I think review of your prior films would show they were likely abnormal before. Marginals: Major OM has Mild disease. Since you have the evidence of coronary disease though you should take care to address risk factors to prevent worsening of disease (prevent and control diabetes, stop smoking, cholesterol, diet, exercise, lifestyle, blood pressure etc.) Many people live normal lives even with an occluded RCA artery. Typically people go through the right groin. The cardiacs say angio is done and its clear and that is conclusive and gold standard test. My father did Angiogram on September 5th..Report has shown below.. But I see, in reality its not. I am a 40yo man, in great physical shape, exercise regularly, eat right, etc. Hello, I am a 30 year old female with hereditary heart disease. blockage heart mild artery coronary explained disease myheart Report: Can i handle this situation with medicines. LAD : minor soft plaques noted causing 25% narrowing ,rest is normal. No sign of Angina, no chest pain, no shortage of breathe, no fatigue. codominent vessel Obtuse marginal 1 has 40-50%disese. Hi sir, We are trying to do all his favourite things including a trip to Hawaii, but are afraid to Sir, Please reply, should I go for BYPASS SURGERY by another doctor? Reported On : 09 Mar 2018 03:32 PM for him to return home for the procedure? He went in to see how blocked his heart is and the doctors said most of his main arteries are 95% to 100% blocked and his left ventricle is 25% functioning. My father age 65 was suffering from atrial flutter. Also plz answer BACK OF HEART- LOWER CHANBERS. Of course medical treatment and evaluation and risk factor treatment is critical here. Today is 4th day & in your experience, what would be the next appropriate steps for Circumflex & LAD besides managing it with medication. There was viability scan done on my heart and it shows 15% viable myocardium so doctor advised me to get RCA stented. Pls. Sir my father has done recently an angiography sir I want your advice in this regards what precautionary steps I have to take plzz sir, The test shows MRI scan for evaluation of coronary stenosis is not as reliable as CT, i do however understand the reluctance to be exposed to ionizing radiation, discuss with your physician. hypokinetic and akinetic areas present. It wasnt a heart ct but a abdomen ct, and it said moderate aortic plaque. # eccentric calcific atheromatous change in proximal LAD with mild to mid luminal stenosis. Correction. That I cant do.

