Coronary angiography guidelines
Common Questions and Answers about Coronary angiography guidelines
angiogram
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. Also, his Left coronary artery is completely Normal and another Non-Dominant artery is 30% blocked, but, other parallel branches are normal.
The gold standard is coronary angiography. I think you should undergo coronary angiography after the excision biopsy as you’ll also be assured if the coronary angiography comes out to be normal.
I hope that helps. Please do keep me posted. Kind Regards.
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.
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.
He undergone Angiogram 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. Also, his Left coronary artery is completely Normal and another Non-Dominant artery is 30% blocked, but, other parallel branches are normal.
He undergone Angiogram 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. Also, his Left coronary artery is completely Normal and another Non-Dominant artery is 30% blocked, but, other parallel branches are normal.
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.
With so many statins available for clinical use in coronary artery syndromes, there has been much discussion about which is the best. Two recent trials have compared the clinical outcomes of intensive lipid lowering with atorvastatin 80 mg/day and standard lowering with pravastatin 40 mg/day.
should we go for angiography or CT angiography? or he might be put on some vaso dilators? kindly give your worthy opinion.
For patients with chest pain with high probability for acute coronary syndrome, invasive imaging with conventional angiography/cardiac catherization may be appropriate.
For patients with chest pain with low to intermediate probability for acute coronary syndrome, noninvasive imaging with cardiac stress testing may be appropriate. Common modalities include ultrasound (echocardiography), nuclear medicine (myocardial perfusion imaging), and CT (CTA coronary arteries).
Source: https://acsearch.
thank you so much..this was very helpful..we just got his angiography done..and doctors say his left proximal coronary artery severe blockage at 2 locations and right one has some narrowing.his echo test of the heart showed some very slight kinetic movement..so i guess yes he needs a bypass surgery....so how long much time do you think we have to get his bypass done?
In conclusion, intracoronary Doppler flow velocity measurements performed distal to coronary artery stenoses contribute to the evaluation of hemodynamic significances of particular coronary artery stenoses using quantitative coronary angiography, coronary flow reserve from digitized coronary angiograms, quantitative left ventricular angiography
The calculated pressure drop was highly predictive of the thallium scintigraphic results with a sensitivity of 94% and a specificity of 90%.
The Cleveland Clinic Heart and Vascular Institute website has a lot of good info on the Coronary CTA vs. catheter angiography.
Coronary angiography performed with the ablating catheter in a site where, during VT, a diastolic potential was registered. The tip of the catheter is close to the LAD artery. B: Carto bipolar map merged with the epicardial anatomy obtained with a ...
In the most important published experiences damage to a coronary artery is reported in one case by Sosa [3] and in one by Sacher [5]. No damage was reported in Della Bella's survey [4].
He undergone Angiogram 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. Also, his Left coronary artery is completely Normal and another Non-Dominant artery is 30% blocked, but, other parallel branches are normal.
No coronary artery atherosclerosis is visualized.
Left anterior descending coronary artery:No coronary artery atherosclerosis is visualized.
Left circumflex coronary artery:No coronary artery atherosclerosis is visualized.
Right coronary artery:No coronary artery atherosclerosis is visualized.
Heart:The left ventricle is normal in size. The left ventricular myocardium is homogenous in appearance; there is no hypertrophy. There is no intracardiac thrombus. No congenital abnormalities noted.
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