Doctor insights on:
What S An Ostial Lad
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
Cath report:LAD has ostial hazy lesion40% tapered down distaly to apex.diagonal branch ostial 90% lesion.mild global hypokinesis LV. EF 50%. how bad?
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 moreSee 1 more doctor answer
Revascularization: Would seem appropriate. Stent or bypass. Discuss plan with your cardiologist. ...Read more
Lad of Lab ?: Can you be more specific.Get a more detailed answer ›
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 moreSee 1 more doctor answer
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?
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 ?
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
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
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
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 moreSee 1 more doctor answer
Lad 100% percent blocked-2 stents-sugar and cholesteral controlled for years -cardio.Still attributes to diabetes..Can this be?
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?
If there is no angina or breathlessness can on e live normally without any procedures even when left main is 60% and LAD is 70% blocked?
Meds and supervision: Possible with good medical program and supervision by a caring cardiologist. ...Read more