com and enquiry@forerunnershealthcare.com

About the Author

I am Doctor and international health consultant

How dangerous is high blood pressure, heart rate, chest pains, and shortness of breath?

I received an electrical shock of 440 volts at 15 amps from arm to arm. since the incident, I’ve had constant problems with chest pain, high blood pressure, and heart rate. I also get really short of breath after going up 4 flights of stairs.

I consider myself very active. Before the shock, i ran 3 miles at least 3 times per week. Now i can’t even lightly jog for 4 minutes without bad pains.

I’ve seen military docs who seem to turn their heads when i mention that it happened at work (because they don’t want me to get out or claim disablility). The only issues found were PACs, Trace mitral and triscupid valve regurgitation.

3 minutes into a light jog (stress test) my heart rate was 203, and blood pressure was 194/100. my recovery heart rate would not drop below 140 even 30minutes later! I have unstable angina. I get pains at night, during the day, and during physical exercise. I can’t be in the military if this doesn’t get fixed soon.

No matter the cause, it is imperative that you get a specialist (cardiologist) to immediately work you up and give you a second opinion. Tricuspid valves normally have trace regurgitation. Mitral valve problems are present in a large minority of the population and don’t usually pose a problem – but they can sometimes. PACs – the arrythmia – seem in this instance to be an indication that your heart is working way too hard and it is out of sync. While PACs are not typically dangerous, the combination of symptoms in this case do appear problematic. An electrical shock has the potential to affect hear rythmn on a short-term/temporary basis but your constellation of symptoms seems to indicate that the arrythmia is a symptom related to the shock and the subsequent issues with heart function. The high heart rate could also explain the PACs. When the heart beats more than 100 beats per minute, it is considered abnormally fast and possibly dangerous. Without a doubt, sustained heart rates between 140-200 are dangerous (even for people who have a problem with tachycardia, sustained rates especially combined with such a slow rebound are not within acceptable limits, ever!). It seems like the heart is beating too fast in an effort to compensate and the PACs occur because the heart is beating too fast.

-electrical shocks/currents can stop and or damage the heart muscle. You may have had an ischemic attack or other damage that was missed by military MDs

- it appears that your heart is not pumping properly. You may be in congestive heart failure. Your heart rate and blood pressure, in and of themselves, are so dangerously high that you should not have been released until they were stable AND within safe limits. The numbers you describe are not at all safe, not even for a short period of time. Most people would be hospitalized and admitted to an ER with the symptoms, HR and BP you describe.

You are having a medical emergency and cannot delay. Go to the Emergency Room and don’t go to a military hospital either. Go to a private hospital for an evaluation. The military typically does cover you (if you have an emergency, and you do) to go to any hospital ER. Go, don’t delay. Irreversible damage can happen if you wait. Go get help asap, as in right now. Seriously, no physician should have allowed you to go untreated and undiagnosed considering the info you just gave me. If you haven’t already had a MI (heart attack), you are very likely to have one with such a high pulse rate and blood pressure. The angina indicates yor heart isn’t getting oxygenated blood, which actually causes the heart muscle to die from lack of oxygen. This is a vicious cycle-the heart isn’t pumping well so it compensates by increasing pressure and rate. Increased blood pressure and heart rate strain the heart and body. Strain causes further weakening of the heart muscle,a chronic state of hypoxia(low oxygen), and a high likelihood for blood clot formation or other infarction. These further complicate the heart’s ability to circulate oxygenated blood and the lack of oxygenated blood means that the heart is working extra hard but isn’t receiving good blood/oxygen supply needed to sustain itself. And this is the cycle.

Furthermore, there’s a chance you have damaged your lungs. If so, this could compromise your heart’s ability to receive oxygen and the vicious cycle described above happens and is further complicated by lung problems.

This problem won’t spontanouesly resolve or get better on its own. Delays mean damage, which is probably irreversible or very difficult to reverse. Get medical attention and don’t delay. There’s help and you can be ok provided you get things sorted out asap!

unstable angina and stress test

Filed under: Angina Pectoris

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