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Proximal lad stenosis

Hi. What does it mean : lad type 3, proximal 80 to 90 percent stenosis , mid and distal lad diffusely diseased, diagonals small calliber and normal. He had a heart attack on 14th July and was admitted to hospital and we got angiogram sone on 16th which is attached here.

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That vessel is the reason for heart attack. It’s critically diseased and narrowed. Needs to be stented to increase the blood supply to the area it supplies ... Read More

Soft plaque in proximal LAD causing focal moderate narrowing (60% of luminal narrowing) .bridging present in mid LAD .this have been shown in my CT coronary angiography and my scan of heart is normal and 2d eco is also normal .what is the precautions have to take n what r the medicine should b taken plz suggest me .after knowing this I'm tens

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I think you should undergo coronary angiography test to decide further ... Read More

Hello Doctor Could you please let me know below query How critical is 80 percent stenosis of LAD, LCX, RCA. Can it be cured with medicine or should stenting be done Thanks 🙏

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Any 3 vessel disease with stenosis is significant .Since You are only 36 years old ideally it should be stented. As per the guidelines MODERATE 3 vessel stenosis is treated medically and then stentin ... Read More

We have completed angiography today and found 80% stenosis in Mid LAD vein but other vein are good ,no issues in other vein Please suggest stent is required or not?

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If patient has symptoms it definitely needs stenting ... Read More

As my mother in law has LAD 70 STENOSIS , Please suggest if stent to be fixed or can it be cured through medices Stuck with this confusion please assist doctor. How can it be solved.

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I need to know her clinical details and complete angiography report to decide further plan. 70 percent is a borderline lesion. To stent it or not depends upon clinical scenario, symptoms and functiona ... Read More

My father (66yrs) is non diabetic and has stable angina symptoms. He is having mild chest discomfort in the right side for a few minutes while starting walking, and after a few minutes of walking, chest discomfort is going away and can walk without any chest discomfort for a longer time. Recently he had a CT angiogram and it shows below dominant b

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First choice in your case will be bypass surgery over stenting. For possibility of stenting or not with rotablation/ laser / orbital atherectomy, cd needs to be reviewed ... Read More

Approach : right femoral arterial approach LMCA normal LAD type 3 proximal 90 % stenosis. Mid and distal Normal LCX Proximal nirmal distal 50% stenosis OM 90% Stenosis small vessel RCA proximal 40% stenosis mid and distal normal Renal angiogram right normal, left normal Impression critical stenosis in LAD

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Tell me about patient symptom, ecg and echo report ... Read More

I have problems in climbing hard stairs,I went for ECG,2d Echo,TMT,2 yrs ago. Although doctor suggested it as negative,I went for CT ANGIOGRAPHY,and Found 40 Percent blockage in LAD proximal, Doctor suggested me for lifestyle changes,I am suffering from Anxiety,Now the doctor suggested me 3 medicines ECOSPRIN AV 75/20,METOPROLOL 25 mg daily,I am mo

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You can take only Atorvastatin Ecosprin not required Lifestyle and dietary modifications are must ... Read More

My BP is not coming under control inspite of using medications. Mostly reading is 210/110. Having chest pain. My angiogram report says - LAD : type II vessel. Proximal LAD has Insignificant plaque. Mid segment has 70% stenosis (long section) LCx: Non-dominant vessel. Proximal LCx has insignificant plaque. Diagnosis : CAD, Single vessel disease

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Your blood pressure problem might exacerbate the blockage in your heart blood supply we need to get it controlled as soon as possible Many factors can affect blood pressure, including: 1) The amount o ... Read More

There is block in proximal lad of 50 percent as per ct angiogram....and mild in other areas... currently taking rozavel A 75 which is rosuvastatin 10 and ecosprin 75 and prolomet xl 25 and olmezest 20...can this be continued or statin dosage needs to increased..thanks...

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Better to consult directly with CT angiogram report ... Read More

Pls check my report and give any suggestion. It was routine check up. Any suggestion !? Any treatment we need !? Can continue with exercise !?

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The report is suggestive of mild CAD. YOU NEED TO BE ON ANTIPLATELETS medications. You can continue with exercises ... Read More

My mother in law had an mild heart attack in last week. Treatment was given to dissolve blood clots. Was under medication for about 1 week. Yesterday angiography was done. Reports says LAD: type III vessel mild segment 90% stenosis. D1: small vessel ostiam plaque. Impression: single vessel disease. Advice: PTCA with stent to LAD. Is there any need

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Yes she definitely needs angioplasty as she has 90% block in her main heart artery along with recent heart attack. Cost would be 1.25 to 1.5 lakh ... Read More

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