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Tuesday, July 22, 2025

Crucial test for PM—doctor

by

Khamal Georges
2331 days ago
20190304
Prime Minister Dr Keith Rowley.

Prime Minister Dr Keith Rowley.

RISHI RAGOONATH

A car­di­ol­o­gist con­sul­tant says Prime Min­is­ter Dr Kei­th Row­ley is like­ly go­ing to Cal­i­for­nia to take im­por­tant tests to de­ter­mine whether he will need heart surgery.

The tests will de­ter­mine whether Row­ley will need in­va­sive surgery or be pre­scribed some­thing as sim­ple a dosage of med­ica­tion like as­pirin.

The di­ag­no­sis will de­ter­mine the lev­el of plaque build-up in his coro­nary artery – mild 30%, mod­er­ate 31%-69%, se­vere– 70% and over.

On Sun­day, Row­ley an­nounced he will leave for Cal­i­for­nia, Unit­ed States to­day where he will un­der­go a se­ries of coro­nary tests and ob­ser­va­tion.

Row­ley said in 2016 he sub­ject­ed him­self to a coro­nary test which re­vealed a soft plaque in one of the ar­ter­ies, but a sub­se­quent test in 2017 showed it had grown quite sig­nif­i­cant­ly.

The car­di­ol­o­gist con­sul­tant, who spoke on the con­di­tion of anonymi­ty be­cause of the in­di­vid­ual in­volved, said doc­tors in Cal­i­for­nia will seek to de­ter­mine whether Row­ley is at risk of a heart at­tack.

The tests, the con­sul­tant says, will show what state the plaque is in as they will have “dif­fer­ent prop­er­ties.” He likens the build up of plaque to ce­ment.

When it is be­ing mixed, it is pli­able and formable, but if it re­mains for a pro­tract­ed pe­ri­od it be­comes stiff or hard. “Sim­i­lar­ly that process oc­curs,” he ex­plained. “Usu­al­ly when the plaque is more cal­ci­fied it tends to be more dif­fi­cult to treat.”

Both soft and cal­ci­fied plaque can pre­cip­i­tate heart at­tacks, there­fore “the big con­cern here is he is go­ing for fur­ther test­ing and eval­u­a­tion to see if he is at risk of pre-heart at­tack.”

The car­di­ol­o­gist con­sul­tant ex­plains once it is caught ear­ly, the tra­jec­to­ry can change.

Risk fac­tors in­clude gen­der, age, whether some­one is di­a­bet­ic, suf­fers from high blood pres­sure and bad cho­les­terol.

He al­so notes that “is­sues like chron­ic stress can be a risk fac­tor for a heart at­tack.”


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