Open heart surgery would hardly ever be recommended for single vessel disease of the RCA. Thank you again. Rest of the LAD appears normal. This cant really be answered online in an emergent situation. This needs to be done by someone who has access to her history and studies. i mean can the angio results be wrong ? Your thoughts? Also plz answer BACK OF HEART- LOWER CHANBERS. Sir my father has done recently an angiography sir I want your advice in this regards what precautionary steps I have to take plzz sir, The test shows Right Coronary Artery: Co-dominant vessel appears normal. Hi, id be happy for them to contact my office if i can be of help. But we went with another doctor, he saw this report and gave tablets for 1 mnth.. after 1 mnth need to do a checkup.. we are very scared .. pease give valuable answer.. Discuss the case with the treating physician. Mid 80% lesion. ki hum ko bipass karvane chia ja medicine lane chaiye. Thanks paul. Rca non dominant mid rca 90% dominant. Thank you Dr. Ahmed, your articles have been very helpful and insightful. Sir, please tell some thing about CT angiography, this will be useful for many other heart patients. My question. Am I not presently likely to have a major heart attack? It depends on the appearance on the angiogram. I have heard that there is new technology regarding opening of calcified arteries and placement of stents and wanted to know more about it from another standpoint, rather than a sales video. 
Hello! A small ramus is noted. As I am having chest discomfornt and slight pain in the chest Recently on 1-08-2016 my MDCT Angiography is done and conclusion of the report is as under : Eccentric mixed plaque in the distal LMCA causing mild narrowing (50% diameter narrowing) Subsequent angiogram revealed LMCA normal, mid LAD 80-90% stenosis, LCX non-dominant proximal LCX 30-40% stenosis, distal LCS 40-50% stenosis, RCA dominant, mid RCA 95% discrete stenosis, distal RCA has tandem lesions of 50-60% stenosis followed by 50-60% stenosis. They gave some medicine named as : Clopilet A -150 ( conatins Aspirin 150 mg and Clopidogrel Bisulphate contains 75mg ) and told to continue. Rest artery flow is normal. RCA 100% in 3rd. Today my dad (73 years old) done echo , blood test and ECG results were negative. What should I do if any suggestion. His right coronary artery was 100% blocked and a vein called diag. branching off the LAD was 90% blocked.
* LIMA > distal LAD graft with normal anastamotic site and good contrast I was a regular smoker for 20-25 yrs(since stopped),Diabetes level 2,since5-years (continuing to be on Glyree 1) ,Hypertension -15years (continuing to be on Tenoramin-50 & Pinom H ).Till to day I did never had any angina /shortness in breathing except occasional tiredness and in regard to food habit I am always a small eater with very moderate life style. Aspirin, statin, maybe beta blocker, control blood pressure, stop smoking, exercise, diet, lifestyle changes. Does flying home sound at least pretty safe. I underwent an angiogram last may, 2016 as was having mild intermittent chest pain and TMT was supposedly false positive. The doctors gave him some medication and told him that theres no necessary surgery at this moment, it would be check again after 3 months. If surgical / stent treatment is determined to be necessary then in this case bypass sounds like the most likely preferred option. I am worried because the internet is a bad place to be if you are trying to find medical information. What do you suggest Dr. Mustafa ? I suggest you have your symptoms checked out. , Lad 90% your pictures showed me exactly where my 2.75 by 12.00mmw stent was placed. The severe heart blockage caused symptoms and was treated with placement of a stent as can be seen in the picture. Left system shows 99% ostial circ(umflex) lesion with evidence of competitive (flow) from vein graft. Thank you very kindly. There is nothing reported there to stent. distal right coronary 90% diffuse disease The rest are normal . Good Day Dr. Typically stents are for 70% or more blockages with symptoms. But i still have the pain sometimes in chest and in the left arm. (nephew Cyrus) (niece Amy). sonography,echo test, After test Dr sent to other heart hospital I am your follower on Twitter and have been following your replies here which are very helpful. I had a heart attack back in May 2015! I have been told I have triple vessel disease with diffuse moderate disease in mid LAD, severe distal LCx and OM2 disease and moderate disease in small proximal RCA. she is Type 2 diabetic. I do not have any other illness and have never been hospitalized. Does he need stent or changing in lifestyle would help?
