My dad has a lot of chest pain and pain going down his hand , then doctor advise to go for an angiogram. The results were primary diagnoses IHD
Secondary diagnoses COPD, HDN, Cholestrolaemia,Gout, Osterarthritis, Urinary retention secondary to BPH,, Chest pain releived by GTN
Course in hospital Angioram organised revealed 80-90% stenosis of RCA (non-dominant) can any one explain what all of this means as we are very confused no one has said will he need a stent or bypass or can they do anything for his as he has been getting so much chest pain at rest and cant do much he is 74years old I would be greatful if any one could explain to me what is happening as my dad cant understand any of what the doctors say and nether can my mum. so I would like if you could tell me what all this means in plain langague please.
The first paragraph is just the doctors dictation of the diagnoses that he carries (COPD, hypertension, high cholesterol, gout, arthritis, BPH) and chest pain which was resolved with nitroglycerin. The IHD means ischemic heart disease, which means there is some heart disease caused by narrowed heart arteries.
However, the second paragraph you give the 80-90 stenosis of RCA which is non-dominant. What that means is that the right coronary artery (RCA), which is the artery to the back of your heart has a 80-90% blockage, which is severe. HOWEVER, if it is non-dominant, it is a small artery that does not affect much of the heart muscle, and is something that often is not fixed with stent because the muscle affected is so small. If he actually has ischemic heart disease, and this is the only blockage, overall despite it sounding bad, is a small artery, which is reassuring. Bypass or stents to these vessels are not typically done, except in the most extreme circumstances.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.