Either we go with this medicines or any other alternate we need to do please guide. Aortic root appears normal in dimension. Is this because of autism decrease in sugar level or because of some heart issue. LAD: Type II. Sir, my father has 99%blockage in right coronary artery and some blockage in LAD.. so wats the best procedure of treatment? Please its help lot of young hearts. The LAD has 50 to 70% lesion in the proximal portion. In many situations where the disease is stable despite blockages, it is reasonable to try medicines first. and also has 100% blockade on Left Circumflex Artery. It depends on stability and symptoms. CV surgery consult for possible CABG to LAD, LCX, RCA I want to know that the recent ECG was taken by the lab when viewed by a cardiologist he suspected that there was an MI (heart attack) earlier. but it was not that much severe till date even i got some gastric issues with me, so i thought it would be gas pain took some medicine and I was all right in the past cases, but recent once was more painful and my ECG was done and reports were not normal same goes to the ECO Report showing mild LV systolic Dysfunction EF 43%.on the above report my angiography was done in march and final report displayed (single vessel diseases) LAD showing proximately 20% plaque (all other vessel normal). Its a well written article. I feel like it controls my life now. However, I live in Chicago Northwestern Memorial (ranked #7 nationally) and University of Chicago both have excellent robotic bypass programs. Echo was normal. this side Mohammad aasif actually m suffering from blood pressure and my age is 24 i am feom kashmir.I have done my all tests but every thing is normal.But i dont do any test of heart . How it happened. But he still asked us to get the ECG done. I underwent an angiogram last may, 2016 as was having mild intermittent chest pain and TMT was supposedly false positive. Hi, I had an Acute MI treated with Stenting in LAD in OCt 2015. Accirding to what he told me, 2 out of 3 ventricles are not functioning. He just showed me the picture of the blockades which was scary. It is so comforting to know that you are out there caring about people. The picture above shows what we call angiographically normal coronary arteries. LIMA > Distal LAD graft. Took my husband to the ER for severe shortness of breath, he was in cardiogenic shock,rushed straight to the cath lab, where they found 80% blockage in his main,and his LAD, and 100% blockage in his right coronary artery. 
descending (LAD) 121, left circumflex coronary artery (LCx) 0, is there anything can be done to help the heart? went for angioplasty for both the blockage & drug eluding stents place yesterday. Thank you. I recently had a silent heart attack. This needs to be done by someone who has access to her history and studies. Holter monitor showed 75 Pacs in 48 hours. then codominent vessel proximal right coronary artery has 90% disease. you can follow my twitter at @MustafaAhmedMD, In a 100 percent occlusion ..developed heart failure symptoms So, which test should I do to clear that this is not heart related ? In this case, surgery will likely be recommended. I dont want to die I want to live. Below is the detail of his result. Respected sir, Left main: Normal Additionally, my parents live in a remote area and the hospital he is currently in is sending him home which is 4 hours away. My mother has LMCA distal segment has 60% stenosis LAD type 3 vessel and proximal LAD has 70% stenosis ,D1(2.25mm)vessel and Ostial segment has 90% stenosis . As per the doctors advised to go for follow up procedure in few months , since my hand got swellen after first angio and took 2months to get swelling to go off, now is OK. now on regular medication, Aspirin, Ticagrelor 90mg and Atorvastin 40mg. Depends on many factors and would need to see the films to be honest. Scarred mid interior, basal inferior, mid infero-lateral and basal infero-lateral segments of LV myocardium. I am only 48, but have family history of heart issues (maternal grandfather died of first heart attack at age 49, aunt died at 56).
regarding this post, in my view its really amazing in support they found in a 2d echo a mitrial valve prolapse stage 1. said ignore. sir i need u r advise . Rest of the LAD appears normal.
Im not sure if you have had bypass before, but if not it may well end up being the preferred option to restore blood flow to the heart. Still have an 80% a 40% and a 50% block. What other factors might be at play which my doctors are not considering? She is doin the stint procedure tom. Just to share a fact that may help, my job keeps me tensed all day and I am a smoker too with an average of 5 sticks a day at least. right coronary artery (RCA) 0; 84 % of similar patients have less He is having multiple blockages and fussed in deep. We dont wants go with surgery. Also, 2 months ago, the cardiologist added a med for angina (husband has developed a lot of chest pain about 4-5 months ago) and after the angiogram, added yet another similar med plus doubled his med for cholesterol. 1. DM & HTN+. What are my chances of having attack before then? blockages in these arteries are known as the Widow Maker! 
