Its different in every case and the films would need to be reviewed to know. 
hi doctor,my fathers medical history 95% blockage of the Left coronary artery was treated with angioplasty and stent placement. I was put on baby aspirin, toprol, Lipitor 10, Benicar 20 which I have been on for 10 years. Now let me know plz how much is this critical blockage in %. It was reassuring to know what was going on! We are bit concerned with the following: an open bypass is clearly a riskier surgery than a stent.
I feel like it controls my life now. kamal khan. I asked him why he didnt stent them he just said that he wanted to treat them agressively with meds and he just said there would be too many stents. No ischemia at rest. Is there anything I can do?? But, I feel like theres not much hope with so much blockage and so much medication. My uncle undergone Angiogram today and diagnosed as Two Vessel Disease. Advance thank you for such a wonderful platform. We both are prepared to accept inevitability, but not if there are treatments which we should be asking for which havent yet been presented as options. Its is already been 2 years now since he had the Angioplasty . Luckily his body started using feeder arteries to flow the blood through. Correction. She smoked from the age of 15 to 60 and now uses one of those e cigarettes she never puts this down even taking it to bed puffing away through the night ! Should I be concerned that they are sending him home with these blockages? Its not safe to advise specific tests in an acute situation over the internet. These decisions are complex and should be made on a case by case basis, its difficult to comment also without seeing the films. Afterall by pass or plasty was the preferred solution. Great article Dr Ahmed Have you had more than one opinion? We are all stunned. X-ray shows no collection of any fluid. Neither RAD blockages were addressed. I request your advice as to type of treatment to taken by me, like medicine and /or stent insertion. Doctor recommending to go with Angioplasty. Hello Doctor I wonder if you can help my wife has an artery 90 percent blocked can a stent still be inserted. SVG > D1 graft. Since that procedure she has suffered no chest pains whatsoever. This is why there is no large urgency as it has not developed overnight and i assume you are clinically very stable. Only 40% working so how can I get better n strong heart back ? but we are unable to find out what percentage of block he has I will have my Niece Amy send you the images. With great relief to me, your detailed reply agreed with his analysis of my situation, namely that my condition is stable due to the effectiveness of my by-passes and robust collaterals proximate to the right CA occlusion. I must say this was scary news. My total cholesterol is 142, with high HDL and low LDL. I am diabetic with HbA1C 7.0. His ejection fraction is 70% and although he had a heart attack, his tissue is healthy according to the doctors. If further tests are performed such as a pressure wire or a stress test demonstrate that there is a significant related reduction in blood flow then a stent may be required. Blood flow is generally reduced when the angiogram demonstrates a 70% or greater blockage, in fact that may be harmful. Which stent is best doctor for 80% blockage. I do realize that LAD diagnosis is called the widowmaker & is very serious thats why i am anxiously awaing a response from u.
Heart rate during acquisition: 55 58 BPM. This is the same case as one of my friends . Will this be worse for the calcification? Hi, I had an Acute MI treated with Stenting in LAD in OCt 2015. I have a diagnosis of hashimotos . Thank you very kindly. We have gone to Cleveland clinic and are waiting on them to go through all of his med records to come up with a plan. Echo report is here: https://drive.google.com/open?id=1UHKAlyPkHh6X2UGQJ4yiRDPh8ErD9n10 2 years prior, this same vascular specialist did tests which showed 70% & 80% blockages in the carotid arteries, from which he was put on meds for cholesterol and aspirin at that time. Hi, obviously i cant reply fully accurately since i cant see the images but ill try give you a little insight. * Coronary calcium score of 538, indicates high risk for atherosclerotic Moderate atherosclerotic calcified plaque identified within the Few non-obstructive calcified plaque are seen in proximal PLV branch; however, it is normal in course and calibre.
what treatment should be in case of 50% narrowing in RCA? * mid Right Coronory artery 90% ( had stent placed) As a result of checking through the net and meeting techniques that was not productive, I released my life was done. Doctor Advice :- Medical Therapy at present. is it possible that the flutter has recurred due to the blockage in RCA ? Triglycerides(mg/dL)-250 My father is 69 year old, complains of chest pain while walking and at times at home. Recently my father done a angiography its result as below And i sure hope things with your husband have improved. What are the lifestyle and dietary changes a person has to make if he/she has mild blockage around 30% in heart? RCA: DOMINANT, 80% LONG, COMPLEX PROXIMAL SEGMENT STENOSIS. As per the doctors bypass surgery cant be done at all , could you please suggest.
