A member asked:

Can you tell me how a doctor tell if your heart blockage is cholesterol or blood clot.?

3 doctors weighed in across 2 answers

Angio: On angio, they have a different appearance.

Answered 6/22/2014

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Dr. Creighton Wright answered

Specializes in surgery

May be both: Atherosclerotic - cholesterol plaque may enlarge, partially obstruct and then dissect or clot! The clots will respond to lysis with TPA (alteplase) but plaque needs dilation, or bypass if severe enough!

Answered 6/23/2014

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