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questions on angiography
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
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
In article <k0bk14p103tt2n51c41m2bck21arkl38d4@4ax . com >,
jerry.ranch@pioneer . com wrote:
> 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.
* en.wikipedia.org/wiki/Life_expectancy
--
Garden in shade zone 5 S Jersey USA
jerry.ranch@pioneer . com wrote:
> 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.
* en.wikipedia.org/wiki/Life_expectancy
--
Garden in shade zone 5 S Jersey USA
neighbor Jerry (jerry.ra...@pioneer . com ) wrote:
>
> 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."
> What is that.
A computed tomography (CT) angiogram is doing a coronary angiogram
using newer 64 slice CT scanners:
* w w w .medicinenet . com /ct_coronary_angiogram/article.htm
However, this may not be a good idea for your mother-in-law because of
the arrhythmia.
> 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."
> 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.
> 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.
> 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.
> 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:
* TheWellnessFoundation . com /BeHealthier
Prayerfully in the infinite power and might of the Holy Spirit,
Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of * EmoryCardiology . com
A latter-day disciple of the KING of kings and LORD of lords.
* HeartMDPhD . com /HolySpirit/DiscipleNow
>
> 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."
> What is that.
A computed tomography (CT) angiogram is doing a coronary angiogram
using newer 64 slice CT scanners:
* w w w .medicinenet . com /ct_coronary_angiogram/article.htm
However, this may not be a good idea for your mother-in-law because of
the arrhythmia.
> 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."
> 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.
> 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.
> 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.
> 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:
* TheWellnessFoundation . com /BeHealthier
Prayerfully in the infinite power and might of the Holy Spirit,
Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of * EmoryCardiology . com
A latter-day disciple of the KING of kings and LORD of lords.
* HeartMDPhD . com /HolySpirit/DiscipleNow
Dr Chung
I have the angio diagram. She is missing what the Dr has identified as
the LQ, but it looks like there is no CX to me. I presume typically
the CX branches off the same stem from which the LAD arises? Thats
what the drawing shows. He also said the RCA has produced lots of
collaterals.
I'm at work, but my wife is at hoem and she'll be chatting with the
cardiiologist very soon. He said if we don't have surgery, its
suicide. Whihc, unless she is having symptoms, I think is a very bad
thing to say to try to force her to have surgery.
Jerry
I have the angio diagram. She is missing what the Dr has identified as
the LQ, but it looks like there is no CX to me. I presume typically
the CX branches off the same stem from which the LAD arises? Thats
what the drawing shows. He also said the RCA has produced lots of
collaterals.
I'm at work, but my wife is at hoem and she'll be chatting with the
cardiiologist very soon. He said if we don't have surgery, its
suicide. Whihc, unless she is having symptoms, I think is a very bad
thing to say to try to force her to have surgery.
Jerry
On May 2, 9:14 am, jerry.ra...@pioneer . com wrote:
> Dr Chung
> I have the angio diagram. She is missing what the Dr has identified as
> the LQ, but it looks like there is no CX to me. I presume typically
> the CX branches off the same stem from which the LAD arises? Thats
> what the drawing shows. He also said the RCA has produced lots of
> collaterals.
> I'm at work, but my wife is at hoem and she'll be chatting with the
> cardiiologist very soon. He said if we don't have surgery, its
> suicide. Whihc, unless she is having symptoms, I think is a very bad
> thing to say to try to force her to have surgery.
>
> Jerry
Jerry,
Chung is a mentally ill, religious whadadoo, quack who has not
practiced medicine since being thrown out of his first post-fellowhip
job in Florida in 2001. Read several of his posts and you'll get the
idea. Additionally, he will call me Satan for having pointed this out
to you. Is that how a real cardiologist would respond?
Get a second opinion from a real, practicing, competent cardiologist
that your mother sees face-to-face. Nothing that Chung says about any
subject is useful or reliable. Don't let your mother's care be
compromised.
> Dr Chung
> I have the angio diagram. She is missing what the Dr has identified as
> the LQ, but it looks like there is no CX to me. I presume typically
> the CX branches off the same stem from which the LAD arises? Thats
> what the drawing shows. He also said the RCA has produced lots of
> collaterals.
> I'm at work, but my wife is at hoem and she'll be chatting with the
> cardiiologist very soon. He said if we don't have surgery, its
> suicide. Whihc, unless she is having symptoms, I think is a very bad
> thing to say to try to force her to have surgery.
>
> Jerry
Jerry,
Chung is a mentally ill, religious whadadoo, quack who has not
practiced medicine since being thrown out of his first post-fellowhip
job in Florida in 2001. Read several of his posts and you'll get the
idea. Additionally, he will call me Satan for having pointed this out
to you. Is that how a real cardiologist would respond?
Get a second opinion from a real, practicing, competent cardiologist
that your mother sees face-to-face. Nothing that Chung says about any
subject is useful or reliable. Don't let your mother's care be
compromised.
On Fri, 2 May 2008 11:14:26 -0500, jerry.ranch@pioneer . com wrote
(in message <28fm1452u6c19a0ob427kjuvb7eidfgrds@4ax . com >):
> Dr Chung
> I have the angio diagram. She is missing what the Dr has identified as
> the LQ, but it looks like there is no CX to me. I presume typically
> the CX branches off the same stem from which the LAD arises? Thats
> what the drawing shows. He also said the RCA has produced lots of
> collaterals.
> I'm at work, but my wife is at hoem and she'll be chatting with the
> cardiiologist very soon. He said if we don't have surgery, its
> suicide. Whihc, unless she is having symptoms, I think is a very bad
> thing to say to try to force her to have surgery.