Thank you sir. The Echo is normal except for the mature inferior wall infarct, showing hypokinesia. We emergencly went hospital Please advise what shall I do.. Stents should not be placed in 50% blockages. Hello doctor: I have been advised that (a) for my condition, purely medical therapy can only be considered if the person leads a retired life and is not advisable for one like me who is employed and has an active life, (b) stenting is not the best treatment in my case as I will need four stents and chance of failure is high, (c) bypass surgery is the best solution. In June 2014 at 50 with no warning signs other than elevated cholesterol, I had a heart attack in the inferior with 3 blockages on right side treated with 2 stents and 2 narrowing on left treated with 2 stents. I told the nurse to tell the Doctor of this possible delay. distal right coronary 90% diffuse disease Obviously, doctor says this is normal. It also depends on the stability of the lesion. Yesterday 4am my father was getting small pain in chest and he just breath in and in,hard to out breath.. Hi, Its very difficult to say without seeing the films. The D1 is a branch of the LAD. Also the location of the blockage and the seriousness of it will weigh into the decision. This was before I started the medicines mentioned below. On a beta blocker, baby asprin and 40mg lipitor. Doctor did Angioplasty and found 50 % Blockage , theysaid there is no need to do any ByPass. I request you to please advise he is having three vessel diseases. Im 66 years old and dont have any coronary blockage or diabetes. ECOSPORIN (Aspirin) 75 mg 0 1 0 The coronary anatomy is right dominant. ( one cardio believe its mental and has precsribed librax) Is it a serious issue and needs angioplasty right away? So sorry for what you are going through, it must be extremely hard.
No aggressive osseous lesions are identified. Such blockages are clearly not causing restriction to blood flow and therefore very unlikely to be causing symptoms.
Gated SPECT: LVEF at rest is 41%. Also, how long does it take for an 85% block to convert to 100% ? Significant stenosis at proximal LCX. Thanks in advance. It was 100% blocked! Judy. I had a tvra procedure done for my sevear aortic stenosis. Dear Dr. Mustafa Ahmed, If the disease is diffuse, involves the LAD, and calcified with a high complexity with diabetes and poor heart function for example then surgery would be advised. I have written before about my problem I was diagnosed with a 70% blockage throuhg a TC scan on the Mid LAD, Also I have a postive stress test my cardiologist told me that I need a catheterization but I refuse because the risk. the spine. can i have your whats up nomber so ill sent you the angio vedios? Lcx dominant,lpda at ostium 30% lesion Does my condition require bypass surgery or can be treated with medicines. I am wait your reply. CT Coronary Angiography No chest pain, no shortness of breath etc. Im taking blood pressure medicine and Lipitor and a baby aspirin every day. Left ventricular ejection fraction is about 74%.
I have a 30-40% narrowing of the mid LAD what does this mean? Right now i am feeling dizzy even when sitting down and having my menstrual again (2 weeks cycle).. Is this normal ? Dr. Is it possible to have a good blood pressure and still have Blockage? RCA 100% in 3rd.
