posted by Jitendra Mohan, Santa Clara, California, USA, 11 Jul 2002
Summary: Asian, male, 60, healthy active - mild MI, 99% blocked RCA - angiography done, but recommended to wait on angioplasty. My father had burning sensation in the chest and was diagnosed initially as angina, and then later on as MI (torporin (?) was high). He was not administered any clot-busters (p-TA ?). EF was probably around 50% in echo cardiogram. Echocardiogram showed Inferior hypokinesia. He got many heparin injections but was not continued with LMWH injections upon discharge. His ECG has been stable (but not completely normal) since. Since lipid profile was on the high side of 'normal'.

3 weeks after the incident he went in for an angiography (out of town - dr. recommended wait). 99% blockage in RCA (90% distal), LCX and LAD normal. EF 55%. The doctor diagnosed it as unstable angina. Despite the blockage, the dr. recommended him to wait for another three weeks and then proceed with a Thallium test. The doctor is waiting for the muscles to grow back of something like that.

I have read from various sites that remodeling of ventricles should be avoided as it increases the risk of electrical malfunction (VF ?) because of scar tissue formation. BTW, incident happened in India in a city where angiography was not available. Why is the doctor making him wait for three weeks before doing angioplasty? Can angioplasty be done with 99% blocked RCA? Really appreciate any advice.

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