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Doctor insights on: Lima To Lad

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60% mid LAD help?

60% mid LAD help?

Statins and diet: You should go on a heart healthy diet with limited fats and carbohydrates. Prescription medications called statins can lower your cholesterol and risk of heart attack. Take an Aspirin every day as well. ...Read more

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60% narrowing of mid LAD how serious is this.

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

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

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

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

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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?

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?

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. ...Read more

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What's an ostial lad?

What's an ostial lad?

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. ...Read more

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Are there scenarios when opening cto of LAD results in less function due to increased flow to nonviable cells and less flow to collateral fed cells?

Are there scenarios when opening cto of LAD results in less function due to increased flow to nonviable cells and less flow to collateral fed cells?

NO: When a chronic total occlusion is opened, circulation is restored to all areas. Non-viable tissue doesn't contract; viable tissue does but may take time for full restoration of function. There is no mechanism present that increases flow to non-viable cells. ...Read more

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

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

Alcoholism: Let me speak frankly. You are an alcoholic. If you continue to drink so much alcohol you will die an early death. Drinking like you do will in no way make your coronary artery disease better. It will speed up the damage to your heart.

There is an amazing gift that comes with sobriety. That gift is a clarity and a serenity about your life. I wish for you a chance to get sober and to seek health. ...Read more

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I quit cigarettes3 months ago. I'm using a vaping pen with 0 nicotene. I had 3 stints in my LAD in 2012. How bad is this for me?

I quit cigarettes3 months ago. I'm using a vaping pen with 0 nicotene. I had 3 stints in my LAD in 2012. How bad is this for me?

Probably okay: I commended you on quitting smoking. That is the best decision you can make to improve your heart health. It's still uncertain if e-cigs have any long-term effects, but I think the benefits of quitting smoking is so much better. ...Read more

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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?

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?

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 ...Read more

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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?

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?

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 ...Read more

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

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. ...Read more

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What causes LAD on EKG. In healthy people.

What causes LAD on EKG. In healthy people.

See a cardiologist: LAD refers to "left axis deviation" and can be due to changes related to hypertension, cardiac conduction abnormalities, and other conditions. There are varying degrees of LAD. It does not always indicate potential cardiac disease, but getting an evaluation from a cardiologist is a good idea to be sure that risk factors for future possible problems can be identified and treated.
...Read more

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Please tell me if angioplasty/bi-pass required for distal LAD (50% stenosis) and proximal d1 (90% stenosis)?

Please tell me if angioplasty/bi-pass required for distal LAD (50% stenosis) and proximal d1 (90% stenosis)?

Maybe stent d1: Stents are often placed in these locations if the vessels are big enough. If the blockage is way down distal in the artery or the artery is too small there is often no need to do anything. The distal LAD is probably not an issue. The 90% diagonal stenosis might be if it is big and supplying a large area of the heart. This is not usually the case and would require a stent at the most. ...Read more

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If in LAD there are 2 stenosis each 60% and in RCA there is one long stenosis 50%. Whether CABG may be performed?

If in LAD there are 2 stenosis each 60% and in RCA there is one long stenosis 50%. Whether CABG may be performed?

More info needed: This is a tough one. There is some robust data that suggests aggressive medical therapy is non-inferior to "revascularisation" (CABG, PCI) in patients with "stable" angina. That is, not having an acute event. AGgressive med therapy is statins, ASA, beta-blocker at good doses. Maybe even Plavix (clopidogrel). BUT in DM this may be less so. Depending on sxs you should decide & have open dialogue with cardiologi ...Read more

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How quick will mid LAD 60% block up from drinking alcahol dependency like upto 8 cans a night help. ..Need to go on anti-buse help?

How quick will mid LAD 60% block up from drinking alcahol dependency like upto 8 cans a night help. ..Need to go on anti-buse help?

Antibuse: You have alcohol dependence and antibuseyou and maybe aa. Your coronary blockage will be followed by a cardiologist. Over time this may progress, and your cardiologist will help, but alcohol abuse will kill you faster if you don't change your ways. You are 40 years young. ...Read more

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Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What is that mean?

Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What is that mean?

Reduced blood supply: Ischemia means reduced blood supply to a part or muscle. The LAD refers to one wall of the heart. This means you should follow up with your doctor or a cardiologist. You are at risk for heart disease, but it doesn't tell you how great is the risk. ...Read more

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Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What does that mean?