iam totally physical fit . LAD : Type 3 Vessel, Mid LAD has 80% disease involving origin of large D1. Its not really possible to comment without seeing the films. Im in a constant daze. hi Sir your comments are really helpful I am also in an critical condition that my fathers eco report says heart is working only 25% so doctors denies to do angeography and also advise to not to operate he has recently sfferd with a major attack, unable to take decisions. Medical management id an excellent option for moderate disease. (Beam hardening artifact seen due to calcified plaque which might have caused mild. My heart is working at 35%. According to the notes from my angioplasty my RCA was 95% blocked and I had a TIMI flow of 3. Regardless risk factors such as diet, exercise, cholesterol, diabetes, smoking, blood pressure etc should be addressed. I have a pacemaker. Stenting should certainly only be used when there is a good rationale and thought process. And i sure hope things with your husband have improved. Please. My mom just had a major heart attack. No significant atherosclerotic changes are I have 99% block. Sir I have diagnosed with 50% blockage in proximal lad ,then also tested by ct angiography my calcium score is 24 , please tell me about further treatment, I am always worried about it. My age is 61 and Till last year ( Feb 2014) medical checkup, I got OK as i COULD COMPLETE TREADMILL TEST PROPERLY. Its different in every case and the films would need to be reviewed to know. There is mild to moderate, diffuse left ventricular hypokinesia. (maximum of 60 70%) with focal area of near total occlusion. though dont feel 100% as before His RCA was stented to relieve from the heart attack & advised to wait for at-least 2 weeks prior to consulting for alternatives for blockages in Circumflex & LAD. In your expert opinion what course of actions need to be taken besides medication for circumflex & LAD or all blockages. Can the patient undergo plasty within a short interval or will it take time. I would ask the cardiologist why medical therapy has been preferred in this setting and their thought process. Will this be worse for the calcification? Conclusion Is it possible to avoid surgery at all (either by medical therapy or with stenting)? This is the same case as one of my friends . I have heard that there is new technology regarding opening of calcified arteries and placement of stents and wanted to know more about it from another standpoint, rather than a sales video. In the case of a 60% blockage, often medical treatment only may be required. LIMA > Distal LAD graft. Walking up the steps is a job as Im out of breath. Thank you. Can a change in diet and medication help him live with this condition for an extended period of time? In terms of fasting, please make sure that you ensure critical medication timings such as blood thinner have been discussed with the treating dr. Hello doctor.. My husband is 37 years high cholesterol all his life, high blood pressure (hes oin medication for both). CAD. Proposed PLAN! Very helpful forum. When we took the opinion of other doctors, they told 95% it is not possible to open 100% blocks. There is no evidence of plaque stenosis. Rca non dominant mid rca 90% dominant. Your medications seem appropriate and your heart function should be checked again in a few months to assess response and recovery. I need your kind advice. LCX are 40-50% Dominant vessel Eccentric calcified plaques noted within proximal LCX resulting in stenosis. I uploaded my picture here: I am not obese but of lean constitution. I would recommend a specialist guide the treatment if possible. Does she have symptoms? Luckily his body started using feeder arteries to flow the blood through. I am only 48, but have family history of heart issues (maternal grandfather died of first heart attack at age 49, aunt died at 56). Is this True.just Death Awaits >? Hi Dr, I like the article and it helps me to clear everything. Diagnosis :- Multiple Vessel Disease -> Small Vessel Disease My mom is 72 and has 99 blockage. Doctor advised to do heart open sergery The info in your article was very useful, but to be honest with you, now I am very worried about risk of a major heart attack. Is it necessary? He also has Diabetes, High blood pressure, Hepatitis B and Asthama. However, re: the 90%, they could do a stent but because its a longer and narrower, the risks for stent closing/blocking up again are greater. I told the nurse to tell the Doctor of this possible delay. Hello Dr I hope you can help me understand what is happening with my Youngest Sister This all started with swollen ankles and becoming very tired and short of breath !! Out of fear Im taking all kinds of supplements (Niacin, Magnesium, Fish oil, Vitamin K2, D3, B6, B12, CoQ10 etc.) SVG > RCA branch graft noted with mild disease in the graft. Just had an angiogram last week: She is in hospital following pneumonia and two subsequent heart attacks.