He also had an angiogram done and now his doctor is recommending an angioplasty due to Left main coronary artery blockage. Depends in many situations it differs, if the main lesion is treated and the symptoms are gone, then medical treatment may be ok, particularly if tests such as treadmill or other are reassuring. Normal enhancement of the myocardium and endocardium. (In %). Thank you. Not necessarily any treatment needed than medicines, but needs that determined by the treating cardiologist. I was informed that I had no damage to the heart muscle from the heart attack, is that uncommon? With ongoing chest pain and several stays in hospital and stress tests which did not show up any issues during 2014/15, finally had angiogram performed December 2015 some 18 months after my 2014 heart attack which identified 2 new blockages on right at 50 and 80% which were above and below my original stents and these were subsequently stented and found 2 further narrowing on left side at 40 & 50% which were untreated Opening up a chronic 100% blockage is not a first line treatment, is a complex procedure, and generally medicines are tried first. CTO work itself is a little more niche and i believe should be performed by someone with a special interest in that. I feel I can still run like a child and after running I feel so great. Very lucky it seems. Eccentric calcific plaques noted in proximal segment causing mild stenosis.
As can be seen in the picture, this artery was treated with stent placement to allow normal blood flow to resume. Many thanks! There doctor diagnosed him with mild MI and treated him accordingly. I want to discuss my fathers heart disease. He went thru angiogram & 99% blockage on RCA was found above the stent area, the stent is working fine & 99% blockage in LCX. First, she went thought stenting in LAD which got occluded with 90% stenosis at the entry of stent and 90% mid-stent stenosis within 6 months. No sir, my cardiologist told me that my ECG report is not good, so stress test is somewhat risky. LAD blocked 80-90%, Patient age is 67 years and do not want to go for surgery. My question is for a normal person, at the age of say 62, will there be zero blockage ( below 40%) , or with passage of time age, the blockage can be occurring. It all comes down to risk profile and symptoms. Hes been in the hospital with fluid in lung and kidney problem and on intubating tube. This entails the things you already seem to be doing and will act to be the best way we have of stabilizing the disease and improving your long term outcome. Do you think he should be hospitalized sooner, or we could wait until next week? Quadruple bypass 1992; Stent 2005; another Stent 2008. Could you please advise if Angioplasty (stents) are better for him by Bypass surgery? Hello Dr I hope you can help me understand what is happening with my Youngest Sister This all started with swollen ankles and becoming very tired and short of breath !! He said he also wanted to put him on blood thinners, but needed to know what the vascular surgeon was going to do about the aneurysm and was also going to contact him. LMCA: NORMAL Proximal LAD shows calcific plaques with segmental moderate stenosis. Deete Chano,
Various tests can be used to see if there are areas of the heart that have compromised blood flow, such as exercise stress tests and nuclear scans. My calcium scoring was 0. HTN with hepertensive HD disease where are the PVC thought to originate from? I would need to see the films to comment accurately. Were any stents placed? Rest artery flow is normal. Every day she has heart ache. LAD is feeding some of the Right,but mostly Collaterals I was told Theres Nothing we can do for you >??????? My mother had 90% blockage in LAD and 90% blockage in D1. The percentages are typically a visual estimate based on experience. Please suggest what is best for me. Any help would be appreciated-he is only 57 years old and has family history on both sides of heart disease. PLEASE GIVE THE ANSWER. Left Main Artery is clean and fine, Pls ignore. It is medical neglence case or not.. My husband (58 yrs.) But today, his long-term primary care physician said medications wont do much of anything and offered one stent as an option. (Suggested conventional coronary angiography for further evaluation.). Please find reports below. Im 61 and had a heart cat done.They said right side was clear, but the left side was 5% blocked. my procedure was done 7 days ago. Donald Worrell. This is actually a bypass graft in someone that has had bypass surgery. 90% stenosis, distal RCA short segment 70%. My father age 63, he was suffering from heart attack last week. What is the evidence you had a heart attack? Normal sinus rhythm could be noted during the entire study. If there are concerns about residual blockages then further testing may be needed such as stress testing. The recommendation is to cath/possibly stent. But there are conflicting opinions on this. please suggest, Hi Dr. My father recently had dizziness and high sweating. What do u think my problem is ? Diagonal and Septal branches are also patent. Is the damage permanent, is there scar? The bypass grafts appear to be widely patent meaning the bypasses appear to be working.
