Question 1

what's an ostial lad?

Accepted Answer

Branching Point: The left main coronary artery divides or branches into two other arteries.

1) left anterior descending (lad)
2) left circumflex

the point at which they divide is known as the ostia.

Question 2

should lad be stented if there is 100% ostial lesion?

Accepted Answer

: I need to see your angiogram as suspect you have developed your own bypass by developing collateral circulation.  Since I cannot see it,  please discuss with your Drs.

Question 3

60% narrowing of mid lad how serious is this .

Accepted Answer

Lesion at this: Location and severity will likely be managed medically. Talk to the doc who did the procedure.

Question 4

is it ok to have seven stents in lad and still be having pain?

Accepted Answer

Call your: Cardiologist and mention your symptoms. Chest pain could be from other causes - muscle and bone pain, acid reflux etc. Take care!

Question 5

my  proximal  lad : 100% stenosis, type c. what should i do?

Accepted Answer

Revascularization: Would seem appropriate. Stent or bypass. Discuss plan with your cardiologist.

Question 6

will drinking alcahol every night like 4 pints cause my mid lad that 60 % blocked mega worse as drink every night help..

Accepted Answer

Playing with fire: Yes, your heavy alcohol use can make things worse (a lot worse). Please see this excellent article about the dangers of excessive alcohol use.  http://www.Livestrong.Com/article/30975-alcohol-cause-heart-disease/#ixzz2jadmtffc.

Question 7

i had 3 stents placed in my lad. i am 41 years old. what's the possibility of the stents clogging up? if so can the be replaced ?

Accepted Answer

Always possible: At 41 you are younger to have stents and stents can always clot.  Work on decreasing your risk factors and you can get along fine.  I have seen people with stents for 20 years without problems, but I have also seen them clot in 20 months for those who do not take care of themselves.

Question 8

should i have a cath, had one 2 years ago was good, but have stents 5 stents placed 10 years ago, 3 in lad, stress test showed something in apex ?

Accepted Answer

YOU should: have a repeat Cath if your stress test shows a NEW abnormality or an increase in ST Segment depression in the previously stented area,
IN GENERAL FOLLOW YOUR CARDIOLOGIST'S LEAD ON THIS!
Hope this is helpful!
Dr Z

Question 9

when cto of lad is opened does collateral flow to cells fed from rca shrink and do those cells suffer from less capillary flow? sure they're reached?

Accepted Answer

Better: When coronary flow is established by opening an occluded artery,collaterals to the region disappears.Blood flow through collaterals is only a fraction of the normal but enough to maintain viability of some heart cells but barely.These cells are "hibernating" and when normal flow is restored they can return to functioning normally again

Question 10

why is the lad artery referred to as the widow maker?

Accepted Answer

LAD: The left anterior descending artery supplies the major portion of the left ventricle. Sudden death is thought to occur more frequently from occlusion of this vessel than any other single vessel occlusion; thus some people term it as you mentioned.

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Doctor answers about:

What s an ostial lad

A member asked:

What's an ostial lad?

A member asked:

Should lad be stented if there is 100% ostial lesion?

A member asked:

60% narrowing of mid lad how serious is this .

A member asked:

Is it ok to have seven stents in lad and still be having pain?

A member asked:

My proximal lad : 100% stenosis, type c. what should i do?

A member asked:

Will drinking alcahol every night like 4 pints cause my mid lad that 60 % blocked mega worse as drink every night help..

A member asked:

I had 3 stents placed in my lad. i am 41 years old. what's the possibility of the stents clogging up? if so can the be replaced ?

A member asked:

Should i have a cath, had one 2 years ago was good, but have stents 5 stents placed 10 years ago, 3 in lad, stress test showed something in apex ?

A member asked:

When cto of lad is opened does collateral flow to cells fed from rca shrink and do those cells suffer from less capillary flow? sure they're reached?

A member asked:

Why is the lad artery referred to as the widow maker?

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