it would mean the world to us, Hey doctor I have blocked artery in left arm getting .I know I need bypass. He was told later that they didnt split that one because it still had healthy blood flow. He is 71 years old so Im concerned that when these arteries become problems, he may be too unhealthy for surgery. Is 70% blockage of D1 as bad as the same blockage of the LAD or worse? Hi colleagues, how is the whole thing, and what you wish for to say left artery blockage maker widow main coronary shows telemetry technician course improved flow blood almost complete Protocol: Rest study done with 15 mci of 99m Tc-MIBI administered IV. In general multivessel disease of this nature is treated with bypass surgery, feel free to follow our twitter at @MustafaAhmedMD. Multiple fibrocalcific plaques are noted in mid LAD causing diffuse luminal irregularity and mild areas of stenosis. Feeling vulnerable and weepy after stents normal? It is medical neglence case or not.. CT CAG Report for my uncle and age of 59 years, 2) D2 showing short segment circumferential calcific plaque causing severe degree narrowing. Please advise what shall I do.. Stents should not be placed in 50% blockages. advice best latest treatment available and also advice any latest treatment found against TAR. Hello doctor: The Drs are unsure what to do. The branch of the Cx is called a marginal and im not sure about the other however it must have been felt to be of mild or moderate significance and left to be medically managed or the artery to small to be considered of significance. Your thoughts? Age/Gender : 61 years / Male The symptoms are concerning. I just had a stent inserted in my LAD artery this past Monday (10/26/15). She had a visiting nurse who called on her twice a weekfor a month. * Eccentric mixed plaques in D1 causing mild stenosis. Some cardiologist suggest to continue medication for one n half months and cardiologist surgeon says to go for surgery immediately after seeing the angiography CD. Subsequent angiogram revealed LMCA normal, mid LAD 80-90% stenosis, LCX non-dominant proximal LCX 30-40% stenosis, distal LCS 40-50% stenosis, RCA dominant, mid RCA 95% discrete stenosis, distal RCA has tandem lesions of 50-60% stenosis followed by 50-60% stenosis. why couldnt doctor diagnoise things in the first instance and what was the cause for repeatation. If the RCA is truly non dominant it may be appropriate not to graft this. Hello Dr. Ahmed, Required fields are marked *. angioplasty that was done in November 2014 showed totally occluded 100% blocked RCA and I was referred to another hospital due to current hospital not able to perform complex PCA. would something like that have started as a feeling of awful acid reflux? His doctor suggested him go for TMT as well for clear his doubts and the result he got positive. Anything is possible, although unlikely, if you are worried, please see a dr for a consultation. I have an EF of 45. What are the lifestyle and dietary changes a person has to make if he/she has mild blockage around 30% in heart? 2. And how early should he go for the surgery? Rca o. LCX small vessel my father already sugar patient. first marginal branch occluded How it happened. He responded well to ranolazine and is on bp medication and insulin. SVG > D1 graft. Hes been in the hospital with fluid in lung and kidney problem and on intubating tube. If you can provide your email id can forward the complete reports to you, Dear Dr. Mustafa Ahmad, ( one cardio believe its mental and has precsribed librax) These pictures and explanations do not completely explain to me the difference between the LAD and the D1. Pls advice of a bypass is essential. Even if it is the main artery. The one on the right is known as the right coronary. The D1 is a prominent artery, showing no significant stenosis. I am experiencing fatigue. Cordarone X 200mg Daily twice patient is a case of DM/HTN/ COPD. shes 67 and they just said that the biggest artery was 100% blocked. Interesting question and in many ways can be addressed by the recent findings of the ISCHEMIA trial. In June 2014 at 50 with no warning signs other than elevated cholesterol, I had a heart attack in the inferior with 3 blockages on right side treated with 2 stents and 2 narrowing on left treated with 2 stents. I was not experiencing any unusual discomfort and was surprised at the time when the test was ended since I was not anywhere near the level of exertion as I was during the previous test, four years prior. In May last year i was diagnosed with hypertension and occasional mild chest pain / discomfort. Good Morning, Will she be okay. Considering above circumstances, I request your early reply please. Dr. I had a nuclear stress test a few weeks ago which revealed a blockage. 1. (assuming a correct interpretation of the test). Left system shows 99% ostial circ(umflex) lesion with evidence of competitive (flow) from vein graft. First of all, thank you for this great, informative website. Total Choesterol 110, Trig 68, HDL 40, LDL 75, Echo-cardiogram (EF 75%) and Stress TMT both came normal. I would be really thankful if you could share your opinion and what treatment should be opted (Im worried about RCA and high calcium score-424.5) 1. CT Coronary angiogram was performed on Light Speed VCT- 64 Slice MDCT Left Cornary : Dominant vessel , Mild irregularities OM-I shows tight ostial stenosis. As per the doctors bypass surgery cant be done at all , could you please suggest. Generally I dont have any problem, even I can run and walk fast for a long period and I dont feel anything during exercise, but after exercise around 10 hours later , I am feeling some pain and unrest into my left shoulder and the left side of my chest attached to my shoulder , even while I am resting. Thanks doctor i want to know how long a stand keeps the artery open?? Plsss reply fast plsss. I suggest you have your symptoms checked out. ECG done Twice , with normal result. Do you think he should be hospitalized sooner, or we could wait until next week? 2 months later, needing ICD for ventricular ectopics Due to family history did angiogram 21/11/2014 with the following findings : RCA Minor plaques are at the proximal LAD and proximal LCX . This is not a question that can be answered in totality over such a forum. In stable patients, medical therapy is a widely accepted option. DONT LIKE IT ANYMORE/AT ALL. His heart function is also reduced. my father is 67 years old and in 2004 he did a by pass for 2 vessels now he had a problem one of his vessel is 99% block and the doctors said that stent can not be used because that vessel is bended with 360 degrees and the stent can not be moved in the vessel also his doctor tried it through angioplasty but his answers was No . Does he have symptoms? TONACT (Atorvastatin) 40 mg 0 0 1 It really is difficult to give an answer without a lot more information, i can tell you that the two key factors will be how much the brain was affected and also the residual function of the heart, ask them for a clear answer regarding those two factors and ask for neurologic prognosis. Its critical to stop smoking, pay attention to risk factors such as blood pressure, cholesterol, diet, activity and exercise and general lifestyle. All the test came back normal. Thinking for u both!!! My father 66yrs old had symptoms of dyspnea when walking,no chest pain. Are there any other significant blockages that require treatment? The pericardium appears grossly normal.