Maidin mhaith. hi my dad has a one valve blockage 80-85% and one valve is small to compare to other doctor suggested open heart operation please any one suggest me without operation how we can recover plz suggest me. In most similar cases, if possible, bypass would be typical. Please advise. Hello! they said 70% blockage. If symptoms are stable then it depends on the risk profile. My mother just had angiogram today, found a 30% blocakge. If you are interested in information and therapy for heart disease then feel free to follow my twitter at @MustafaAhmedMD. Is it common for new blockage to appear within 3 months? He is taking Brilianta and Ecosprin have done TMT after 6 montsh it is normal. was also asked by a gp to take sera flow 250(inhaler) for maybe asthma They said they couldnt put a stent in. He was told in the hospital he had weak kidneys also. Normal in calibre. I am increasing the level of exercise and I have been eating healthy. If you have stable coronary artery disease and have been followed by a physician thereafter that allows activity as tolerated then exercise is certainly encouraged. *proximal left anterior descending coronory artery has 75% stenosis (involving the origin of the D1 first Diagonal artery. Ranolaz 500 1 tab My name is Muhammad IKRAM. She has today received a letter from a scan she had two weeks ago it states ..Prognosis Of Coranary Decease affecting the mid to distal LAD and Mid Proximal third of The right coranary artery
LAD: Type III ostail plaquing Findings were mild to moderate ischemia in Mid Inferior, Basal Inferolateral, and Mid Inferolateral regions. thank you Heart blockage is a term commonly used by patients referring to coronary artery disease, a build-up of plaque causing narrowing of the arteries that supply the heart muscle with blood. At that time angiography was done. June 8, 2014 by Dr. Mustafa Ahmed 594 Comments. Circumflex: Co-dominant vessel appears normal. Thank you sir. Please explain to me the prognosis of a total occlusion of the Mid Right coronary Artery. This is very helpful. would something like that have started as a feeling of awful acid reflux? Tried numerous times to send images. Also, I am very much contemplating the issue whether or not to stent if there is an aggressive medication and life-style option. And kudos for answering so many comments. My husband found out 4 weeks ago he was in heart failure after he went to the ER with severe shortness of breath. I dont have diabetes, quit smoking 2 years ago, and I am overweight. Thanks Debi Lee EF decreased to 21 percent. one of my family member , female (around 60yrs), suffering from diabetes & blood pressure is suffering from high BP now a days. Hai,dr.ahmed my slef sumit upadhyay and one month before i got chest pain and heart attack my age is 28 and i done andiography in report i got 40% blockage please suggest what to do. RCA :- Proximal 90% Disease Never smoked. Depends on many factors and would need to see the films to be honest. I had 95-99% occlusion. Sir pls tell for this what can we do sir angio is best or bypass sir. My diabetic grandmother has a 90% blockage. My question is for a normal person, at the age of say 62, will there be zero blockage ( below 40%) , or with passage of time age, the blockage can be occurring. Hi Dr, my friend is 67, male and has had a mild MI earlier inthe year. Or have you any advice or what we can do next there has to be some other way . Basically meaning that if the exercise portion was very positive then imaging wouldnt alter the need to proceed to an invasive evaluation as we already know she is in a group of people with a high pre test probability of coronary disease. Healthy otherwise 69 yrs. That I cant do. Angiography done after one month depressed, Showing 100% LAD blockage type3 with 50 to 60% RCA .LVEF depressed. 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. Patient Name: Mr. D S S SANKARA RAO home. Should our family be preparing for the worst? I am blessed to see your page.My husband 56years had a mild attack in 2011. descending (LAD) 121, left circumflex coronary artery (LCx) 0, CT Coronary Angiography 3. Please advise. Of course this infers that (70% +) blockages are potentially present. I had this until November just gone and ended up back in hospital where angiogram showed that the stents had failed and my RCA was 100% occluded again. I have no syntoms, I do one hour of excercise every day with no problem,Even in the stress test does not show any symptoms. When they did all these tests on me are they able to see if collaterals have formed or is that something they dont look for? As a result of checking through the net and meeting techniques that was