hi doctor,my fathers medical history 95% blockage of the Left coronary artery was treated with angioplasty and stent placement. I was put on baby aspirin, toprol, Lipitor 10, Benicar 20 which I have been on for 10 years. Now let me know plz how much is this critical blockage in %. It was reassuring to know what was going on! We are bit concerned with the following: an open bypass is clearly a riskier surgery than a stent. I feel like it controls my life now. kamal khan. I asked him why he didnt stent them he just said that he wanted to treat them agressively with meds and he just said there would be too many stents. No ischemia at rest. Is there anything I can do?? But, I feel like theres not much hope with so much blockage and so much medication. My uncle undergone Angiogram today and diagnosed as Two Vessel Disease. Advance thank you for such a wonderful platform. We both are prepared to accept inevitability, but not if there are treatments which we should be asking for which havent yet been presented as options. Its is already been 2 years now since he had the Angioplasty . Luckily his body started using feeder arteries to flow the blood through. Correction. She smoked from the age of 15 to 60 and now uses one of those e cigarettes she never puts this down even taking it to bed puffing away through the night ! Should I be concerned that they are sending him home with these blockages? Its not safe to advise specific tests in an acute situation over the internet. These decisions are complex and should be made on a case by case basis, its difficult to comment also without seeing the films. Afterall by pass or plasty was the preferred solution. Great article Dr Ahmed Have you had more than one opinion? We are all stunned. X-ray shows no collection of any fluid. Neither RAD blockages were addressed. I request your advice as to type of treatment to taken by me, like medicine and /or stent insertion. Doctor recommending to go with Angioplasty. Hello Doctor I wonder if you can help my wife has an artery 90 percent blocked can a stent still be inserted. SVG > D1 graft. Since that procedure she has suffered no chest pains whatsoever. This is why there is no large urgency as it has not developed overnight and i assume you are clinically very stable. Only 40% working so how can I get better n strong heart back ? but we are unable to find out what percentage of block he has I will have my Niece Amy send you the images. With great relief to me, your detailed reply agreed with his analysis of my situation, namely that my condition is stable due to the effectiveness of my by-passes and robust collaterals proximate to the right CA occlusion. I must say this was scary news. My total cholesterol is 142, with high HDL and low LDL. I am diabetic with HbA1C 7.0. His ejection fraction is 70% and although he had a heart attack, his tissue is healthy according to the doctors. If further tests are performed such as a pressure wire or a stress test demonstrate that there is a significant related reduction in blood flow then a stent may be required. Blood flow is generally reduced when the angiogram demonstrates a 70% or greater blockage, in fact that may be harmful. Which stent is best doctor for 80% blockage. I do realize that LAD diagnosis is called the widowmaker & is very serious thats why i am anxiously awaing a response from u.
Heart rate during acquisition: 55 58 BPM. This is the same case as one of my friends . Will this be worse for the calcification? Hi, I had an Acute MI treated with Stenting in LAD in OCt 2015. I have a diagnosis of hashimotos . Thank you very kindly. We have gone to Cleveland clinic and are waiting on them to go through all of his med records to come up with a plan. Echo report is here: https://drive.google.com/open?id=1UHKAlyPkHh6X2UGQJ4yiRDPh8ErD9n10 2 years prior, this same vascular specialist did tests which showed 70% & 80% blockages in the carotid arteries, from which he was put on meds for cholesterol and aspirin at that time. Hi, obviously i cant reply fully accurately since i cant see the images but ill try give you a little insight. * Coronary calcium score of 538, indicates high risk for atherosclerotic Moderate atherosclerotic calcified plaque identified within the Few non-obstructive calcified plaque are seen in proximal PLV branch; however, it is normal in course and calibre.
what treatment should be in case of 50% narrowing in RCA? * mid Right Coronory artery 90% ( had stent placed) As a result of checking through the net and meeting techniques that was not productive, I released my life was done. Doctor Advice :- Medical Therapy at present. is it possible that the flutter has recurred due to the blockage in RCA ? Triglycerides(mg/dL)-250 My father is 69 year old, complains of chest pain while walking and at times at home. Recently my father done a angiography its result as below And i sure hope things with your husband have improved. What are the lifestyle and dietary changes a person has to make if he/she has mild blockage around 30% in heart? RCA: DOMINANT, 80% LONG, COMPLEX PROXIMAL SEGMENT STENOSIS. As per the doctors bypass surgery cant be done at all , could you please suggest.