Very mild reversible ischemia my stress test shows there is very mild ischemia in the anterior wall in the LAD territory. What does that mean?

Blood flow: Reversible ischemia means that an area of your heart muscle is not getting adequate blood flow (at times) but then the blood flow "catches up" (i.e. Reversible). The LAD is the left anterior descending coronary artery - it's an important blood vessel. The LAD may have a blockage - would recommend seeing your cardiologist. ...Read more

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43y/o male 6' 175lb had cto LAD stented. LDL little high but lpa high, 120mg/dl. How to lower lpa? Having rough time w/ statins side effects.

43y/o male 6' 175lb had cto LAD stented. LDL little high but lpa high, 120mg/dl. How to lower lpa? Having rough time w/ statins side effects.

Niacin: Although LPa is an established risk factor for coro art disease it is unclear wether treating it leads to reduce cardiac events unlike lowering LDL.Niacin is the only known medicine to lower LPa It also lowers LDL and triglyceride. If you absolutely is intolerant to statins, Niacin maybe an alternative, that is if you can take it which a few people can't ...Read more

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Husband has artherosclerosis, stent in rca in nov, 2012, left main 60%, LAD is 70%, on medications, ef43%, feels fine, is it ok to gym and do weights?

Husband has artherosclerosis, stent in rca in nov, 2012, left main 60%, LAD is 70%, on medications, ef43%, feels fine, is it ok to gym and do weights?

Check: Sounds like he has a cardiologist
range of activity can be guided by last stress test.
No smoking
weight loss and graded exercize are reasonable.
Common sense: if it hurts stop!
if tired - rest. ...Read more

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I am 62 yrs Detail report- LAD- Mild irregularities in mid LAD; RCA- Dominant. Mild proximal irregularities; LMCA, Diagonals & LCX are normal & free?

I am 62 yrs Detail report- LAD- Mild irregularities in mid LAD; RCA- Dominant. Mild proximal irregularities; LMCA, Diagonals & LCX are normal & free?

Talk to Cardiologist: The Cardiologist who has examined you and tested you would be the best person to speak to regarding your cardiac risk stratification and treatment options. These are the results of your coronary angiogram. ...Read more

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3 weeks ago, stent placed due to 95%+ blocked lad. Since then, I often feel a bit of pressure or pinching like feeling. Not pain...Just discomfort. Is this normal?

3 weeks ago, stent placed due to 95%+ blocked lad. Since then, I often feel a bit of pressure or pinching like feeling. Not pain...Just discomfort. Is this normal?

Yes: Yes it's very common to have a pinching pain in your chest after a stent is placed. However, the pain should be stable, if it changes, get to an er otherwise I would call your cardiologist and follow up as an outpatient. ...Read more

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Does the LAD artery have to be 100% blocked to be dangerous?

No!: The LAD is a major supplier of blood to the heart, and blockage can cause serious damage. We now believe that most heart attacks occur when a 'vulnerable' plaque (build up of cholesterol deposits in the wall of the artery) ruptures, and platelets stick, causing the artery to completely close. The artery may be only minimally narrowed before this occurs. ...Read more

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When is a heart patient considered eligible for a midcab of the lad?

When is a heart patient considered eligible for a midcab of the lad?

Complex question: Many factors need 2 b considered b 4 having a bypass to the LAD. R u having symptoms, is there nuclear or echo evidence (with a form of stress test) of insufficient blood flo, how much heart muscle is at risk, has medication controlled symptoms, is angioplasty not feasible, and is Ur anatomy suitable 4 surgery? U need to discuss all these issues with Ur doc so you can then make an informed decision. ...Read more

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Will the clearing of an 80% blockage of the LAD help a a 20% efficient heart?

Will the clearing of an 80% blockage of the LAD help a a 20% efficient heart?

Sometimes: Heart function sometimes improves after opening a blocked artery but not always, especially if you have had a heart attack in the past. Symptoms of heart failure or angina, such as shortness of breath and chest pain are more important than the number attached to your heart function. Best wishes. ...Read more

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Does moderate ischemia in the apical mid anterior wall mean blockage in the lad?

Likely: The anterior and apical regions are typically supplied by the LAD and ischemia in these territories is usually due to significant tightening or blockage of the artery. ...Read more