Recently i get heavy chest pain and did angiogram shows that left coronary artery was around 50%-60% blockage I am still 28 age. In most similar cases, if possible, bypass would be typical. Her cholesterol is very high reading around 10 to my 4:3 !! LMCA 40% plaque in shaft Occasionally, heart blockage at the higher end of the moderate range (50-70%) may require additional testing to see if it is significant or not and may be responsible for symptoms. In cases where patients are clinically stable, there may be no advantage to proceeding immediately vs. waiting a short while. He then referred to Cardiologist after seeing ECG. I am 25 years old, not married and located in India and i have recently faced heavy chest pain and vomiting due to which i was hospitalized it was not the first time since in past i have faced the same situation twice. The Doctor says that in three places, stents cannot be placed as the size of arteries are less than 2 mm. The coronary anatomy is right dominant.

Circumflex: Co-dominant vessel appears normal. Its not possible to give a specific recommendation without being involved in the case, knowing the history or seeing the images.If there is stable disease to the RCA that does not have high risk features then a trial at medical therapy is certainly warranted whether stenting is performed or not. Thank you for this post and is really helpful, My dad had a major heart attack early March18, he was treated on time with stent. January 6, 2017 I had an angiogram and they found the LAD 100% blocked and the Doctor couldnt put in a stent because of the location of the blockage and the hardness of the blockage. I need some information my mother have diabetic patient and high B.P problem some days she asking me my left side is highly pain How I can reverse it ? In 2011 I had a pelvis CT, but for some reason they did a heart CT at the same time. Dear Dr. Ahmed Had many test done 10 months ago my heart doctor said I good to go,3 wks.ago had open heart surgery and had to replace 4 vains from my leg.Could this have been prevented? Please answer my question sir. How the situation happened? my concern is that from all the research i have done is that her best option would have been bypass surgery. To have 40%. Dont forget, it is often the mild heart blockage that can become unstable and burst, leading to a heart attack. Heart failure persisted post stenting Have a moderately blocked 6 year old stent..failed EKG and chem stress test..angio on the 15th..going thru my wrist?!?!? PLEASE GIVE THE ANSWER. I am wait your reply. My angiography found the RCA subtotal occlusion (SCO) in the middle vessel..and the Dr said that the stent could not be entering the blockage since the occlusion is hard to be inserted by the wire. Privacy Policy. I work with physically handicaped young adults at a day activity center and would like to implement some kind of excercise program for and with them as I noticed they all seem to have high resting pulses and will use your images to help explain the heart muscle. Angiography was perfromed as the folllwing comments Right Cornary : Non-dominant vessel normal Do you have details of the catheterization report and the affected arteries? This was very useful for me. Last week had an episode with severe stomach cramp along with pressure in the chest area and sweating. 1. My calcium scoring was 0. He said that the blood had rerouted its self around the heart. please tell us what is the better course of treatment at this stage,would a complete by pass surgery be better then stenting or can this be managed with just medicines. After a week i experience some chest pain ranging from right to left on and off. Hi, obviously i cant reply fully accurately since i cant see the images but ill try give you a little insight. Im looking for some information to educate me on how I can assist in getting the best medical approach to my husbands situation. Cardiac rehabilitation programs can be particularly useful. This is the results of a calcium scan done on my heart recently. All rights reserved. hi my dad has a one valve blockage 80-85% and one valve is small to compare to other doctor suggested open heart operation please any one suggest me without operation how we can recover plz suggest me. Im 28yrs old. He is still in CCU. Although many people receive a stent, they often have no idea what it treated or why it was placed! Gets me scared because every time I look for info it comes up bypass..I am a whimp to pain so it stands to reason I am not wanting to hear this. https://myheart.net/articles/ct-coronary-artery-calcium-heart-scan-the-facts/. His Blood pump is 55. Pls help as i am very confused LMCA: Normal & Bifurcating into LAD and LCX. I feel tired and chest pain when I try to walk on hilly upward road. I dont even know when I can return to work. First of all congratulations on this site and the info a noble cause very well done indeed. The chest pain im experencing is different from the heart attack ive had. By the way he has given me 5 pills to take regularly. If stable disease then likely safe. I was going through even the others articles on heart health, tests, Cholesterol etc., I was surprised to know there is no specific procedures for diagnosing ones heart health until he develops some symptoms. ADVICE: CABG SURGERY. I had a renal transplant over a decade a go and a TIA 3 years ago. My father can hardly walk now and is desperate for a knee replacement. Here is his angiography report. A stress test may be beneficial to answer the significance of the lesion. Angiography done after one month depressed, Showing 100% LAD blockage type3 with 50 to 60% RCA .LVEF depressed. RCA- Dominant, mid RCA plaquing. In this case, surgery will likely be recommended. It may never go to 75%, medical treatment and disease stability is the goal. Eccentric calcific plaques noted in proximal segment causing mild stenosis.

