hi,iam sending my angiogram information,that LMCA NORMAL.; LAD TYPE III VESSSEL, PROXIMAL ECCENTRIC 80% STENOSIS(SEEN CLEARLY IN AP CRANIAL VIEW?),DISTAL VESSEL,NORMAL.;LCX:NON-DOMINENT,PROXIMAL40% STENOSIS,DISTAL DIFFUSE DISEASED.;OMs:ONE LARGE OM HASPROXIMAL 80% STENOSIS, IT DIVIDES INTO TWO MAJOR BRANCHESA ORIGINS OF BOTH BRANCHES HAS TIGHT LESIONS.;this is the summary of my report an my QUETION IS WHETHER IT IS CURABLE BY MEDICINE R NOT?
My thallium nuc med scan showed "abnormal coronary flow reserve about the apex and distal inferolateral wall".
Is this an indication of a blockage in an artery?
I have a right bundle branch block; anterior MI in 2003 with a stent inserted in the proximal LAD.
Symptoms include SOB, mid sternum tightness, and rt. jaw discomfort.
Stress echo was inconclusive; I was allergic to dolbutamine.
If these tests indicate you have coronary artery disease or you have severe symptoms, your doctor may recommend a coronary angiogram to evaluate the severity of coronary artery disease and the exact location of any narrowing or blockages.
Do you have severe chest pain (angina)?. Is medication ineffective to treat symptoms? You may want to google COURAGE study before you have a discussion with your doctor. It will give you an insight of the appropriate treatment for coronary artery disease.
The heart is supplied by oxygen rich blood through three coronary arteries (vessels).
Your father's coronary angiogram shows that all three vessels are diseased (tVCAD= triple vessel Coronary Artery Disease).
This means that in all three vessels there is evidence of blockages.
Blockages can be mild or severe or even complete, so the fact that your father has tVCAD dooes not say much about the severity of the disease.
That he does not feel well could mean that it is serious though.
An angiogram (CT or cath) test examines the coronary arteries for any blockage. Blocked coronary ateries compromise the blood flow to the heart tissues. A lack of blood flow to the heart cells causes chest pains. If there are blockages, a stent implant (usually done at time of angiogram) will increase the diameter of the occlusion/occlusions permitting more blood to the deficit area. Sometimes the area of blockage can not be stented because of location, tortuous segment, too long, etc...
In the absence of solid evidence-based data, no definite recommendations for the management of this patient subset are currently given in the guidelines on percutaneous coronary intervention issued by the most prominent Cardiology Associations. The management of the antithrombotic treatment before invasive cardiac procedures is also incompletely defined. In this study we aim to determine in patients with atrial fibrillation undergoing PCI-stent. Not any conclusions at the present time.
1.
Hi,
A doctor in India diagonized that my brother had a mild heart attack a week ago due to block in one of his heart blood vessels. The Doctor asked us take Angiogram and diagonized that one of his heart blood vessel is shrunk upto 60% and is blocking the blood flow.
how do i intepret an angiogram result? to know which is left or right? how to know if there is a block?
So they saw abnormalities and yet say you are ok? how odd. It seems odd how the stress echo detected ischemia in the back of the left ventricle, yet they say it's ok. To have witnessed this in the test, they would have seen the left ventricle motion is not normal, they wouldn't have been able to see inside any coronary arteries. The angiogram has identified the reason as a restriction in the circumflex.
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.
CT angiograms will expose you to a small amount of radiation. If you have known coronary artery disease, a traditional coronary angiogram may be a better option, since you can also receive treatment for your artery blockages during a traditional coronary angiogram. Since you are symptomatic but do not have known coronary artery disease, you can go ahead with the CT scan, based on these findings further therapy can be planned. Regards.
ST depression is an often an indication of partial occlusion of a coronary artery but not conclusive. If you are going for heart cath, be prepared to accept a stent included with the test (more money). AHA/AAC guidelines recommend a stent implant if the occlusion is greater than 70%. There are cardiologists that stent occlusions less than 70%!!
Your husband has strong family history of early heart disease as well as hyperlipidemia and HTN. However, he is asymptomatic. Currently guidelines would recommend NO catheterization or stress test be done, but rather focus on aggressive medical management and lifestyle changes.
I would recommend a daily aspirin, maximize the atorvastatin/lipitor toward an LDL goal of 70, and treat the blood pressure to less than 130/80.
surgeon diagnosed a 70% blockage at the main branch of my left anterior descending artery. Upon followup, my cardiologist read the same xray and diagnosed 50% blockage. Second angiogram (2 years later): the surgeon diagnosed 30% blockage in the same area. Third angiogram: surgeon reported that there was no arterial blockage. I have just been discharged from a cardiac unit after 24 hours of observation due to chest pain. I did not have an angiogram.
I had a nuclear stress test that may have showed an issue in my right coronary artery. I have no angina and excellent exercise ability. My cardio suggested to get an angiogram to see if it really blocked or just a false positive. I'm scared of the angiogram. Isn't the new 64 slice CT scan just as good to detect blockages as the invasive angiogram?
There is medical documentation where catheter induced coronary spasm was uncovered with a CT angiogram. From what I have read it is not unusual to unintentionly induce a spasm with a cath, and if so how does a doctor differentiate? Is it possible a doctor can't distinquish and stents the location of the spasm?
Has the doctor ruled out pericarditis. This is inflammation of the fluid that surrounds and in place within a sac...pericarditis can happen and then go away, come back, etc.
Diffuse Soft plaques seen in mid RCA causing moderate narrowing of its LUMEN.Catheter Coronary Angiogram Recommended. No other significant abnormality
Now my father is adamant for not having catheter coronary angiogram done. Would 2D Echo - cardiogram with doppler help. He takes walk and has medicines prescribed by cardiac regularly alongwith ayurvedic medicines.
PLEASE HELP!
AAC/AHA provide guidelines for treatment of occluded vessels. The guidelines are not to treat any lesion less than 70% (exception would be if there are symptoms such as chest pain), if there is treatment for symptoms, then medication. If medication does not effectively treat the lesion, then a stent implant. Sometimes stents are not a solution because the lesion is too long, difficult to assess, etc. then a bypass.
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