Question 1

had 60% mid lad blockage diagnosed in january scared im gonna have heart attack all the time what's the odds suffer terrible anxiety from knowing.

Accepted Answer

Possible: It is possible to have a heart attack in patients that have demonstrated cardiovascular disease. Taking medications as recommended by your doctors will help reduce your risk significantly. Discuss your concerns with you cardiologist who will be able to give you more detailed and personalized information.

Question 2

100% blockage in (lad) & (100% in oy but it has collaterals).do you recommend  regular open heart cabg or robotic assisted bypass, cones&pros please. ?

Accepted Answer

Complicated: The real question is: treat with surgery (CABG)  stent (pci) or conservatively (meds). Robotic surgery offers no advantage. Mini-thoracotomy is cosmetically superior but hurts the same. Extent of revascularization depends on condition of other vessels, amount of heart muscle in jeopardy, and your symptoms. Perfusion imaging results are crucial. Discuss with your cardiologist.

Question 3

cardiac catherization showed100% blockage in lad & other(oy has collateral). do i need immediately cabg,  robotic assisted bypass, or just medicine now?

Accepted Answer

Medicine: You will do as well taking medications including aspirin, beta blocker, statin and ace inhibitor together with regular exercise and good diet as having a procedure done unless you have continuing symptoms not adequately controlled by medical treatment.

Question 4

i had a major heart attack in aug 2012 with 100 percent blockage in lad and one stent is inserted please give precaution?

Accepted Answer

Do this:: Don't smoke. Eat vegetarian. Exercise 20-30 minutes daily. Try to be normal weight. Keep BP under control. Take aspirin, a beta blocker, and a statin every day without fail. You can live a long life. Be well.

Question 5

stress echo showed heart wall abnormality cardiologist wants to do a lhc to see if blockage in lad.  safe while being treated for diverticulitis?

Accepted Answer

CATH: If there is a good reason for the angiogram to be done in the face of diverticulitis, it should be a reasonable risk.

Question 6

i am 58  had an echo done  it states - diastolic filling  indicates impaired relaxation. left atrium moderately dilated. 40% blockage in lad. bad?

Accepted Answer

Doable!: This is doable! Diastolic dysfunction implies that the heart muscle is stiffer than normal. This can lead to a sense of breathlessness but is very common and manageable. The left atrium enlargement goes with diastolic dysfunction or hypertension and is also not a big problem. The 40% blockage is deemed mild and shouldn't cause symptoms. Watching your cholesterol and your BP should keep in check

Question 7

right forearm pain and chest pain   occurs within 1 -2 hours after eating   pt had a cta triple ruleout  25-50 %blockage of lad and circumflex.  ?

Accepted Answer

Need reevaluation: Suspect progression of disease /see your physician for reevaluation and possible changes in medical management or need for further intervention/ angioplasty.

Question 8

will the clearing of an 80% blockage of the lad help a a 20% efficient heart?

Accepted Answer

Sometimes: Heart function sometimes improves after opening a blocked artery but not always, especially if you have had a heart attack in the past. Symptoms of heart failure or angina, such as shortness of breath and chest pain are more important than the number attached to your heart function.  Best wishes.

Question 9

does moderate ischemia in the apical mid anterior wall mean blockage in the lad?

Accepted Answer

Likely: The anterior and apical regions are typically supplied by the LAD and ischemia in these territories is usually due to significant tightening or blockage of the artery.

Question 10

how would you no if a artery blockage got worse than 60% mid lad .

Accepted Answer

With a progressive: Lesion the patient would likely experience chest pain or shortness of breath with exertion.

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Doctor answers about:

Lad blockage

A member asked:

Had 60% mid lad blockage diagnosed in january scared im gonna have heart attack all the time what's the odds suffer terrible anxiety from knowing.

A member asked:

100% blockage in (lad) & (100% in oy but it has collaterals).do you recommend regular open heart cabg or robotic assisted bypass, cones&pros please. ?

A member asked:

Cardiac catherization showed100% blockage in lad & other(oy has collateral). do i need immediately cabg, robotic assisted bypass, or just medicine now?

A member asked:

I had a major heart attack in aug 2012 with 100 percent blockage in lad and one stent is inserted please give precaution?

A member asked:

Stress echo showed heart wall abnormality cardiologist wants to do a lhc to see if blockage in lad. safe while being treated for diverticulitis?

A member asked:

I am 58 had an echo done it states - diastolic filling indicates impaired relaxation. left atrium moderately dilated. 40% blockage in lad. bad?

A member asked:

Right forearm pain and chest pain occurs within 1 -2 hours after eating pt had a cta triple ruleout 25-50 %blockage of lad and circumflex. ?

A member asked:

Will the clearing of an 80% blockage of the lad help a a 20% efficient heart?

A member asked:

Does moderate ischemia in the apical mid anterior wall mean blockage in the lad?

A member asked:

How would you no if a artery blockage got worse than 60% mid lad .

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