Top 20 Doctor insights on: Lad coronary artery calcification

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What anatomically predisposes the LAD to be occluded more so than the other coronary arteries?

What anatomically predisposes the LAD to be occluded more so than the other coronary arteries?

Biggest: It's the biggest of the 3 coronaries thus sees more volume of blood. Because of its bifurcation from the l main, it's also is exposed to proximal turbulence. Both factors may be injurious to its endothelium. Finally, because of its size & the muscle I subserves, it's more obvious: when the LAD occludes, you know it-so there is bias in the studies of its incidence. ...Read more

Dr. Hamid Sajjadi
1 Doctor shared a insight

Artery (Definition)

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


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My CAG report shows that I have Mild Coronary Artery Disease, Borderline LAD with Mild LCX and RCA disease. Good LV function. Do I have heart problem.

My CAG report shows that I have Mild Coronary Artery Disease, Borderline LAD with Mild LCX and RCA disease. Good LV function. Do I have heart problem.

An artery problem: You now know you have a tendency for artery disease, fortunately it is not causing problems yet. I would undertake aggressive lifestyle and medical measures to slow down this process! Exercise, weight control, aspirin, lipid therapy, control blood sugar, no smoking, beta blockers, ace inhibitors. ...Read more

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Coronary Angiography report concluded;"atherosclerotic coronary artery disease showing moderate proximal LAD mixed stenotic lesion 50%"what it means?

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

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Had a CT A done, this was the results Mild calcification of the left main. Otherwise normal coronary arteries. What does that mean?

Had a CT A done, this was the results Mild calcification of the left main. Otherwise normal coronary arteries. What does that mean?

Occult CAD present: There is evidence of coronary atherosclerosis in your arteries atleast in the left main artery and albeit mild. Over time cholesterol hardens and that is what CT scan picks up. So at your young age if there is early atherosclerosis, you should have your fasting lipid panel be checked and then modify your lifestyle to mitigate progression of cholesterol build in your arteries. ...Read more

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Coronary artery calcification with fast heart rate...cant do activity without stop catching breath. Take adalat (nifedipine) without good results...help?

Coronary artery calcification with fast heart rate...cant do activity without stop catching breath. Take adalat (nifedipine) without good results...help?

How high: How high is calcification score. If this is too high you actually may have aggressive heart disease. Have you had your thyroid checked.
See your doc and if persist see a cardiologist and insist on an echo for cardiac performance. ...Read more

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Can you describe calcified coronary artery disease?

Can you describe calcified coronary artery disease?

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

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How does calcified plaques in coronary arteries be treated?

Presence vs effect: Calcified plaque occurs when the cholesterol buildup of your arteries becomes calcified, a natural process. Treatment occurs when the narrowing either results in or is likely to result in problems like chest pains or a heart attack. It is impossible to treat widespread disease but for specific areas of narrowing or blockage, balloons, lasers, and other treatments are used. ...Read more

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My coronary arteries are highly calcified. Does this mean that there is blockage? Other than angiogram, is there a less invasive test to show block?

My coronary arteries are highly calcified. Does this mean that there is blockage? Other than angiogram, is there a less invasive test to show block?

Angioangiogram: Usually calcification and coronary artery blockages go hand in hand. You have already had the gold standard test-the angiogram. There are less invasive tests e.g. Coronary ct scan, which usually shows calcium but not as sensitive or specfic as a angiogram. ...Read more

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"No evidence of calcified plaques in coronary arteries or thoracic aorta. Therefore, the calcium score is 0."How reliable is 0 CT score in predictin MI?

"No evidence of calcified plaques in coronary arteries or thoracic aorta. Therefore, the calcium score is 0."How reliable is 0 CT score in predictin MI?

Need risk factors.: While a high coronary calcium score (CCS) is helpful (in the sense that it virtually guarantees that you have heart disease & need treatment), a low CCS isn't very helpful. It's better for you to decide based on traditional risk factors: age, diabetes, high blood pressure, cholesterol, family history, etc. At your age, even a CCS of 0 can be a false negative. TTYD or use HealthTap Prime to discuss ...Read more

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Can stent be used to open 100% blockage in an artery such as LAD during cardiac catheterization procedure. Cons and pros please. Thank.

Can stent be used to open 100% blockage in an artery such as LAD during cardiac catheterization procedure. Cons and pros please. Thank.

Yes, if needed: Total blockage may occur suddenly - this is what causes a heart attack. Then the goal of the procedure is to get the blocked artery open asap (<90min) to save otherwise dying heart muscle. If the blockage is chronic, then it should be opened if the supplied muscle is alive and the patient's active lifestyle brings out symptoms. Stress scanning may be helpful to determine this. ...Read more

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Long term is tegretol or lamictal safer for a cardiac patient? 2 stents in LAD artery.

Long term is tegretol or lamictal safer for a cardiac patient? 2 stents in LAD artery.

Both fairly safe,: Yet, I would tend not to use tegretol due to its potential for adverse effects, such as lowering sodium, causing bone marrow anemias, affecting liver function, but also raising cholesterol levels (which indirectly might harm the heart eventually). Big issue with Lamictal is occasional rash, but otherwise, not a bad choice and well tolerated. ...Read more

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Coronary artery calcification...I take adalat (nifedipine) blood pressure ok but heart rate high 110 at rest. Feel heaveness on chest and shortness of breath. Help?

Coronary artery calcification...I take adalat (nifedipine) blood pressure ok but heart rate high 110 at rest. Feel heaveness on chest and shortness of breath. Help?

Need examination: That is an abnormal resting heart rate and for someone your age & history of coronary artery calcification as you state- if this is entirely new for you in terms of symptoms then, your next move should be an ER facility. You are welcome to write to me with other questions if you'd like at: www. Healthtap. Com/drsaghafi but I don't think that should delay getting seen now. ...Read more

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How many main coronary arteries?

1: When referring to the "main" coronary artery, that is usually refers to the left main (lm) coronary artery. This artery divides quickly into the left anterior and left cicumflex artery, both very important and large conduits supplying much of the heart muscle with blood. The right coronary artery usually has its own origin. In some people there is no lm and each artery has its origin off the aorta. ...Read more

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How do the coronary arteries work?

How do the coronary arteries work?

Carry blood: The coronary afteries are located just above the aortic valve. Blood flows through those arteries and suppies oxygen to the heart muscle. A number of factors can cause the arteries to dilate (become wider) so that the flow of blood can increase if needed such as when you exercise. ...Read more

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Dr. Linda Callaghan
2 Doctors shared insights

Coronary Artery (Definition)

Coronary artery is the name given to the blood vessels that supply the myocardium. The word coronary was coined by the first anatomists that noticed that if you remove all muscle from the heart the remaining vessels resemble the shape of a corona or crown. ...Read more


Dr. James Lin
5 Doctors shared insights

Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more