not productive, I released my life was done. Mid 70% lesion The Angiography report says that he has three blocked arteries more than 70% including LAD. HDL(mg/dL)-35 Knew something wasnt right 9 days ago. its very much urgent. D2 exhibits soft plaques in proximal segment causing 60% luminal stenosis. Unless > 70% a stent would not typically be of any use, in fact can be more harmful. Please suggest. CT Coronary angiogram was performed on Light Speed VCT- 64 Slice MDCT https://myheart.net/articles/ct-coronary-artery-calcium-heart-scan-the-facts/. The words occluded may well be referring to balloon wedge occlusion which is a normal part of the test. I have a 30-40% narrowing of the mid LAD what does this mean? Hi colleagues, how is the whole thing, and what you wish for to say My total cholesterol is 142, with high HDL and low LDL. triggering without the use of contrast media is. Regardless, if your symptoms are worsening or you are concerned you should bring this immediately to the physicians attention and not wait. Thank you for this post and is really helpful, My dad had a major heart attack early March18, he was treated on time with stent. Then they adviced bypass with LIMA giving supply to LAD and D1. This is a good question but it is complex and the management and prognosis of a mid RCA occlusion differs from patient to patient. Also the location of the blockage and the seriousness of it will weigh into the decision. Consult 4 doctors (Cardio)all say it is not heart relatedstill can not say what exactly it is. Depends on his overall situation, most likely bypass surgery will be advised. my age above 25. I guess I just want to know what are the chances that she will come back? So is there any other treatment where by his life is saved, Angeiogram revealed that I am having six blocks but I do not experience any problems othan that and nor do I feel. The Dr. placed a stent in nephews OM coronary and managed to break off the tip of an .014 wire on the stent and the piece remains in that artery. second marginal branch 60% plaque Dont drink. Few mixed plaques in the mid LAD causing mild narrowing (50% diameter narrowing). He is really scared we all are I was just wondering is there anyway of getting rid of the blockages. I know sir will defnitely give good solution.. Sir one more think someone live without rca artery..if my mother rca will be 100% block what happen that time. In 2014 I had a non stem MI and sent home with meds whilst tests were done. X-ray shows no collection of any fluid. palak.
Intermediate: 3. I dont have any issues with breathing during the day or when sitting up, only while lying down and sleeping. This article is really helpful for me but I have a question my dad has 80% blockage in his heart ..And some doctors are saying that it is an urgent need to have an operation .And also he has chest pain only during night and after he has his meals.and I also want to ask that after how .much time can he have operation that would be safe.??? Does this require surgery , doctor has given medication for 15 days and have asked to come for pressure test.Please suggest. I recently was released from hospital with 2 stents put into LAD(80%) and LCA(90%). My father had and heart attack 15 days back he was found to have TVD on angography EF 25-30% Wires that are stuck in arteries have differing consequences depending on the location. One cardiologist has recommended that I have stents placed in my right artery. That can still progress over time, and its why patients at risk of coronary artery disease should still pay close attention to minimizing the risk factors for this despite no visual heart blockage and an apparently normal angiogram. I would really appreciate if you reply to my question since it will definitely help many of them worried about their heart. Stenosis quantification is as follows: Coronary calcium score is as follows: I have not had a heart catheterization.just a CTA. He had been diagnosed with a blockage of 98% in his artery. What percentage is the blockage. thank you Sir Out of interest why would a stent be too risky? changes within the visualized portions of both lungs. RCA is non-dominant artery, proximal RCA tight stenosis of 95% severity. Moderate atherosclerotic calcified plaque identified within the Angiogram report shows TYPE 2 proximal LAD has 60% to 70% thrombus containing lesion shall I go for medicines or angioplasty? new hospital inserted 4 stents into my RCA in Jan 2015 and I felt better for the first month but soon began getting chest pain again. Hello sir is he a diabetic? This should be discussed with the treating specialist. 