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Guest
Posted: Thu May 01, 2008 3:59 pm
I'm getting information second hand about my mother-in-law, but this
is what I know. She's 85, and a few days ago she felt odd,and she was
taken to a local ER where they said she had some kind of arrythmia.
Atria and ventricles were not coordinated, apparently. So she had an
angiogram yesterday, and at most, a vessel was 75% blocked, and one
was 50% blocked. However, the report I get from one of her daughters
(who is freaking out BTW and I'm having a difficult time getting
reliable info from her, because she is feeling sorry for herself, and
NOT her mother - that's another story) is that my mother-in-law has
some kid of anatomical malformation of her coronary arteries. She has
two, where the cardiologist expected three. First of all, the
cardiologist claimed he had never seen a patient with only two
coronary arteries, but a review of the web indicates that this not
uncommon (so I wonder about his experience ??, or the veracity of the
web). So they want to do a ACV angiogram? What is that. I've had
enough angiograms to know that if an artery is blocked you won't see
it. So how can they determine if the lack of proper contrast dye is
due to an antomical malformation, or a 100% blocked artery.

The info I get is that EKG apparently is fine (how can it be fine with
an arrythmia?), as well as other blood and functional workup

I'm hoping I can get on a 3-way call with my sister-in-law and her
mom's cardiologist so I can get some unfiltered answers. I want to
know if the apparent anatomical malformation is the cause of the
arrythmia. And what tests/procedures are really necessary.

Jerry
Andrew B. Chung, MD/PhD
Posted: Thu May 01, 2008 3:59 pm
Guest
neighbor Jerry (jerry.ra...@pioneer.com) wrote:
Quote:

I'm getting information second hand about my mother-in-law, but this
is what I know. She's 85, and a few days ago she felt odd,and she was
taken to a local ER where they said she had some kind of arrythmia.
Atria and ventricles were not coordinated, apparently. So she had an
angiogram yesterday, and at most, a vessel was 75% blocked, and one
was 50% blocked. However, the report I get from one of her daughters
(who is freaking out BTW and I'm having a difficult time getting
reliable info from her, because she is feeling sorry for herself, and
NOT her mother - that's another story) is that my mother-in-law has
some kid of anatomical malformation of her coronary arteries. She has
two, where the cardiologist expected three. First of all, the
cardiologist claimed he had never seen a patient with only two
coronary arteries, but a review of the web indicates that this not
uncommon (so I wonder about his experience ??, or the veracity of the
web). So they want to do a ACV angiogram?

Suspect what they heard was "a CT angiogram."

Quote:
What is that.

A computed tomography (CT) angiogram is doing a coronary angiogram
using newer 64 slice CT scanners:

http://www.medicinenet.com/ct_coronary_angiogram/article.htm

However, this may not be a good idea for your mother-in-law because of
the arrhythmia.

Quote:
I've had enough angiograms to know that if an artery is blocked you won't see
it.

We would either see a "stump" or "feel" the catheter "engage."

Quote:
So how can they determine if the lack of proper contrast dye is
due to an antomical malformation, or a 100% blocked artery.

Largely by experience.

Quote:
The info I get is that EKG apparently is fine (how can it be fine with
an arrythmia?), as well as other blood and functional workup

Perhaps, the arrhythmia was transient. If so, then a CT coronary
angiogram would now be possible.

Quote:
I'm hoping I can get on a 3-way call with my sister-in-law and her
mom's cardiologist so I can get some unfiltered answers. I want to
know if the apparent anatomical malformation is the cause of the
arrythmia.

It would not be else she would have had the arrhythmia for as long as
she has had the congenitally anomalous coronary arteries, which would
be for 85 years since birth.

Quote:
And what tests/procedures are really necessary.

Being that your mother-in-law is 85 years old so that she has done
well without such tests/procedures for 85 years to check for something
she would have had for 85 years, your concerns about medical necessity
are justified.

Be hungry... be healthy... be hungrier... be healthier:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow
Andrew B. Chung, MD/PhD
Posted: Thu May 01, 2008 4:32 pm
Guest
http://HeartMDPhD.com/ARF

<><

http://HeartMDPhD.com/ChristianBrethren
Bill
Posted: Thu May 01, 2008 4:44 pm
Guest
In article <k0bk14p103tt2n51c41m2bck21arkl38d4@4ax.com>,
jerry.ranch@pioneer.com wrote:

Quote:
I'm getting information second hand about my mother-in-law, but this
is what I know. She's 85, and a few days ago she felt odd,and she was
taken to a local ER where they said she had some kind of arrythmia.
Atria and ventricles were not coordinated, apparently. So she had an
angiogram yesterday, and at most, a vessel was 75% blocked, and one
was 50% blocked. However, the report I get from one of her daughters
(who is freaking out BTW and I'm having a difficult time getting
reliable info from her, because she is feeling sorry for herself, and
NOT her mother - that's another story) is that my mother-in-law has
some kid of anatomical malformation of her coronary arteries. She has
two, where the cardiologist expected three. First of all, the
cardiologist claimed he had never seen a patient with only two
coronary arteries, but a review of the web indicates that this not
uncommon (so I wonder about his experience ??, or the veracity of the
web). So they want to do a ACV angiogram? What is that. I've had
enough angiograms to know that if an artery is blocked you won't see
it. So how can they determine if the lack of proper contrast dye is
due to an antomical malformation, or a 100% blocked artery.

The info I get is that EKG apparently is fine (how can it be fine with
an arrythmia?), as well as other blood and functional workup

I'm hoping I can get on a 3-way call with my sister-in-law and her
mom's cardiologist so I can get some unfiltered answers. I want to
know if the apparent anatomical malformation is the cause of the
arrythmia. And what tests/procedures are really necessary.

Jerry

Bill says in third person. What .......

Don't fear the reaper! Who thinks you are a nut case.

http://en.wikipedia.org/wiki/Life_expectancy

--
Garden in shade zone 5 S Jersey USA
J666
Posted: Thu May 01, 2008 4:59 pm
Guest
Read some of Chung's other posts, even if only in the last 24 hours, before
you take anything serious from him.

Beware!!!
zob
Posted: Fri May 02, 2008 12:45 am
Guest
On Thu, 1 May 2008 19:32:31 -0700 (PDT), "Andrew B. Chung, MD/PhD"
<heartdoc17@emorycardiology.com> wrote:

Quote:
http://HeartMDPhD.com/ARF



http://HeartMDPhD.com/ChristianBrethren


Wow, yet another satanic morph of this user name to killfile!

Zob
 
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