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Angiography Health Feed

Age Related Macular Degeneration - How To Diagnose It?

Age Related Macular Degeneration - How To Diagnose It?

Age-related macular degeneration, also known in brief as AMD or ARMD is one of the most common age-related causes for vision loss. It causes “blind spots” in vision, causing difficulty in activities requiring central vision like reading, sewing, driving, watching TV, computer usage, etc.

How it happens?

The centre portion of the eye is known as retina which has a screen in the posterior portion. For proper vision, light falls on this screen and is then processed to enable ‘vision.’ When this screen is not clear, blurred vision results. It may not cause total blindness but impairs vision including double vision and loss of central vision.

Types: There are two types of AMD, wet and dry.

  1. Dry: There are yellow deposits known as drusen which form in the macula, and as they grow in size, they impair vision, specifically the central vision. This is the common variant and can lead to the wet form.
  2. Wet: There are abnormal blood vessels which are formed in the retina. There is leaking of blood and fluid which makes it ‘wet.’ There could be scarring of these leaked substances, which again leads to loss of central vision. Further studies have shown that retina produces a protein knows as vascular endothelial growth factor (VEGF) which promotes the generation of new blood vessels, normally required for the production of new blood vessels. However, increased VEGF causes excessive proliferation of blood vessels, leading to macular degeneration.

Risk factors: Though age related, there are definitely some factors which put one at a higher risk for AMD

  1. Genetics: AMD is hereditary and runs in families
  2. Gender: Females are more prone to develop AMD than males
  3. Ageing: People above 60 are at greater risk
  4. Smoking: Direct and passive smoking contributes to AMD.
  5. Obesity: Accelerates the pace of AMD and the severity of complications.
  6. Hypertension: Increases the chances of developing AMD
  7. Ethnicity: Caucasians are more prone to develop AMD as their lighter skin and eye color is more prone to sun damage
  8. Sun exposure: Increased sun exposure accelerates the onset of AMD

Symptoms:

  1. No symptoms in the initial stages
  2. Gradually, there is impaired central vision, affecting activities like reading, driving, and computer usage
  3. Color perception is impaired

Diagnosis:

  1. A routine eye exam will reveal the yellow deposits which actually cause the condition.
  2. An angiography may be done after injecting a dye to detect blood vessel growth.

Treatment:

There is no cure, but progress can be delayed

  1. Anti-angiotensin agents reduce pressure in the eyes and stop the development of newer blood vessels
  2. Vitamins help slow down loss of vision
  3. Vision aids to correct vision
2568 people found this helpful

I am a heart patient having two blocks one with 80%and another with 40% as per the angiography done and as per the reports given. I would like to have an expert advise whether I required to do an angioplasty along with starting immediately for both or else what is the doctors suggestion?

I am a heart patient having two blocks one with 80%and another with 40% as per the angiography done and as per the re...
If your site of block is not a fatal portion and if you have no serious symptoms; oke angina or attacks you can wait with medicines and review after 6 months. But if the block is in a dangerous area you need immediate angioplasty.
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Radial Angioplasty - All You Should Know!

Radial Angioplasty - All You Should Know!

What is Radial Angioplasty?

Angioplasty is a medical procedure done when you have coronary artery disease. A sticky deposit due to high cholesterol blocks the arteries so the blood flow is compromised. Angioplasty restores the blood flow in your heart.

How is it done?

• A long, thin tube called a catheter is inserted into the vein or artery in the wrist and into the heart
• You will be given anaesthesia around the punctured site so you would not feel a thing
• A balloon is attached at the end of the catheter to open the blocked arteries
• Sometimes, a small metal mesh-like device called stent is put inside to support the blood vessels
• Direct pressure is applied to the incision to stop the blood flow
• The wound is bandaged

When do you need it?

