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CORONARY ANGIOGRAM
My mother has small pain in below chest and back of chest, then doctor advise to go for an angiogram, Angiogram shows Findings:
1- LMCA - Distal LMCA has 10-20 plaquing.

2- LAD - Type III vessel & diseased Ostioproximal LAD has 90% long segment stenosis. Mid LAD has 90% stenosis. Distal LAD has luminal irregularities.

3- LCX - Dominant vessel & has luminal irregularities from promimal till mid segment. Distal LCX has 70-80% stenosis.

4- RCA - Non dominant vessel. Proximal RCA has 90% stenosis. Mid RCA has 90% stenosis.

5- LIMA - Normal

Please advise us for further treatment, whether it can be cure with tablets and exercise or have to go for Revascularisation.
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3 Answers
3 Answers
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976897 tn?1379171202
I think there are too many blockages to consider stenting. There is also a covering of disease over significant distances of the arteries. I believe that bypass is the best solution here. Your LIMA vessel is clear which means it can be used in the bypass. Perhaps the RIMA could be used for the right coronary artery too. Medication or exercise will not help with disease, the blockages are actually severe. Exercise could cause damage rather than make improvements. You definitely require revascularisation.
HOWEVER, saying that, there is another possibility. In order to confirm whether viable or not, you will probably require a nuclear scan. Your Cardiologist would have to determine if you have collateral vessels open which act as a natural bypass. However, with the distal LCX having such a blockage, this may be hindered. In many cases, the LCX will give feeds to the LAD, but if the LCX is blocked this is inhibited. The RCA is normally very good at creating its own bypass, this may already have started, or could start. In 2007, I had a very similar problem to yours. My LCX had a 98% blockage and my LAD was 100% blocked at the top. They put a stent into my LCX which then opened feeds into my LAD, giving it a bypass.
So perhaps this is something you could discuss with your cardiologist.
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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









, Angiogram









shows Findings
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My husband just had Angioram.It revealed 70-80% stenosis in mid RCA and 70-80% stenosis in proximal LAD.He does not have a hostiry of chest pain,dyspnoea,SOB,syncope,dizziness.He does regular exercise.Doctor has reffered for bypass.Can't medication heal
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