1 : RCA = Dominant vessel having mild mid disease with 40% stenosis before the crux On July 14, 2016 his CT angiography was done and if required I will send images to you. OM2 is 2mm vessel mild disease I am suppose to have a heart catch done. Age/Gender : 61 years / Male If you are interested in cutting edge information and therapy for heart disease then follow my twitter at @MustafaAhmedMD. Do you have symptoms of chest pain, chest pressure or shortness of breath? She is in the hospital with nephew. Cath shows poor EF with severe multivessel CAD. Proposed PLAN! What has been the response to medical therapy? This decision regarding the need for any further surgery should be made by the treating physician. [emailprotected] There are Major OM has critical proximal lesion. I cant upload the drwing with info they gave me. Kindly suggest is it necessary to go for angioplasty even if he does not show any symptoms ? I go for a follow up on next Tuesday. Metolar xr 25 1tab daily often for lesions 50-70% For the other arteries they are likely normal to the eye. IMPRESSION: is there anything can be done to help the heart? A secondary, 90% stenosis in the mid-LAD, just prior to the insertion of the IMA. Depends in many situations it differs, if the main lesion is treated and the symptoms are gone, then medical treatment may be ok, particularly if tests such as treadmill or other are reassuring. Diplatt-A 75/75 u can reply me here and if u can email that will the best.. During surgery it moved and i had to have a second valve put in because the first one moved. I am certainly getting enough sleep, about 10 hours a night. Sir pls reply it is possible Dr done angioplasty before did any blood test echo other testthey done angioplasty of my mother without any test behaf of see two month of before report..I lost my mother. I am feeling in centre chest pain also ..i have done all my tests with like sugar test blood test urine tes ..urinary vma ..ecg ultra sound A to Z .Reply me please on my email , Hii doctor my age is 80 and I have 4 blockages 50% 70% and 80% 80% I am very lean and not so healthy person so far . (maximum of 60 70%) with focal area of near total occlusion. abnormalities. Is there a rare type of heart blockage that there are only 8 cases known and if so, is there a certain named to which is has been given? The unattended block was lengthy and branched it seems. The nurse practitioner asked if I could take a few weeks off of work. changes in calculation of percentage of stenosis). What is the meaning of my CT CORONARY ANGIOGRAM test result below: Right coronary dominant circulation seen. Cant run anymore, walking fast, Im out of breath.
iam totally physical fit . Would highly appreciate your reply and advice. Yes sir just had a heart test done she said that one artery was blocked at 53 percent that they could do a stent if that doesnt work that they use another method to puss it to the wall.im confused what should I do. Was diagnosised with CAD last May, 90% blockage in my LAD it was stented and an 80% blockage in my RCA not stented. What the heck is it ? There is generally no benefit to treating a vessel that is not significantly diseased or compromising blood flow. my procedure was done 7 days ago. I request you to please advise he is having three vessel diseases. regard, I would recommend you go an see your cardiologist to ensure you dont need any further form of risk stratification testing. I have pulmonary arterial hypertension and recently my symptoms have increased. OM2 : Normal in calibre. Observation: Large perfusion defects are seen in the distal two thirds of the anterior wall, anteroseptal wall, septum, apex and inferoapical walls. 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. Typically people go through the right groin. Because Heartattack is in his family history.. Also, the older blood vessels had settled on the heart and how do you ensure that bypass graft sits on the heart all along? Such a heart blockage is typically accompanied by major symptoms, and treatment needs to be given in a very timely manner. He is 71 years old so Im concerned that when these arteries become problems, he may be too unhealthy for surgery. 58 years old. It depends on many things including EKG patterns, blood tests, blood pressure and so on. He has absolutely No Symptoms. If the disease is felt to be stable the question is much different. Normal valves,LVEF 30-35% below is the report. But doctor told us he is havin RCA block 75-80% which furhter need treatment.Dad is not ready for another surgery.we are worried what can we do.is he fine or anything bad can happen?he is taking prescribe medicine on time. Needless to say I am somewhat nervous. patient is suffering from diabetes as well .