Age :- 69 Tiny eccentric calcified plaque seen in distal main left coronary artery just proximal to the trifurcation without causing significant stenosis <20%. Scarred mid interior, basal inferior, mid infero-lateral and basal infero-lateral segments of LV myocardium. coronary artery calcium. I am also a T2 Diabetic. LCX- LCX after OM has 40-50% disease.OM mid segment 80% stenosis. Thanks for a fantastic service of answering questions!

PLB : No Plaque formation No stenosis. I am your follower on Twitter and have been following your replies here which are very helpful. Does flying home sound at least pretty safe. Though in angiogram the block was 90%, when the plasty done doctor said it is 100%. Rest of the LAD appears normal. Can I have your opinion please? What are my chances of having attack before then? Maidin mhaith.

I was told to be on change life style, vega diet and take blood pressure and cholesterol medications. The surgeon believes a bypass would be better if he could for sure do a double vs. opening him up just for one (where a stent could also be in place) but cant guarantee us anything. Tiny calcific plaque noted in distal segment causing minimal to mild stenosis. Upon presentation to the ER, a stent was placed on an emergency basis in my left anterior descending artery. Testing when it comes to cardiac risk stratification is good however Im not always perfect. Do you have specific details of the test reports. for chest pain and SOB. In general such disease would require intervention such as stents or bypass however i would need to see the films to comment more accurately.

can u please help us out to find the percentage of block I am Raju just 27 had recently diagnosed with single vessel coronary artery desease due to 3 years smoking Having proximal LAD 70% thrombus but some studies published reversible heart desease naturally After smoking cessation. It was 100% blocked! Now after an echo, the result is an ef of 43% I herewith produce you the report given.

was also asked by a gp to take sera flow 250(inhaler) for maybe asthma Is EECP treatment increases EF? We have gone to Cleveland clinic and are waiting on them to go through all of his med records to come up with a plan. As we decided not to go for angioplasty, the doctor stated that flutter as recurred due to Blocked RCA, and prescribed a lot of medicines now, symptoms on and off left calf pain at times, left chest next to berast bne pain at times, tought breathing at times, once post working out was tight over all in the chest, once in a while have pain in left chet with pain in back next to scapula, etc. LAD Recanalised.diffusey diseased,osteoproximal to mid 70% to 80% lesion.D1(Major)->50% lesion at osteal segment Scanner, with IV infusion of 85 ml of non-ionic contrast. One of the professors that has seen me has said, that just because a vessel is narrowed, that does necessarily mean that there is restricted blood supply, and so a 2nd angiogram with a pressure wire test is needed to make 100% sure. Marginals- Major OM plaquing. Thanks Debi Lee My Father had a heart attack which led to finding out that he has to 100% Blockages in each RCA, Circumflex & LAD. Consult 4 doctors (Cardio)all say it is not heart relatedstill can not say what exactly it is. EF decreased to 21 percent. I am worried as my dr is tightlipped about my condition. How to proceed. If the treatment for this isnt done within good time (usually the first few hours, the sooner the better), then the heart muscle may die, and once dead, cannot usually recover, which results in reduced heart pumping function and heart failure. Another question cant a stint be put in the 100% one as well to get the blood flowing again? Respected sir, For example is she a candidate for surgery. LM: Distal LM has ulcerated plaque causing 50-60% stenosis, extendint into optium of LCx c) Tubular 60-70% ostial PDA stenosis.