Angina - Chest pain due to reduced blood flow to the heart
Myocardial infarction or heart attack - Chest pain due to blocked blood flow to the heart
Atherosclerosis - Increased accumulation of fat and cholesterol in arterial walls
High cholesterol - Increased low-density lipoprotein cause high cholesterol in the blood

Who can have it?

Patients with the good blood supply in both their hands through radial and ulnar arteries are eligible for radial angioplasty.

After the procedure, the radial artery may become blocked. If the ulnar artery has good blood flow, there will not be any problem.

Some tips after your angioplasty:

• The patients can start walking right away after the sedatives wear off
• Be careful about the punctured area
• Rest your forearm on a pillow
• Do not bend your wrist for 8 hours after the procedure
• Refrain from using your wrist for a day
• Do not lift heavy weights for at least 2 days
• Remove the bandage on the second day to fasten the healing process
• If you feel the punctured site beating or it starts to bleed, call your doctor immediately
• Do not forget to follow up after 1 month

Radial angioplasty helps the patients to recover faster than those who do femoral angioplasty (the catheter is put through the groin area). Thus, doctors usually recommend the former if the necessary conditions are met.

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एंजियोग्राफी क्या होता है - Angiography In Hindi!

एंजियोग्राफी क्या होता है - Angiography In Hindi!

एंजियोग्राफी, जिसे एंजियोग्राम के रूप में भी जाना जाता है, एक एक्स-रे परीक्षण है जो एक नस या धमनी के अंदर रक्त परिसंचरण की स्पष्ट तस्वीरें लेने के लिए एक कैमरे के साथ-साथ डाई का उपयोग करता है। यह प्रक्रिया छाती, पीठ, हाथ, सिर, पेट और पैरों की नसों या धमनियों के लिए की जा सकती है।

एंजियोग्राम में सबसे सामान्य पल्मोनरी एंजियोग्राम (छाती का), कोरोनरी एंजियोग्राम (दिल का), सेरेब्रल एंजियोग्राम (मस्तिष्क का), कैरोटिड एंजियोग्राम (गर्दन और सिर का), परिफेरल एंजियोग्राम (हाथ और पैरों का) और महाधमनी (महाधमनी) शामिल हैं।

एंजियोग्राम का उपयोग एन्यूरिज्म (रक्त वाहिकाओं के अदंर उभार) का पता लगाने के लिए किया जाता है। रक्त वाहिकाओं के किसी भी रुकावट या संकुचन जो उचित रक्त प्रवाह को प्रभावित करते हैं, इस प्रक्रिया से भी पता लगाया जा सकता है। इस तकनीक द्वारा कोरोनरी धमनी विकार होने की संभावना और इसकी स्थिति को निर्धारित किया जा सकता है।

कैसे होती है एंजियोग्राफी?
एंजियोग्राफ में रेडियोधर्मी तत्व या डाई का इस्तेमाल किया जाता है. इसके माध्यम से शरीर के रक्त वाहिनी नालिकाओं को एक्स रे द्वारा स्पष्ट रूप से देखा जा सकता है. डिजिटल सबस्ट्रेक्शन एंजियोग्राफी एक नयी तकनीक है जो धमनियों की पृष्ठभूमि को गायब कर देता है जिससे इमेज ज्यादा स्पष्ट दिखने लगते हैं. इस तकनीक का इस्तेमाल रक्त वाहिकाओं में ब्लॉकेज की स्थिति में प्रयोग किया जाता है. इससे हृदय की धमनी में ब्लॉकेज या संकुचन की स्थिति की पता लगाया जा सकता है. इस स्थिति के पता लगने के बाद डॉक्टर द्वारा बीमारी से ग्रसित धमनियों को एंजियोप्लास्टी द्वारा खोल देता है. इस उपचार के बाद रोगी के हृदय की धमनियों में रक्त का प्रवाह बढ़ जाता है और उसे फ़ौरन राहत मिल जाता है. इसके अतिरिक्त, हृदयाघात की जोखिम भी कम हो जाती है.