4 Days back my father had undergone Angiogram test. Hi Sir, My cousin (Age : 41 Yrs) Angiogram report shows RCA occlusion of 95% and 2 more arteries in RCA are having blockage of 35% and 30%. Sorry Angiography in place of autographs. He is on medication not sure what its called but Im not sure if that will break down the blockages . 4. My father undergone an angiography today.. I want suggestions that if he should undergo stents after 48hours or notI also want to ask if surgery has to be done or stent is good for 3 more blockage?? January 6, 2017 I had an angiogram and they found the LAD 100% blocked and the Doctor couldnt put in a stent because of the location of the blockage and the hardness of the blockage. Recently at almost age 62, I repeated the stress test. Thank you ever so much for all your work and info. Cardiac chambers are normal. One of the professors that has seen me has said, that just because a vessel is narrowed, that does necessarily mean that there is restricted blood supply, and so a 2nd angiogram with a pressure wire test is needed to make 100% sure. Marginal branches are also normal. Thank you for this very informative post. Urging us to quickly progress with the decision. I am concerned and am having some chest pain. LCX:non-dominant, proximal 20% stenosis, OM proximal 60% stenosis. realy helped me understand so many things. Nuclear Stress test can clear the blockages???? I was just diagnosed through catherization with 99% and 95% blockages on two main arteries and 350% on a third, given a strong family history of atherosclerosis (father died at 45, Im 57). I have done several CT scans and been exposed with radiation a lot and wondering if I can do MRA instead of CTA. heart WHICH Vessels would affect BACK of His heart. Also about 60% block in the small branch of LCX. Left main coronary artery has a 60-70% distal stenosis and bifurcates into the left anterior descending artery and left circumflex artery. Blood investigation reports: and even if that does prove that there is a restriction is it worth stenting as like I mentioned, they previously told me that even if it was 100% blocked nothing would happen to me anyway:)) so what do I do? then next day hospital did angiogram. Good Day Dr. This site uses Akismet to reduce spam. RCA : DOminantand 100% occluded proximally and stent implamanted to clear RCA. Hello, If the details provided are correct and the evaluating dr is confident then it seems appropriate that medical management for non obstructive disease is recommended. when stressed due to work get tight in the chest and find it difficult to breathe, IS THERE A WAY TO REVERSE THIS? thank you. why couldnt doctor diagnoise things in the first instance and what was the cause for repeatation. I can walk , Jog fast can feel mild compression between throat and chest , is this angina?.. 
Can he do the balloon angioplasty ?More than thanks for read and looking forward your reply! Timing of intervention varies greatly based on the clinical presentation. I cant understand the technical words inside. I am diabetic with HbA1C 7.0. My father has been diagnosed for NSTEMI, his Echo shows mildly hypokinetic mid septum with LV function EF 54%. I was told that at this time nothing can be done and I am taking medication to keep the blood flow. If PCI is to be considered/performed, shouldnt be done now, not later? Rest has mild lesions. * Eccentric mixed plaques in LCX causing mild to moderate stenosis And a EF of 70% My stress test after the cath was basically normal, Im not symptomatic, I exercise and am under weight. I was kinda worried, so I showed my general practitioner. Do you have the results of the echo test and is there a plan to perform arteriography. Or is there any foods to reverse naturally. All rights reserved. (NORMAL LV FUNCTION LVEF 60%). LM: Distal LM has ulcerated plaque causing 50-60% stenosis, extendint into optium of LCx ejection fraction definition heart Thank you for the excellent teaching. and suggested angiography. c) Tubular 60-70% ostial PDA stenosis. Typically one would wait 3 months after optimization of medical treatment prior to ICD implantation unless there have been high risk events occur, sometimes there can be recovery of function.