Thank you sir. The Echo is normal except for the mature inferior wall infarct, showing hypokinesia. We emergencly went hospital Please advise what shall I do.. Stents should not be placed in 50% blockages. Hello doctor: I have been advised that (a) for my condition, purely medical therapy can only be considered if the person leads a retired life and is not advisable for one like me who is employed and has an active life, (b) stenting is not the best treatment in my case as I will need four stents and chance of failure is high, (c) bypass surgery is the best solution. In June 2014 at 50 with no warning signs other than elevated cholesterol, I had a heart attack in the inferior with 3 blockages on right side treated with 2 stents and 2 narrowing on left treated with 2 stents. I told the nurse to tell the Doctor of this possible delay. distal right coronary 90% diffuse disease Obviously, doctor says this is normal. It also depends on the stability of the lesion. Yesterday 4am my father was getting small pain in chest and he just breath in and in,hard to out breath.. Hi, Its very difficult to say without seeing the films. The D1 is a branch of the LAD. Also the location of the blockage and the seriousness of it will weigh into the decision. This was before I started the medicines mentioned below. On a beta blocker, baby asprin and 40mg lipitor. Doctor did Angioplasty and found 50 % Blockage , theysaid there is no need to do any ByPass. I request you to please advise he is having three vessel diseases. Im 66 years old and dont have any coronary blockage or diabetes. ECOSPORIN (Aspirin) 75 mg 0 1 0 The coronary anatomy is right dominant. ( one cardio believe its mental and has precsribed librax) Is it a serious issue and needs angioplasty right away? So sorry for what you are going through, it must be extremely hard.
No aggressive osseous lesions are identified. Such blockages are clearly not causing restriction to blood flow and therefore very unlikely to be causing symptoms.
Gated SPECT: LVEF at rest is 41%. Also, how long does it take for an 85% block to convert to 100% ? Significant stenosis at proximal LCX. Thanks in advance. It was 100% blocked! Judy. I had a tvra procedure done for my sevear aortic stenosis. Dear Dr. Mustafa Ahmed, If the disease is diffuse, involves the LAD, and calcified with a high complexity with diabetes and poor heart function for example then surgery would be advised. I have written before about my problem I was diagnosed with a 70% blockage throuhg a TC scan on the Mid LAD, Also I have a postive stress test my cardiologist told me that I need a catheterization but I refuse because the risk. the spine. can i have your whats up nomber so ill sent you the angio vedios? Lcx dominant,lpda at ostium 30% lesion Does my condition require bypass surgery or can be treated with medicines. I am wait your reply. CT Coronary Angiography No chest pain, no shortness of breath etc. Im taking blood pressure medicine and Lipitor and a baby aspirin every day. Left ventricular ejection fraction is about 74%.
I have a 30-40% narrowing of the mid LAD what does this mean? Right now i am feeling dizzy even when sitting down and having my menstrual again (2 weeks cycle).. Is this normal ? Dr. Is it possible to have a good blood pressure and still have Blockage? RCA 100% in 3rd.
