Talk to Cardiologist on Heart Attack

Dr. Muhammad Asad Baqai - Cardiologist

MBBS, FCPS Cardiovascular Diseases | Karachi

15 Positive Reviews

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echo agar hua hai to us ki report share karen aur jo medicines le rahe hain wo batayen

Dr. Naveed Mahmood - Cardiologist

MBBS, FCPS (Cardiology), FCPS (Medicine), MRCP (UK), FRCP, Arab Board Of Health Specialization - Cardiovascular Diseases | Lahore

143 Positive Reviews

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creatinine usually will improve in 2 to 3 days. no medication needed for that, only drip will help

Dr. Rizwan Mahmood - Cardiologist

MBBS, MD Gastroenterology | Karachi

7 Positive Reviews

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bilkul aisa hi hai Creatinine khud hi normal hojaega, take plenty of water.

Prof. Dr. Anjum Ilahi - Cardiologist

MRCP, FRCP, MBBS, D.Card, Dip. Cardiac Medicine, Dip. Echocardiography, | Islamabad

11 Positive Reviews

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yes it will revert to normal by itself

AI:

I'm sorry to hear about your father's condition. A heart attack, or myocardial infarction, occurs when blood flow to a part of the heart is blocked, usually by a blood clot in a coronary artery. Here’s a comprehensive overview of heart attack management and considerations, especially in the context of your father's situation:

Symptoms and Signs of a Heart Attack

Chest Pain: Often described as a feeling of pressure, squeezing, or fullness in the center or left side of the chest.

Radiating Pain: Pain may spread to shoulders, neck, arms, back, teeth, or jaw.

Shortness of Breath: This can occur with or without chest discomfort.

Other Symptoms: Nausea, vomiting, cold sweat, lightheadedness, or dizziness.

Investigations

Electrocardiogram (ECG): To identify abnormal heart rhythms and signs of a heart attack.

Blood Tests: To check for cardiac enzymes (like troponin) that indicate heart muscle damage.

Angiography: As you mentioned, this imaging study helps visualize the coronary arteries and assess blockages.

Management

Medications:

Antiplatelets: Such as aspirin to prevent further clotting.

Anticoagulants: To thin the blood.

Beta-blockers: To reduce heart workload and lower blood pressure.

ACE inhibitors: To help manage blood pressure and reduce strain on the heart.

Statins: To lower cholesterol and stabilize plaques in arteries.

Interventional Procedures:

Angioplasty and Stenting: May be considered to open blocked arteries. However, the decision must be carefully weighed due to the risk associated with renal function given the elevated creatinine levels.

Coronary Artery Bypass Grafting (CABG): In cases where angioplasty isn't safe or effective.

Lifestyle Modifications:

Diet: A heart-healthy diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats.

Exercise: Rehabilitative exercise programs can help strengthen the heart, but should be tailored to individual capabilities and supervised by healthcare professionals.

Smoking Cessation: If applicable, quitting smoking is crucial.

Prevention

Regular Monitoring: Routine check-ups to monitor heart health.

Control Risk Factors: Manage diabetes, hypertension, and cholesterol through medications and lifestyle changes.

Stress Management: Techniques like meditation, yoga, or counseling can be beneficial.

Renal Function Considerations

Your father's elevated creatinine level post-angiography is a concern. It’s essential to:

Monitor renal function regularly.

Avoid nephrotoxic medications.

Maintain adequate hydration during treatment.

Conclusion

In your father's case, the management plan should be individualized based on his overall health, renal function, and the extent of coronary artery disease. It’s crucial to have open discussions with his healthcare team about the risks and benefits of any interventions, especially given the increased risk due to compromised renal function.

Disclaimer

This information is intended for educational purposes and should not replace your clinical judgment or the advice of healthcare professionals. Always consult with your medical team before making any decisions regarding diagnosis or treatment.

Haan gee creatinine or Renal function test angiography / Angioplasty ky baad thoray affect ho jatay hain. Untill or unless yeh bhot ziada kharab na hoon, inko kisi khas medicine ki zarorat nai ha. Increase patient's Fluid intake and review RFT after 1 week. Hopefully Kidneys will recover completely after excretion of contrast used during the procedure.