acute care

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  • Hello Dr. Logue, my name is Johnathan Curtis and I am here because I am concerned about my health. I have a past medical history of Type 2 diabetes, HLD, and HTN and am worried that I have the possibility of having a heart attack, just like members of my family.
  • Hello Mr. Curtis. I understand your concerns. Have you ever been diagnosed with any heart health issues? Because you are asymptomatic,there is a non-invasive diagnostic tool that we can use to calculate your risk of a heart attack to prevent this
  • Yes, I do not have symptoms but I am worried. I just want to know the invasive and non-invasive ways to detect Coronary artery disease and what my options are?
  • Coronary Artery Calcium Score (CAC) under a CT scan is a way to non-invasely assess a patient's risk for Obstructive Coronary Artery Disease. This test is a way to assess disease burden without performing a more invasive test. However, it is not as definitive as an angiogram. An angiogram is an invasive test but is more definitive and can tell us more exact disease burden. 
  • That does sound like a better way. Dr. Logue, please tell me though why it is so important to find out if I have Coronary artery Disease (CAD)? If I don't have symptoms, doesn't that mean I don't have it? Or what could happen?
  • Mr. Curtis, even though you don't have symptoms you still could have CAD. Which if left untreated can lead to heart disease, heart failure, stroke, and many other life-threatening conditions. It is important to determine which test is better for you and investigate further into if you have CAD. 
  • Thank you for explaining that doctor. I have another quetion. What are the risks associated with the ICA or coronary angiogram procedure? Is that better procedure? 
  • The risks associated with the ICA procedure are excessive bleeding, infection, kidney damage, heart attack, stroke, and arrhythmias. However, even with these risk factors it is the most definitive tools in diagnosing CAD (Coronary, 2018).
  • Thank you Dr. Logue for all of your help. I am going to think about the options and risk factor and decide on a way in which to screen myself for CAD. I have a family history as well as all the of the risk factors and need to address this. 
  • Your Welcome Mr. Curtis. Let me know which option you decide to use to screen for CAD. If you have any questions or start to have any symptoms such as chest pain, lightheadedness, tingling, shortness of breath, aching and burning. However, as I told you before some people experience no symptoms. 
  • Thank you Dr. Logue. I will call your office as soon as I decide. 
  • Have a great day. We will talk soon. 
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