Question 1

2000 to nov 2008 single vessel disease hypothetical question how impossible is it to go from single vessel disease to severe triple vessel disease from nov 2008 to april 2010 which is 17 months ?????

Accepted Answer

: "Single vessel disease" may be at a specific point where treatment is necessary (catheterization),  but additional coronary vessels may have been partially compromised and near a state in 2008 where treatment was required,  and in the period 11/2008 to 4/2010 obstructive disease had progressed to the point where cardiology studies indicated treatment is indicated. Not unusual at age "52".

Question 2

in severe triple vessel disease, will troponin levels be high?

Accepted Answer

: Not necessarily. Troponin increases with death of heart muscle cells, Triple vessel disease per se may not cause death of heart muscle cell without superimposed issues like high heart rate or clot formation in coronary arteries.
Wish you good health!

Question 3

should i be concerned if my dad has been dignosed with cag -triple vessel disease -lad-99%, lcx-99%, rca-100%, -diffusely diseased. kindl?

Accepted Answer

May not be a: candidate for the bypass, just medication. Talk to his cardilogist.

Question 4

a person has single vessel coronary disease since 2000, now 2008 an still single vessel, 15months later severe triple, how unlikely is this ?

Accepted Answer

Depends: Smoker?
High blood lipids?
Hypertension?
Obese?
Sedentary?
CAN happen,

Question 5

triple vessel cornary disease with 3 blockages, what are his options other than triple bypass surgery?

Accepted Answer

Cardiac cripple: To understand the risk/benefit of recommended bypass, start with the risk of non-operative therapy. With medical therapy alone, the risk for ischemic damage to the heart muscle is real. This can lead to death or weak heart muscle, aka cardiac cripple. The surgical risk is real, but lower than non operative risk. Bypass preserves the heart muscle and you stay on medication. Ok to ask your surgeon.

Question 6

hi sir my name  ramya , my mother in law age 58 she get triple vessel disease and lmca disease.. doctors advice cabg.. i want second opinion?

Accepted Answer

: Won’t get second opinion on this site. Need to see a cardiologist with films of the angiogram.

Question 7

my father was in icu last week due to stemi and triple vessel disease. cardiothoracic team opinion - patient not a cabg candidate due to ongoing hyperglycemia and not a good graftable target. please email so i can share reports. need advise urgently.

Accepted Answer

Second opinion: Get second opinions from other surgeons as well as interventional cardiologists who may be able to stent some vessels open.Contact tertiary centers about other options including heart assist devices, and work with diabetes specialist to get control of blood sugar ASAP.

Question 8

can
triple vessel coronary artery disease treated with angioplasty and placement of stents?

Accepted Answer

Yes but,: Depends on where the blocks are, how many, how complex and how long. Each case must be individualized. The more stents used the more likely the need for repeated procedures. Also with stents may need to take antiplatelet drugs for prolonged periods. Sometimes bypass better long term even though surgery is much harder on the patient. Need 2 discuss with cardiologist and heart surgeon b4 proceeding.

Question 9

what does this mean
triple vessel coronary artery disease needs clinical corelation and further evaluation with conventional angiography?

Accepted Answer

Triple vessel diseas: That statement means you need to see a cardiologist for further evaluation and perhaps additional testing or treatment.

Question 10

is it possible to treat triple vessel coronary artery disease without cabg?

Accepted Answer

Yes, possible, but..: ... it is very individualized. Many factors are considered, including age, symptoms, stress results, recent heart attack, presence of diabetes, heart muscle function, coronary anatomy. It's highly complex, even if it doesn't seem that way. Your physicians prioritize dozens of data points to conclude that bypass may be necessary. Unless it is an emergency, a 2nd opinion may help allay your anxiety

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Doctor answers about:

Triple vessel disease pathophysiology

A member asked:

2000 to nov 2008 single vessel disease hypothetical question how impossible is it to go from single vessel disease to severe triple vessel disease from nov 2008 to april 2010 which is 17 months ?????

A member asked:

In severe triple vessel disease, will troponin levels be high?

A member asked:

Should i be concerned if my dad has been dignosed with cag -triple vessel disease -lad-99%, lcx-99%, rca-100%, -diffusely diseased. kindl?

A member asked:

A person has single vessel coronary disease since 2000, now 2008 an still single vessel, 15months later severe triple, how unlikely is this ?

A member asked:

Triple vessel cornary disease with 3 blockages, what are his options other than triple bypass surgery?

A member asked:

Hi sir my name ramya , my mother in law age 58 she get triple vessel disease and lmca disease.. doctors advice cabg.. i want second opinion?

A member asked:

My father was in icu last week due to stemi and triple vessel disease. cardiothoracic team opinion - patient not a cabg candidate due to ongoing hyperglycemia and not a good graftable target. please email so i can share reports. need advise urgently.

A member asked:

Can triple vessel coronary artery disease treated with angioplasty and placement of stents?

A member asked:

What does this mean triple vessel coronary artery disease needs clinical corelation and further evaluation with conventional angiography?

A member asked:

Is it possible to treat triple vessel coronary artery disease without cabg?

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