He also had an angiogram done and now his doctor is recommending an angioplasty due to Left main coronary artery blockage. Depends in many situations it differs, if the main lesion is treated and the symptoms are gone, then medical treatment may be ok, particularly if tests such as treadmill or other are reassuring. Normal enhancement of the myocardium and endocardium. (In %). Thank you. Not necessarily any treatment needed than medicines, but needs that determined by the treating cardiologist. I was informed that I had no damage to the heart muscle from the heart attack, is that uncommon? With ongoing chest pain and several stays in hospital and stress tests which did not show up any issues during 2014/15, finally had angiogram performed December 2015 some 18 months after my 2014 heart attack which identified 2 new blockages on right at 50 and 80% which were above and below my original stents and these were subsequently stented and found 2 further narrowing on left side at 40 & 50% which were untreated Opening up a chronic 100% blockage is not a first line treatment, is a complex procedure, and generally medicines are tried first. CTO work itself is a little more niche and i believe should be performed by someone with a special interest in that. I feel I can still run like a child and after running I feel so great. Very lucky it seems. Eccentric calcific plaques noted in proximal segment causing mild stenosis.
As can be seen in the picture, this artery was treated with stent placement to allow normal blood flow to resume. Many thanks! There doctor diagnosed him with mild MI and treated him accordingly. I want to discuss my fathers heart disease. He went thru angiogram & 99% blockage on RCA was found above the stent area, the stent is working fine & 99% blockage in LCX. First, she went thought stenting in LAD which got occluded with 90% stenosis at the entry of stent and 90% mid-stent stenosis within 6 months. No sir, my cardiologist told me that my ECG report is not good, so stress test is somewhat risky. LAD blocked 80-90%, Patient age is 67 years and do not want to go for surgery. My question is for a normal person, at the age of say 62, will there be zero blockage ( below 40%) , or with passage of time age, the blockage can be occurring. It all comes down to risk profile and symptoms. Hes been in the hospital with fluid in lung and kidney problem and on intubating tube. This entails the things you already seem to be doing and will act to be the best way we have of stabilizing the disease and improving your long term outcome. Do you think he should be hospitalized sooner, or we could wait until next week? Quadruple bypass 1992; Stent 2005; another Stent 2008. Could you please advise if Angioplasty (stents) are better for him by Bypass surgery? Hello Dr I hope you can help me understand what is happening with my Youngest Sister This all started with swollen ankles and becoming very tired and short of breath !! He said he also wanted to put him on blood thinners, but needed to know what the vascular surgeon was going to do about the aneurysm and was also going to contact him. LMCA: NORMAL Proximal LAD shows calcific plaques with segmental moderate stenosis. Deete Chano,
Various tests can be used to see if there are areas of the heart that have compromised blood flow, such as exercise stress tests and nuclear scans. My calcium scoring was 0. HTN with hepertensive HD disease where are the PVC thought to originate from? I would need to see the films to comment accurately. Were any stents placed? Rest artery flow is normal. Every day she has heart ache. LAD is feeding some of the Right,but mostly Collaterals I was told Theres Nothing we can do for you >??????? My mother had 90% blockage in LAD and 90% blockage in D1. The percentages are typically a visual estimate based on experience. Please suggest what is best for me. Any help would be appreciated-he is only 57 years old and has family history on both sides of heart disease. PLEASE GIVE THE ANSWER. Left Main Artery is clean and fine, Pls ignore. It is medical neglence case or not.. My husband (58 yrs.) But today, his long-term primary care physician said medications wont do much of anything and offered one stent as an option. (Suggested conventional coronary angiography for further evaluation.). Please find reports below. Im 61 and had a heart cat done.They said right side was clear, but the left side was 5% blocked. my procedure was done 7 days ago. Donald Worrell. This is actually a bypass graft in someone that has had bypass surgery. 90% stenosis, distal RCA short segment 70%. My father age 63, he was suffering from heart attack last week. What is the evidence you had a heart attack? Normal sinus rhythm could be noted during the entire study. If there are concerns about residual blockages then further testing may be needed such as stress testing. The recommendation is to cath/possibly stent. But there are conflicting opinions on this. please suggest, Hi Dr. My father recently had dizziness and high sweating. What do u think my problem is ? Diagonal and Septal branches are also patent. Is the damage permanent, is there scar? The bypass grafts appear to be widely patent meaning the bypasses appear to be working.