I have a bad case of artery spasms. The Dr. was able to get the spasms on video and pictures during an angiogram. The problem I have is that not just a portion of the artery spasms the whole artery on both sides of my heart spasms, the Doctors have said this is very rare and are trying to treat with medication. The meds make me very ill, and unable to cope with simple day to day activities. Does any one know if there is a surgical procedure or any thing else that can help this problem.
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...
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.
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.
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!
It would require open-heart surgery to replace the valve, and if your father also needed coronary artery intervention, then the surgeon would do a coronary artery bypass at the same time.
Since the doctor gave you "options," maybe a calcified aortic valve is not the problem, but you can look up some pictures of the aortic root on the internet and see that the aortic valve is right there. Sometimes it does get calcified and stenotic, especially in older people.
To date, Coronary CTA has not been proven as effective as the coronary angiogram in detecting disease in the smaller heart arteries that branch off the major coronary arteries. For that reason, Cleveland Clinic physicians do not consider Coronary CTA as an adequate substitute for needed coronary angiography in patients with strong evidence of narrowing of the coronary arteries.
My cardiologist thinks the the probability of me having an occluded/blocked coronary artery is very low. My question is, why then am I responding to the nitroglycerin, it being a vasodilator (widens the blood vessels)??? Gastritis and GERD have been ruled out. the doctor thinks it could be anxiety then shouldn't they be giving me a sedative or relaxant as opposed to a vasodilator? I have a pending stress echo test in a couple of weeks and if this test is again normal...
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