I am 26 year old male. my angiography was done. Following is the report (left heart catheterization was performed by perculaneious technique through the Right Femoral Artery using # 6F arterial sheath under local anesthesia. coronary arteriography was performed by judkin's technique using # 4 judkin's left and right 6F coronary catheters. LV angiogram was done with JR 4.0 6F catheter. Non ionic contrast media was used. peripheral pulses of the right leg at the end of the procedure were normal. the patient tolerated procedure well) . Kindly, advise me on what should be done next. My only symptom is heaviness in the left shoulder and occurs only after taking a meal followed by some form of exercise (mild eg.walking).
Left Coronary Artery
Left Main Stem: Normal bifurcating vessel
Left Anterior Descending Artery: Recanalised vessel shows mild ostial disease followed by mild proximal stenosis.
Left Circumflex Artery: Non-dominant, normal vessel.
Right Coronary Artery: Dominant, normal vessel.
Anterior wall and infrobasal hypokinesia
Ejection fraction= 30%
They recanalised your LAD, but your EF is only 30% So this could be the reason you get problems, it's low. Your EF should be at least 50% to be normal. When you eat, a substantial amount of blood is directed at your digestive system, causing the heart to work harder. If you do any exertion on top of this, it's not uncommon for angina to set in, for those who have heart disease.
You are young to have problems with your LAD vessel, and I have to ask if you eat a very unhealthy diet or smoke heavily?
I wonder if the LAD was substantially blocked before being recanalised and they are waiting for your left ventricle to recover. Perhaps it would be wise for them to perform a nuclear perfusion scan to evaluate any tissue damage.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
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.