Angiography guidelines
Common Questions and Answers about Angiography guidelines
angiogram
i am a 66-year-old man with recent inferior wall MI and following are my angiography details:
left main: normal bifurcates into LAD and LCx
LAD: type III vessel shows two tandem proximal 40% stenosis followed by 80% stenosis.
LCx: nondominant vessel and is normal.
RCA: dominant vessel and shows 75% stenosis immediately after RV branch and 40% stenosis before bifurcation of PDA and PLV.
renals: normal
LIMA/RIMA: normal.
The American Hospital Association/American Academy of Cardiology give guidelines for intervention for CAD. The guidelines are to avoid interventional procedures (stent, by-pass) for any lesion less than 70%, unless there is pain that cannot be controlled with medication. That same recommendation can be applied to lesions greater than 70%.
To state as your report does, "significant lesions" is incomplete, possibly misleading and not much help when reviewing or judging.
My Grandmother has been detected with a blockage in heart, and its not getting well by the use of medicines.
Her Doctor is suggesting Angiography now.
Her age is 81 by now. I wanted to take other Doctors opinion about this case.
Three months ago I had an angiography, it showed a mild ostial lesion (40-50%) and a 90% LAD (distal) lesion. One cardiologist even though he recommend the surgery but he is confident of being able to do the stenting . Another cardiologist says that the high risk of thrombosis will go with you for three or four years in case of the angioplasty so he recommends strongly the surgery. They tell me also about the risk of the left main occlusion in the stenting.
I would like your opinion about that.
The Reversal of Atherosclerosis with Aggressive Lipid Lowering (REVERSAL) trial also enrolled patients requiring angiography, and pravastatin lowered the LDL-cholesterol to 2.84 mmol/l, whereas atorvastatin lowered the LDL-cholesterol to 2.04 mmol/l. In the REVERSAL trial, atheroma volume progressed with pravastatin by 2.7% whilst remaining stable in the atorvastatin group (-0.4%) over 18 months.
Troponin T and Troponin I are accurate and are only released by cardiac muscle. If elevated, then they usually suggest angiography because there is a very high possibility that MI has occurred. Troponin also remains elevated for up to 14 days. Should you go for Angiography? Given the results of the test, I think the question is really "is it worth the risk not to have angiography".
But she was moving fine, until 2 weeks back she had Angina attack and we got her Angiography done yesterday which revealed that her one of the artery is blocked over 90% near the beginning. Docs recommend her to go for Stent implant.
Now seeing her past history of ASD,and low platelets count. Would you recommend to go for it or not? Any risks involved in that?
On the basis of this cardiologist advised to get CT coronary angiography. The result of the CT coronary angiography as given below:
1.Eccentric calcific in the RCA and distal LAD causing mild (20-30%) luminal narrowing.
2. No evidence of hypo perfusion or perfusion defects in the resting first pass myocardial enhancement.
Now our cardiologists has advised to get catheter angiography to rule out further.
Please advise me what should me my course of action.
He was undergone a Treadmill test, a few weeks ago and the Doctor observed borderline positive Treadmill Test and suggested an Angiography. He undergone Angiography a couple of days ago and the report said that the Right Coronary Artery is 100% blocked. According to the Cardiologist, who performed Angiography, the blockage is old. But, my father has no pain (Angina), no fatigue and other common symptoms of Coronary Artery Disease. He’s perfectly alright.
An angiography will give the doctor a better look into what is going on inside of your heart and arteries. It is a tool used to diagnose, and give the doctor a picture of what needs to happen for your treatment.
I hope this helps.
Is it advisable to go for angiography check up as six years have passed post surgery? Are there any side effects after angiography? My physician has recommended Angiography check up as life of stent is normally 10 years .I shall be pleased to receive your recommendation and advise.
calcific vessel. Normal. LAD: calcific vessel,moderate stenosis in mid course. minor osteal disease at the orgin of D1 & D2. LCx;Mon-dominant. minor irregularity proximally , critical disease in mid segmet. 1st OM has moderate disease in its proximal segment. RCA;Dominant. spotty calcification. diffuse minor disease proximal to mid segment. PDA has moderete/ subcritical osteal disease.
Well, I'm home from having had my CT Angiography of the brain and heart. Now, I just have to wait one week until I go back to the neuro to find out the results of it.
The Neuro said my last MRI was the weirdest and unusual MRI of the brain that she had ever seen. The report said something about Vertebral Basilar Insufficiency and something about an enlarged vessel or something. My brainstem has moderate damage (Chronic Gliosis) and it didn't sound like it was damaged from the MS.
My mother angiography report is given below. She is 56 years old. Your expert opinion is required:
CORONARY ARTERIOGRAPHY:
Left Coronary Artery:
Left Main Stem: Normal Bifurcating vessel
Left Circumflex Artery:
Tight promimal stenosis followed by total mid occlusion. Distal vessel no visualized.
Left Circumflex Artery:
Mild generalizex diffuse disease.
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