Dilated cardiomyopathy, acute systolic CHF, LVEF 30 % . He was told in the hospital he had weak kidneys also. That is getting in to a little more detail. Did you have the blockages fixed before or after the passing out and the colonoscopy? carotid artery endarterectomy treatment disease management internal prior exposed atherosclerotic It sounds like you have severe multi vessel coronary artery disease. Based on doubt raised in the camp by doctors. Cardiac rehabilitation programs can be particularly useful. Does this require surgery , doctor has given medication for 15 days and have asked to come for pressure test.Please suggest. Marginals: Major OM has Mild disease. Medical management would typically be advised in this setting. I was just wondering if there is a way to know how long the blockage has been happening. They told me I have 2 weeks to get a 2nd opinion. My CTCA showed a calcium score of 2.2 and a 10% in the LAD. A lot depends on why the test was done and the nature of the lesions that can only be commented on by looking at the films. Rx Heart Meds: 40mg Lipitor, 6.25mg Coreg 2/day, 10mg Ramipril. 1 : RCA = Dominant vessel having mild mid disease with 40% stenosis before the crux I feel great! When I do CTOs i schedule them as outpatient, they are in general not unstable patients for that reason mentioned above. Im 58 years old, and Ive been diagnosed with 100%blockage of my right coronary artery. LAD (Stented)-highly suspicious for severe restenosis It seems no damage was done to my heart. We opted for medications. But mean while, is there anything I can do to help him? Thanks for the useful information that you and other members in here provides. In terms of reversal, optimal medical therapy,diet, exercise, risk factor modification etc is certainly recommended. Hi Doctor ! The D1 is a branch of the LAD. RCA : Reduced in calibre. Can the patient undergo plasty within a short interval or will it take time. And, medical treatment is showing efficacy, overriding present consideration of PCI of the CTO of the right CA blockage, which in the best of PCI CTO centers remains a relatively risky procedure.
Father, 94 with diabetes (otherwise healthy and fit) had heart attack and catheterization showed three blockages 99, 90, and 70%. The procedure was NO Biggy! He had been diagnosed with a blockage of 98% in his artery. Judy. D1: Mild ostial disease. Looking forward to hear from you Dr. Hello Dr. My left side sent out 4 shoots to the right side and pumped blood through and I was fine.
With your diabetes and the need for 2 stents i suspect they built up over time, years. Short course of LAC with prominent obtuse marginal (OM1) artery with no evidence of calcified /hypodense plaque. The blockage condition seems to be gradually worsening and the meds are becoming less effective, especially at night. Also the location of the blockage and the seriousness of it will weigh into the decision. Afterall by pass or plasty was the preferred solution. Reason for examination: Family history of CAD. When there is some ambiguity regarding the severity of a blockage further information is gathered using either a stress test or a pressure wire test. Cap Deplatta A 75 1 cap, Doctor ask us to visit after 3 weeks and telling about CABG. The Left anterior descending artery is the vessel that provides most of the nutrients for the heart and that vessel and the surrounding ones on the left side are obstructed 99 percent. RCA dominant and mid segment has 20% stenosis .. is bypass surgery a must or any other alternative to it ? Thank you in advance. happens in phases 10 days followed by no pain for a month or so and then again comes back. Ramus intermedius: Normal study with no evidence of significant stenosis. Please suggest and enlighten me. my BP runs around 110/74. I am 45 yrs old , lean. I was lucky that they used my arm for it. Thank you. With modern day treatment of heart disease there is no reason you cant live an essentially entirely normal life. In 2014 I had a non stem MI and sent home with meds whilst tests were done. 3. Hi doctor i had a angioplasty stent on last year doctor told me have 3 block which is main arteries, one of the arteries was 100% block cant do the stenting another is too small cant do angioplasty sick for your advice thank you. Can u please explain me the condition of the report. Was told in April last year that all my arteries other than my RCA were perfect so the 40% and 60% blockage to LAD has happened within months. it would mean the world to us, Hey doctor I have blocked artery in left arm getting .I know I need bypass. In cases where patients are clinically stable, there may be no advantage to proceeding immediately vs. waiting a short while. changes within the visualized portions of both lungs. The person was admitted to hsptl 3 days ago before his last breath. My Father Went for TMT test and the report was tmt mildly positive inducible ischemia Does Angioplasty is Required for this? Can you provide details of the actual report, what is the function of the heart also? Doctor suggested for Stunt, but we wanted to take 2nd Opinion to go for any Medicine instead of Stunt. Does he have symptoms? Spasm can cause angina in certain cases and there is treatment for this such as calcium channel blockers and nitrates. Its not a simple decision, a lot depends on the stability of the patient, if the patient is stable there is a possible advantage of controlling the blood sugar first to decrease chance of operative complications and improve outcomes. Thanks Laurie. Thank you DR. Is this reversible. I need some information my mother have diabetic patient and high B.P problem some days she asking me my left side is highly pain
Normal sinus rhythm could be noted during the entire study. LAD: Type III Ostio proximal LAD 95% stenosis.
