Doctor insights on:
Arteriography showed 100% blocked Circumflex..had bypass on LAD 16 yrs ago..I'm 83.....prognosis?...worried
Need more info....: Not all 100% blocked lesions need to be fixed. Depends on symptoms, if any, and more importantly can they be attributed to that lesion. That is, your body might have already formed "auto-bypasses" to the chronic blockage. You and your cardiologist need to have a frank discussion about your options: do nothing, medical management or interventional based treatment; risks/benefits and trade-offs. ...Read more
Angina?: What did cardiac specialist say after all your test? It's probably related to gastrointestinal issues. But best to talk with your cardio. Good luck. ...Read more
Mid LAD Shows chronic total occlusion with faint filling of distal LAD seen through collaterals, (LMCA,LCX, OMs, RCA are normal) Pls suggest Stent/Med?
Cannot stent: You prob can't stent your mid-LAD as it is already 100% occluded. Good that you have collaterals to feed that downstream muscle. You should be on a statin med (pravastatin, etc) to prevent further atherosclerosis. Add a blood pressure med like Lisinopril if you have high BP. And use meds for angina, but only if you trigger it w/ activity. A daily aspirin is recommended. Any heart attacks? ...Read more
Would medication treat mid LAD 100% coronary blockages effectively. Angiogram showed i had collateral coming from rca to lad. Fyi, my lipid # great.
No: There are no medications that can treat a 100% blockage. Collaterals are good and low cholesterol is good only surgery can treat a 100% blockage, but depending on the flow through the collateral circulation, that may not be necessary. Talk to your cardiologist about treatment options. ...Read moreSee 1 more doctor answer
What does calcium score (agatston) of 0.5 mean? Lma patent, LAD gives off small d1andd2 diag branches. Mixd plaque, mid LAD no signif stenosis.
Calcium score 40: Your findings suggestive of there is no significant blockage of heart arteries. Your calcium score is low. Cardiovascular event rate is low. You have mild blockage in the mid part of the left side coronary artery. It is composed of calcium and cholesterol. Continue life style modifications and check cholesterol panel. If it is high consider dietary changes, exercise and if refractory use medicines. ...Read more
Husband had a quadruple bypass. Experiencing increased angina, had angio today to put stent in.Instead, radial artery not functioning?
Not sure: Not sure what you mean by radial artery not functioning. Was there a failed attempt at radial puncture? Was the radial artery used as bypass graft? Radial artery has mostly been abandoned as an option for bypass graft and is only used as a last resort. Please clarify. ...Read moreSee 1 more doctor answer
Mother 58 yr heart attack.Within 7 hrs angioplasty LAD for 100% block.After 12hrs cardic arrest.Then ventrilation .Cpk 389 now consious.Will survive?
She has already sur-: Vived but in such situations can have another attack or some other complications. Your cardiologist will be the person to discuss it with. I am hopeful she'll do well as she is rather young. Good luck. ...Read more
Coronary Angiography report concluded;"atherosclerotic coronary artery disease showing moderate proximal LAD mixed stenotic lesion 50%"what it means?
Test Result: I find it is best to discuss any test result with the physician who did the test or ordered the test. They can interpret it knowing all the clinical history involved and tell you exactly what is going on. ...Read more
HX Nstemi Aug10,distal LAD occlusion,med therapy Crestor20mg,Toprol (metoprolol) XL 100 mg ,Plavix75mg ,Nov13 ,TC100LDL60HDL35TG60 LpPLA244 Lpa50 recommendations?
What's your Question: Looks like your numbers are pretty good with a good drug regimen. See your cardiologist, looks like he is doing a good job! ...Read more
Coronary CT angiogram shows extremely high calcium score of 4242 and ~ 70% blockage one artery. next step cath angio. Should I consider atherectomy?
NO: You need a coronary angiogram-depending what it shows, you may need revascularization. Depending on location and extent, you may need surgery. Otherwise, balloon angioplasty followed by stenting is the treatment of choice. Atherectomy has a very limited and specific indication. If you need it, your interventionalist is the one to make the call. ...Read moreSee 2 more doctor answers
Had coronary angiography and inital results were mixd plaques prox segment 627 of the LAD w/o stenosis and right dominant circulatio. Wt does dis mean?
627?: I'm not familiar with the 627 figure - is this a typo? (i do angiograms). It sounds like you have non-obstructive coronary disease since no intervention was performed or recommended. It means you're okay now, but going to have trouble in the future if you don't take action: you need a statin, eat a vegetarian or mediterranean diet, keep BP and weight under control and exercise daily. No smoking! ...Read more
Have relatively short 100% blockage in mid LAD &100% posterolateral branch of circumflex artery (both relatively small targets).Will stent help or ris?
stent: There are technical factors in deciding whether stenting is possible and physiologic predictions of whether successful stenting will yield benefit. Your doctors including interventional cardiologist are best to advise you regarding your specific situation. ...Read moreSee 1 more doctor answer
Ct corn angio- norm myocardial morphology/function.No plaque/stenosis.Mild myocardial bridge mid of LAD w/o significant attenuation of vessel.Explain?
Coronary angio: Simplest answer to your question is it is normal....Myocardial bridge without attenuation of vessel is normal variant. ...Read more
Chol145, hdl44, ldl86, trigl96, bp120/80;strstest:[email protected], ctangio:mixd plaque no stenosis, was given plavix (clopidogrel). What other treatment is needed?
Dad on metoprolol tartrate, nitrogroglicerin patch, simvastatin since June for 100% blockage one artery. Since had fatigue, dream like state, diziness?
Had coronary angiogram initial result were mixd plaques prox segment 627 of the LAD no stenosis & right dominant circulation. What does this mean?
Earlier post: I see you're on-line - please see my earlier post to you. ...Read more
Husband had eye stroke had dopplar & mta dopplar showed blood flow no blockage mta showed severe stenosis carotid artery how does this happen next cta?
Carotid stenosis: If severe, greater than 60%, then you should consider a potential entarterectomy or even stunting to prevent additional stroke events. Some evidence to suggest also, potential benefit of anti-platelet medication such as Aggrenox and a statin. Discuss with a stroke neurologist, and a vascular surgeon. ...Read more
Can you do angioplasty stent on restively short 100% blockage in mid LAD and 100 % posterolateral branch of circumflex artery & both relatively small.
Generally yes: The real question is do they need to be done. An artery that has been closed for some time (cto), is usually no longer threatening to you. In some cases, with unacceptable symptoms despite appropriate meds, an attempt at opening the vessels may be considered. Ask an interventional cardiologist with experience in doing ctos to review your cath. ...Read moreSee 1 more doctor answer