Doctor insights on:
Minimal Coronary Artery Disease
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
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's mean mild coronary artery disease involving the left anterior descending and the right coronary artery? It's something to worry? Heart attack?
MDs visual judgement: I would be quite wary of the assessment, likely based on a coronary angiogram. Get a copy of all the images, on a cdrom from hospital, &closely examine yourself. Do not settle for someone else's interpretation, its not their body/heart. Any narrowing (stenosis) means advanced atherosclerosis with previous plaque ruptures; clots which have fibrosed/not-cleared; narrowed the opening of the artery. ...Read more
45y, f having rapid heartbeat and high BP sometimes, diagnosis unstable angina II b, in angiography test having mild coronary artery disease. Need advise?
Recent Angiogram after chest pain revealed ‘mild 25-49% coronary artery disease CAD RADS 2. Are statins essential worried heard bad side effects?
Take statin: You have some coronary artery atherosclerosis which is a risk factor for future heart attacks. The score indicates that the disease is not extensive at this time. Management includes proper diet, daily low dose aspirin and most cardiologists would start you on statins which millions take with proper supervision and attention to possible side effects.? medications like beta blockers, BP meds, nitro ...Read more
Sort of: Yes it runs in families so if your parents have it you are more likely to also. This is partly because risk factors such as diabetes are also inherited. It is very complicated however, much more so than hair or eye color for instance because there are so many factors to consider. ...Read more
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
LDL Cholesterol: More specifically, LDL (low density lipoprotein) cholesterol gets deposited within the walls of the arteries. These deposits, known as plaque, can continue to build up causing narrowing of the arteries and may lead to blockage. If the involved arteries are in the coronary arteries, this leads to heart disease. ...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
After Ds is Advanced: Though dominant human behavior, physicians are trained to wait for evidence of advanced disease, largely in this order of ↓ing ability to detect disease: 1. Calcification in the artery walls, 2. Obstructions visible on coronary angiograms or ct, 3. Symptoms & evidence of heart damage; typically the last detected/recognized 4. Stress tests. | for a better alternative: optimize the driving factors. ...Read more
Chronic is Typical: Artery disease, especially in the heart arteries, is dominant human behavior, typically starts in childhood yet is typically ignored for decades because it remains asymptomatic until plaque ruptures release debris, triggers clots & suddenly blocks blood flow. These plaque ruptures are the basis for acute symptomatic disease. Thus best to treat the driving factors early, not wait for symptoms. ...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 also. ...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
Yes: "drugs" is a vague term but if you mean recreational drugs then yes. Marijuana is as bad if not worse than cigarettes. No filter, held for extended time in lungs, and often contains unknown contaminants. So if smoking is a known risk factor....Cocaine tends to cause intense coronary artery vasospasm. This can damage the endothelium and allow cholesterol to deposit in the vessels. ...Read more
Hello noni --
i think you are referring to a coronary anatomy -- so for every procedure and surgery, the surgeon must know the anatomy of the organ they are trying to operate -- and in case of coronary anatomy, they vary some, so diagnostic evaluation is done preceding any surgical contemplation. ...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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