After having his heart ultrasound doctor said there no significant damage to the heart and whatever is there will recover after having good rest which he took for 5 weeks. LMCA : 80% at distal part. I was discharged on medical management next day. LCX 70% lesion in mid segment.PDA & PLV->normal I was told to be on change life style, vega diet and take blood pressure and cholesterol medications. He said because of a tricky turn he did not try to insert a stent and we have been trying medication. A simple answer pleaseonce all arteries r blocked how long can u keep breathing n is there pain?? It is more convenient for the patient and associated with less complications. Lcx dominant,lpda at ostium 30% lesion Phyicians typically send me images on Vitalengine.com. This was before I started the medicines mentioned below. I realize you must be very anxious and I think its reasonable to tell your heart Dr that and ask to be expedited due to that fact. Thanks paul. I am very worried that the risks of the procedure(s) seem possibly more hazardous than the risks of doing nothing/encouraging her not to engage in strenuous activities. Distal LAD is normal in course and calibre.
Please tell all these people writing to you that exercise is the best to avoid heart problems and avoid smoking its a killer! would like to hear your views on it. ki hum ko bipass karvane chia ja medicine lane chaiye. Your medications seem appropriate and your heart function should be checked again in a few months to assess response and recovery. The surgeon believes a bypass would be better if he could for sure do a double vs. opening him up just for one (where a stent could also be in place) but cant guarantee us anything. i am 62 and female, normal weight no diabetise ( mom and dad both had insuline dep. Please reply asap. By the way they put 2 stents one in left circumflex an one i om1, I still have gastric discomfort here and there . Lifestyle is critical as it can prevent progression of disease. SVG OM is patent minimal retrograde flow. My Father 69 years old and below are his Angiogram Report details. Kindly suggest me, that any risk factor is high or how to proceed further. Ref. Right coronary artery (RCA): Its more than I have got from my doctors. Because Heartattack is in his family history.. Given plavix and concor for almost 2 weeks. Is this a reflection of a 2nd myocardial infarction that I may suffer. I told the nurse to tell the Doctor of this possible delay. I would really appreciate your opinion on treatment and specific medications. 70%). Deete Chano, The details of blockage is as follows: LMCA: Normal The medication will likely be lifelong and can help stabilize the disease. Sorry you are having such a difficult time, with this the recovery may be long, so try be patient although i know its difficult and ask the team there for more in depth explanations with regard to the above. Dr. Ahmed, I would recommend you see a general Dr and see if referral to a specialist or further testing is required. Thanks for a fantastic service of answering questions! Medical treatment. Normal enhancement of the myocardium and endocardium. We are exploring options for the 100% blocked Circumflex & LAD and have consultation in the next 2 weeks. The artery on the right is totally blocked, but there is some blood supply to the area that is channelled from the left sided vessels which can keep that tissue alive.The main artery on the left is severely blocked but is bypassed. Dear Dr. Mustafa, They gave some medicine named as : Clopilet A -150 ( conatins Aspirin 150 mg and Clopidogrel Bisulphate contains 75mg ) and told to continue. Req No : 8482 Tiny calcific plaque noted in distal segment causing minimal to mild stenosis. Dear Doctor, Would you mind please advise if she needs treatment or surgery again? Is searching a surgeon and managing schedule be too late. I did have a minor heart attack that damaged the lower chamber. I just know that I am lucky that he is still alive. RCA: Dominant, mid RCA has discrete20-30% stenosis My husband had a heart cath two weeks ago and was told he had a 100% blockage in the LAD. RCA shows long segment plaques resulting in severe stenosis. I hope this is the only one its been a very stressful year for me dont need any more. Are there any other significant blockages that require treatment? 