एंजियोग्राफी के प्रकार

एंजियोग्राफी के कई प्रकार होते है. इसके कुछ प्रकार निम्नलिखित हैं:
1. सेरेब्रेल एंजियोग्राफी: -
इसमें मस्तिष्क सम्बन्धी समस्याओं के बारे में पता लगाया जाता है.
2. फ्लोरोसीन एंजियोग्राफी: - इसका प्रयोग आँखों के रेटिना से सम्बन्धित समस्याओं का उपचार करने के लिये किया जाता है.
3. फेमोरल एंजियोग्राफी- यह एंजियोग्राफी जाँघ में समस्या का पता लगाने के लिए किया जाता है
इसके अलावा किडनी और कोरोनरी आदि की भी एंजियोग्राफी की जाती है.

एंजियोग्राफी की प्रक्रिया

लोकल एनेस्थीसिया के माध्यम से बाँह या जाँघ को सुन्न किया जाता है, इसके बाद बांह या जाँघ के अंदर कैथेटर और तार डालकर उसकी धमनियों में आये अवरोधों को पता लगाया जाता है. इससे अवरोध की स्थिति का पता लगता है अवरोध कितना बड़ा और कहाँ स्थिति हैं. इस अवरोध को स्पष्ट रूप से देखने के लिए एक्सरे फिल्म बनाया जाता है और बेहतर इमेज के लिए डाई इस्तेमाल किया जाता है. एंजियोग्राफी के साथ ही सीधे मॉनीटर पर देखते हुए अवरोध को बैलून डालकर खोल भी दिया जाता है. इस प्रक्रिया में लगभग 6 से 12 लगते है और आपको टेस्ट करवाने से पहले डॉक्टर द्वारा दिए गए दिशा निर्देशों को पालण करना पड़ता है. एक दूसरे प्रकार की एंजियोग्राफी भी होती है जिसे रेडियल एंजियोग्राफी कहते हैं. इसमें धमनी की एंजियोग्राफी बाँह के पास से की जाती है. इस तकनीक से न तो खून के रिसाव का डर रहता है और न ही रोगी को लम्बे समय के लिये लेटना ही पड़ता है. इस एंजियोग्राफी के बाद रोगी जल्द ही अपने घर जा सकता है और अपने पैरों पर चल भी सकता है. सामान्यत: इसे करने से पहले रोगी को सलाह दी जाती है कि वह सात-आठ घण्टे पूर्व कुछ न खाने के बाद ही एंजियोग्राफी करवाने के लिये हॉस्पिटल आये. एक्सरे किरणों के प्रभाव से बचाने के लिये गर्भवती महिलाओं को यह परीक्षण न कराने की हिदायत दी जाती है.

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I had angioplasty done in the month of September Can have non veg food and scotch now In what quantity should I take them.

I had angioplasty done in the month of September
Can have non veg food and scotch now
In what quantity should I take ...
We cannot advise for alchol... Take non veg food in limited quantity... with good physical exercise..
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Giant Cell Arteritis!

Giant Cell Arteritis!

What is Giant cell arteritis?

Giant cell arteritis causes inflammation of the lining of the body’s medium and large arteries that carry oxygen-rich blood from your heart to the rest of your body.

Symptoms of Giant cell arteritis-

  • Scalp tenderness
  • Jaw pain when you chew
  • Severe headache
  • Tenderness over one or both sides of the forehead
  • Permanent loss of vision in one eye
  • Fever
  • Weight loss

Causes of Giant cell arteritis-

What causes these arteries to become inflamed isn’t known. However, it is thought that a combination of genetic and environmental factors is responsible for the condition.

