Doctor insights on:
3 Vessel Coronary Artery Disease
Angioplasty: The treatment of multivessel disease depends on many factors. If you have triple vessel disease you should discuss your status with your cardiologist and ask the options open to you. ...Read more
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
What does this mean
Triple vessel coronary artery disease needs clinical corelation and further evaluation with conventional angiography?
Triple vessel diseas: That statement means you need to see a cardiologist for further evaluation and perhaps additional testing or treatment. ...Read more
Yes, possible, but..: 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 ...Read more
Please tell me might be possible to treat triple vessel coronary artery disease without having a surgical cabg?
Best option in most : Coronary artery bypass is considered the definitive treatment for triple vessel coronary disease. It may be possible to treat with stents, although outcomes have not typically been as good as surgery. The last choice is medical therapy which is not as good as either of the above options. ...Read more
Wht does ths mean
Triple vessel coronary artery disease needs clinical corelation & furthr evaluation with conventional angiography?no heart atack yet
All areas affected: The three vessels are the right side, the left anterior descending which is in front, and the left circumflex which is in the back and left side. Three vessel disease so is just all three major areas of blood distribution are affected. Clinical correlation refers to injecting dye into the arteries directly taking pictures and actually seeing how much blockage there is in the arteries ...Read more
Coronary artery disease. Single vessel disease 60% luminal (phenobarbital) narrowing. What should I do?
Medical management : Medical management of cardiovascular risk factors in conjunction with your cardiologist. ...Read more
With single vessel luminal (phenobarbital) narrowing coronary artery disease what percent requires angio?
Certainly: Evaluation by a primary care & cardiologist, reduce weight — BMI < 28, eat right: low fat, low (bad) cholesterol, consider high quality fish oil, cessation of smoking, exercise (if you are healthy enough per your physician), reduce alcohol consumption, take prescribed medications as directed. Know your numbers: cholesterol, blood pressure, blood sugar and work with your physician to optimize them. ...Read more
Minimize the Drivers: Optimize lipoprotein concentrations (ldl ; hdl, not cholesterol), low normal blood glucose: hba1c <5.0, low normal bp, don't smoke, stay physically active, confront and resolve stress, etc. This is the best approach. Conventional medical methods, angioplasty, stents, bypass surgery, etc. Only partially treat the symptoms ; further complicate the disease process (i have experience will all these). ...Read more
AtherosclerosisClots: The key issue is atherosclerosis: accumulation of white blood cells in the walls of arteries, typically starts in childhood & is primarily driven by lipoproteins (proteins which transport fat in the water outside cells) is dominant human behavior yet is typically ignored for decades because it remains asymptomatic until plaque ruptures release debris, triggers clots & suddenly blocks blood flow. ...Read more
Cath lab , CT, scans: CT scan can do a calcium count, which is related to disease. Cath lab can create dye studies of the arteries, which show blockage. A myocardial perfusion scan can show abnormal areas of blood flow on the heart, which is related to blocked arteries. 256 bit CT scans are getting very good at showing artery disease as well. ...Read more
Several test.: There are several tests for coronary artery disease. A thorough history and physical exam, ekg, ct scan, nuclear studies are all helpful but the best test is a cardiac catheterization. The cardiologist will place a small catheter through a groin vessel up to the heart and inject a special dye into the coronary arteries. The pictures will show if there are any blockages or not. ...Read more
Various: If you're asking how CAD is diagnosed, there are actually many ways. Direct testing can show it (ie stress test, calcium scan, catheterization). We also consider the presence of vascular disease elsewhere in the body to be equiv. To having cad. So if someone has blocked circulation in the legs, or a history of certain kinds of stroke, they'd be treated like they have cad. It's a systemic process. ...Read more
Chest pain: Symptoms from coronary artery disease (CAD) can vary. The most common is angina and can include chest pain as well as pain in the arm, jaw, or abdomen. The pain typically gets worse with activity and better with rest. Shortness of breath can also develop, especially as the heart muscle begins to weaken from inadequate blood flow. ...Read more
Yes: Men have higher rates of CAD and they tend to suffer at an earlier age. This is part of the reason the life expectancy of men is shorter than women. ...Read more
Always: Many stuides show differences among racial lines; my opinion is that these really demonstrate differences in socioeconomic levels. I feel it is much more dependent upon income levels and the types of foods and lifestyle a person leads. Lower socioeconomic groups tend to eat foods that are less healthy and engage in alcohol and tobacco use as well as engaging in less exercise. ...Read more
Calcified CAD: Plaque in coronary arteries is in a real sense abnormal tissue. Calcium tends to accumulate in abnormal tissues in our bodies. This phenomenon is called dystrophic calcification. The amount of coronary artery calcium as detected by specialized ct scans can be used as a predictor of future cardiac events such as heart attack. ...Read more
Easy one: Coronary artery disease is the build up of atherosclerotic fat plaques in the arteries of the heart. These can partially block blood flow to the heart muscle causing angina or block completely and cause a heart attack. Hypertension is high blood pressure which can be caused by a variety of medical conditions. ...Read more
2 different things.: Hypertension means simply high blood pressure. Blood moving through tight, inflexible pipes (arteries) is under more pressure than more flexible arteries. High blood pressure can lead to a host of diseases such as stroke and coronary artery disease (cad). CAD is clogging of the arteries that directly supply the heart itself which can lead to heart attack. ...Read more
The leading cause of death and disability in adults in the U.S. It develops when lipid (fatty) plaques builds up in the arteries, thereby stopping blood flow to the organ supplied by that artery. If the artery supplies the heart, blockage causes a heart attack. If the blockage is in a brain vessel, the ...Read more
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