56kg BP 122/74 AIC 5.7. Heart failure persisted post stenting For all other arteries the angio report says normal , i mean does it mean its negligible or around 30-40% and hence in cardiac parlance normal ? I have no symptoms while at rest but develop chest pain if i walk briskly for about 10 minutes. Its ok yo feel vulnerable after you have undergone such procedures, it can be scary. LMS: Normal Can a change in diet and medication help him live with this condition for an extended period of time? After Angiography, it turns out he has 85% blockage in RCA, 80% in OM and 50% in LAD. As he crossed 70years age, went for regular check-up package and found some hart disease while CT angiogram. My question. They said that they cant perform the bypass surgery because the obstructed vessels shrunk so small they cannot be seen even on angiogram. A moderate amount of heart blockage is typically that in the 40-70% range, as seen in the diagram above where there is a 50% blockage at the beginning of the right coronary artery. 10. Dont forget, it is often the mild heart blockage that can become unstable and burst, leading to a heart attack. I am Angiography was perfromed as the folllwing comments Right Cornary : Non-dominant vessel normal Good day and thank you for taking the time to answer peoples questions. he had angiography done last week since his stress test was positive.results are, ltcx; non dominant 70%proximal lesion.distal ltcx has 30%plaque, ramus;good sized vessel 70/75%proximal stenosis, rca;dominant calcified vessel 60/65%lesion in mid segment. EF ~ 45-50 first marginal branch occluded Please clarify. Various tests can be used to see if there are areas of the heart that have compromised blood flow, such as exercise stress tests and nuclear scans. Hi Dr Ahmed, I loved your article on blood clots now I have to read the article on cardiac cauterization.I was diagnosed with a blocked artery but dont know how much it is blocked will find out next week. have 80 percent in one vessel 90 percent in the other two and cannot use stents because of 3 or more blocks in one vessel and two many small vessels that the dont make stints for these small enough blockages. RCA: Co dominant vessel, mild plaque disease. According to the report it says something like that Very helpful forum. Aortic Valve and mitral valve appear normal. I have a problem with posterior anomalous right aorta. Then a TMT which showed some issue at stage 3 and 4. Few non-obstructive calcified plaque are seen in proximal PLV branch; however, it is normal in course and calibre. Then 3 weeks later after getting results back from a modified stress test they scheduled a heart cath. Hi, In situations where there are a number of blockages and the disease is considered complex, bypass surgery has been associated with the best outcomes. Could you please advise if Angioplasty (stents) are better for him by Bypass surgery? I am a 40 year old female had a stent put in last week due to heart attack accompanied by 1 main artery 100% blocked. No significant atherosclerotic changes are You have moderate coronary artery disease and the treatment is medical management. And then confirmed LAD 100% + RCA 90% blockage. Depends on many factors such as risk of the situation, symptoms and stability. As per the doctors bypass surgery cant be done at all , could you please suggest. My uncle is 80 yrs old & he had open heart surgery twice last year -hes doing fantastic. My EKG is abnormal and indicates a previous heart attack or blockage, but my doctor says not necessarily so. Also taken in to account may be the results of stress testing and such that may determine are at risk. Discuss with the Dr the indication for any further surgery. My husband has always been very active in sports, not over weight and never smoked. One is bypass if the lesion is really not amenable to a stent approach, or the other is a CTO approach whereby a CTO specialist would have an attempt to open up the LAD using ore dedicated techniques. 5. xarelto / ixarola 15mg daily. Was diagnosised with CAD last May, 90% blockage in my LAD it was stented and an 80% blockage in my RCA not stented. Now doctor had asked him to come in the morning for engiography since you have blockage . What can I do to get my life back and feel well again and also rid myself of this fear and anxiety whilst awaiting for Drs to do something about it. It depends on indications such as syptoms, clinical stability, heart function and anatomy. Thanks for your reply, the Main results of the stress test are: -Ischemic changes of reperfusion without symptoms are shown. Read this article to get a further insight. Im in my younger 50s. My father friend,a society friend,and an uncle told that this hospital is totally shame they just intrested in money, theyre fraud. I am 39 years old, male,. regard,
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