>
> Jerry
Since you are still requesting Chung's advice, then you must be a sockpuppet
of Chung or an idiot, and if that is not the case, then get yourself to
Cnung's office in Mableton Geargia so he can personally see her and evaluate
all your studies and if you need surgery, and it is not amenable to his
2PD Blah Blah, then he can refer her to one of the surgeons he personally
know.
So if you want to put your wife's life in Chung's hands, then do it
completely.
(in message <28fm1452u6c19a0ob427kjuvb7eidfgrds@4ax . com >):
> Dr Chung
> I have the angio diagram. She is missing what the Dr has identified as
> the LQ, but it looks like there is no CX to me. I presume typically
> the CX branches off the same stem from which the LAD arises? Thats
> what the drawing shows. He also said the RCA has produced lots of
> collaterals.
> I'm at work, but my wife is at hoem and she'll be chatting with the
> cardiiologist very soon. He said if we don't have surgery, its
> suicide. Whihc, unless she is having symptoms, I think is a very bad
> thing to say to try to force her to have surgery.
>
> Jerry
Since you are still requesting Chung's advice, then you must be a sockpuppet
of Chung or an idiot, and if that is not the case, then get yourself to
Cnung's office in Mableton Geargia so he can personally see her and evaluate
all your studies and if you need surgery, and it is not amenable to his
2PD Blah Blah, then he can refer her to one of the surgeons he personally
know.
So if you want to put your wife's life in Chung's hands, then do it
completely.
actually I read the handwriting wrong, it is labeled as LCX, not LQ
>I have the angio diagram. She is missing what the Dr has identified as
>the LQ, but it looks like there is no CX to me. I presume typically
>the CX branches off the same stem from which the LAD arises? Thats
>what the drawing shows. He also said the RCA has produced lots of
>collaterals.
>I'm at work, but my wife is at hoem and she'll be chatting with the
>cardiiologist very soon. He said if we don't have surgery, its
>suicide. Whihc, unless she is having symptoms, I think is a very bad
>thing to say to try to force her to have surgery.
>I have the angio diagram. She is missing what the Dr has identified as
>the LQ, but it looks like there is no CX to me. I presume typically
>the CX branches off the same stem from which the LAD arises? Thats
>what the drawing shows. He also said the RCA has produced lots of
>collaterals.
>I'm at work, but my wife is at hoem and she'll be chatting with the
>cardiiologist very soon. He said if we don't have surgery, its
>suicide. Whihc, unless she is having symptoms, I think is a very bad
>thing to say to try to force her to have surgery.
Read some of Chung's other posts, even if only in the last 24 hours, before
you take anything serious from him.
Beware!!!
you take anything serious from him.
Beware!!!
On Thu, 1 May 2008 19:32:31 -0700 (PDT), "Andrew B. Chung, MD/PhD"
<heartdoc17@emorycardiology . com > wrote:
> * HeartMDPhD . com /ARF
>
><><
>
> * HeartMDPhD . com /ChristianBrethren
Wow, yet another satanic morph of this user name to killfile!
Zob
<heartdoc17@emorycardiology . com > wrote:
> * HeartMDPhD . com /ARF
>
><><
>
> * HeartMDPhD . com /ChristianBrethren
Wow, yet another satanic morph of this user name to killfile!
Zob
On Fri, 2 May 2008 12:22:49 -0500, jerry.ranch@pioneer . com wrote
(in message <nejm145e0bebnblvu6idtiip8qt451ekor@4ax . com >):
> shes marginally diabetic too, managed by diet alone
This keeps getting better and better.
(in message <nejm145e0bebnblvu6idtiip8qt451ekor@4ax . com >):
> shes marginally diabetic too, managed by diet alone
This keeps getting better and better.
ain't it the truth !
but to her credit, she didn't want to take injections, so she
dramatically changed her diet, lost weight, is very active, and she
looks great....sometimes we need our lives shaken up before we
make/take the appropriate life-style changes that are most beneficial
to a healthy existence
>> shes marginally diabetic too, managed by diet alone
>
>This keeps getting better and better.
but to her credit, she didn't want to take injections, so she
dramatically changed her diet, lost weight, is very active, and she
looks great....sometimes we need our lives shaken up before we
make/take the appropriate life-style changes that are most beneficial
to a healthy existence
>> shes marginally diabetic too, managed by diet alone
>
>This keeps getting better and better.
On May 2, 12:47 pm, jerry.ra...@pioneer . com wrote:
> ain't it the truth !
> but to her credit, she didn't want to take injections, so she
> dramatically changed her diet, lost weight, is very active, and she
> looks great....sometimes we need our lives shaken up before we
> make/take the appropriate life-style changes that are most beneficial
> to a healthy existence
>
>
>
> >> shes marginally diabetic too, managed by diet alone
>
> >This keeps getting better and better.- Hide quoted text -
>
> - Show quoted text -
>This keeps getting better and better.
> ain't it the truth !
Whooosh...Right over his head.
> ain't it the truth !
> but to her credit, she didn't want to take injections, so she
> dramatically changed her diet, lost weight, is very active, and she
> looks great....sometimes we need our lives shaken up before we
> make/take the appropriate life-style changes that are most beneficial
> to a healthy existence
>
>
>
> >> shes marginally diabetic too, managed by diet alone
>
> >This keeps getting better and better.- Hide quoted text -
>
> - Show quoted text -
>This keeps getting better and better.
> ain't it the truth !
Whooosh...Right over his head.