Risk factors of Giant cell arteritis-

  • Older adults
  • Being women
  • Polymyalgia rheumatica
  • People born in Northern European countries

Complications of Giant cell arteritis-

Diagnosis of Giant cell arteritis-

Diagnosis of Giant cell arteritis includes the following tests and procedures:

  • Physical exam
  • Blood tests
  • Biopsy
  • MRI/angiography
  • Duplex ultrasound
  • Positron emission tomography (PET)

Precautions & Prevention of Giant cell arteritis

  • Regular aerobic exercise, such as walking, can help prevent bone loss, high blood pressure and diabetes
  • Eat fresh fruits and vegetables, whole grains
  • Limit your intake of salt and sugar
  • Get adequate amounts of calcium and vitamin D
  • Avoid alcohol

Treatment of Giant cell arteritis-

  • Homeopathic Treatment of Giant cell arteritis
  • Acupuncture & Acupressure Treatment of Giant cell arteritis
  • Psychotherapy Treatment of Giant cell arteritis
  • Conventional / Allopathic Treatment of Giant cell arteritis
  • Surgical Treatment of Giant cell arteritis
  • Dietary & Herbal Treatment of Giant cell arteritis
  • Other Treatment of Giant cell arteritis


Treatment of Giant cell arteritis- 

Homeopathic Treatment of Giant Cell Arteritis-

Homeopathy heals the tissue and brings it back to normal. It treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines for treatment of giant cell arteritis are:

  • Ars alb
  • Calc
  • Carb V
  • Kali iod
  • Echin
  • Lach

Acupuncture and Acupressure Treatment of Giant Cell Arteritis-

Acupuncture relieves by improving the physiological function of the organs and organ system. In acupuncture therapist will first diagnose the case on the basis of energy system or chi blockage as well as on the basis of status of five elements. On this basis certain disease specific acupoints are selected and stimulated.

Psychotherapy and Hypnotherapy Treatment of Giant Cell Arteritis-

Psychotherapy and hypnotherapy can help in stress relief. They can help in better coping and early relief.

Conventional / Allopathic Treatment of Giant cell arteritis-

In the allopathic treatment of giant cell arteritis, inflammatory drugs such as corticosteroids are used. These drugs can effectively relieve pain.

Dietary & Herbal Treatment of Giant cell arteritis-

  • Eat fresh fruits and vegetables, whole grains
  • Eat lean meats and fish
  • Limit your intake of salt and sugar

 

1 person found this helpful

I am 50 years old .I am facing chest pain since last year .I have checked ECG, Echo,Color Doppler. Dr. Says that I have heart disease. They suggest me for angiography. Should I go for angiography or not.

I am 50 years old .I am facing chest pain since last year .I have checked ECG, Echo,Color Doppler. Dr. Says that I ha...
If there's any abnormalities in your ECG and 2d echo. Specialy in 2d echo if any regional wall motion abnormalities present go for angiography to rule out any narrowing or blockade in coronary arteries.
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HI, I am 50 years. ANGIOPLASTY 8 month back 90 mid LAD 70 proc LCX 60 PROX RCA 80 MID RCA PCI LAD 2DES RCA 1DES ON brilinta ASPIRIN atorva NEBICARD METFORMIN TELMA GETS PALPITATIONS AND BREATHLESSNESS ON WALKING ONCE A MONTH TOTAL HAPPENED 4 times after angio recent stress says borderline positive for inducible isch is anything to worry should I go for CT ANGIO.

Avoid CT Angio, it not very accurate after stent. Some breathlessness may be side effect of brilinta. It cannot be stopped. Ask you Dr. about substitutes. Too much diet restrictions also causes palpitations. What is your present diet?
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Last 15 day chest pain during climbing of step. Some time headache, today pain ECG normal doctor advised for TNT test same done and it shows positive. Doctor advise for angiography. For angiography some temp and blood test observed as low hemoglobin. So angiography test cancel and doctor give tablets for hemoglobin. Now at present no chest pain but body pain during waking. Please advise.

Last 15 day chest pain during climbing of step. Some time headache, today pain ECG normal doctor advised for TNT test...
Angiography can provide a clear diagnosis if there's any blockade after improving hb level go for angiography. In 2 d echo there's some regional wall motion abnormalities so your doctor advise it.
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