It depends on many factors. Significant stenosis at proximal ramus branch. 40% in the LCA and 0 blockage in the left circumflex. When we consulted a cardiologist he didnt gave much concern as he said it was a shock rather than attack, we left it as such.Now in 2016 he had a a special feeling of stuck and ECG was taken and it was abnormal. Subsequent angiogram revealed LMCA normal, mid LAD 80-90% stenosis, LCX non-dominant proximal LCX 30-40% stenosis, distal LCS 40-50% stenosis, RCA dominant, mid RCA 95% discrete stenosis, distal RCA has tandem lesions of 50-60% stenosis followed by 50-60% stenosis. regions. In general with complex multi-vessel anatomy like this, and if appropriate based on patient characteristics bypass surgery would be strongly considered in this setting, if indicated. proximal lad has discrete 80 stenosis before major D1. Then they adviced bypass with LIMA giving supply to LAD and D1. It may be worth defining the anatomy with catheterization to ensure there are no critical lesions underlying. I know that they put a stent in it but havent gotten anything after that besides seeing her hooked up to machines and i know that she lost her pulse right before the paramedics came. Typically, we call heart blockage less than 40% mild. Cathy look shows 2 vessels 80% they keep saying BACK of the LOWER part of his For a non dominant RCA without symptoms, stenting is not necessarily advised. Recently, he had an angiogram and we have come to know he has one 90 to 95 % block on right side and an another 80 % block on left. Thank you ahead of time for you expertise. My question. Givs rise to PDA contribution which also appear normal. Advance thank you for such a wonderful platform. It depends on stability and symptoms. Circumflex Right Coronary No such thing exists. Hello Doctor I wonder if you can help my wife has an artery 90 percent blocked can a stent still be inserted. My grandpa is a 84 ages old man, he was been checked out he has coronary artery blockage, and shown on the colored ultrasound his coronary artery over 70% block out. PA=50/25 My mother is 60 yrs old and had recently heart attack. Please suggest and enlighten me. the spine. This is known as a heart team approach. Hi Dr Ahmed, I loved your article on blood clots now I have to read the article on cardiac cauterization.I was diagnosed with a blocked artery but dont know how much it is blocked will find out next week. Please advise if he would need a stent or not . Would need to see a lot more information to even begin to comment. Last 4 weeks my father taking the medicine. Do you have any advice? I am suppose to have a heart catch done. Can you give more details, are you referring to the coronary? The decision depends on several things. I am not diabetic (FBS-100, PPBS-105), I am not obese (height:172 cm, weight: 60kg). They want Bypass we are in FL & want to fly home to University of Iowa where we live. I am JAVED I want one question my mother rca 99% block lad 70 to 80% block lcx 70 to 80% block doctor advice me by pass surgerypls tell me other options My mother doesnt have any diabetic problem no obesity .sir Im very scar pls reply reply. I am so scared and tired of worrying about every niggle and strange feeling I have and just wish I could get sorted once and for all. My father age 71, had radio frequency ablation in 2016 for atrial flutter. within visualized portions of the mediastinum and bilateral hilar Only 15 to 20 % heart is working Is there a rare type of heart blockage that there are only 8 cases known and if so, is there a certain named to which is has been given? Any help would be appreciated-he is only 57 years old and has family history on both sides of heart disease. Sorry you are having such a difficult time, with this the recovery may be long, so try be patient although i know its difficult and ask the team there for more in depth explanations with regard to the above. Dr. Ahmed, this article was great in explaianing blockage. Medicines are key, however without defining the anatomy there will always be an element of the unknown which is why the cardiologist wants to cath. Dear muhammad, same me here 100 % heart block , how does it help for treatment? they said 70% blockage. Because Heartattack is in his family history.. CTO work itself is a little more niche and i believe should be performed by someone with a special interest in that. I reminded the Nurse she was a fiduciary, and well as the Doctor. So sorry for what you are going through, it must be extremely hard. Sir my Father (74) diagnosed with 70% block in the OSTIAL LAD artery.



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