Heart Disease Expert Forum
Heart disease
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This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

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Heart disease

Lad fully blocked told two weeks ago needed to have operation bypass doctor said to high risk would not do told to come back to talk about further operation then told could not do any more just to take medication and see me in six months still getting chest pain and short of breath I need help and advise can any one help me please has I don't know what to do
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Treatment for a totally occluded LAD depends largely on the chronicity of the occlusion (recent versus remote), symptoms, current medication regimen, and whether there is evidence of ischemia to that area of the heart that is supplied by the LAD (usually done by stress testing).  Unfortunately, it is difficult to say what would be your best treatment option without knowing your complete medical history, a physical exmaination, and being able to see your actual coronary angiogram.  Options for revascularizing a coronary vessel are done primarily by PCI (percutaneous coronary intervention, i.e. stents), or bypass surgery.  However, the decision to pursue either of these options, again, depend on the aforementioned - and sometimes medical management is recommended if certain criteria are not met or the patient is a poor candidate for an invasive approach.
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