Opinion needed for my angio result

[siva65]

my angio result is like this: Left main : normal,LAD: 30% stenosis in LAD after D1.Mid LAD shows 60% stenosis.Distal LAD is normal: D1-50%stenosis in mid vessel: LCX& OM -Normal: RCA-95% discrete stenosis in proximal RCA with diffuse disease in mid RCA:PLan is Optimize Medical Management and REvascularization if symptomatic. I need your opinion. Thanks.

[siva65]

Thanks for ur comment.., I will pray for u and also pray for me too.. Thank u very much..

[siva65]

Thanks for ur comment.., I will pray for u and also pray for me too.. Thank u very much..

[ed34]

You have 3 main arteries feeding the Heart muscle. The left anterior descending LAD, the left circumflex LCX and the right coronary artery RCA.
Your report doesn't mention you have symptoms and no intervention was done, so I assume you have no symptoms. In the UK there is no golden rule of 70% due to insurance restraints, it all depends on the condition of the patient, ie symptoms. You can have symptoms with a 30% blockage or less. However, if there are no symptoms or very little, they will try to manage the issue with medication first. A blockage over 70% in the UK is usually treated simply because it becomes high risk of the plaque rupturing. But, the main decision seems to be based on symptoms.
Your LAD is not blocked, but has 2 restrictions of 30% and 60% further down. However, your right coronary artery is virtually blocked at the top by 95%. It has disease spread along the middle section but the severity is not mentioned, so I assume it's low. Left circumflex is clear.
It is worth mentioning that not everyone feels symptoms until the disease has caused the heart to adapt itself to extremes, so I would question the 95% occlusion at the top of your right artery. The report is also missing some information, whether you are left/right or co dominant.

[Flycaster305]

I'm not a health professional, so please take my comments with that in mind.  However, I have read a lot of my results of many angiograms.

Your LAD, which is in most cases, the most important artery in your heart.  has a blockage of 60% just past the first diagonal arterial branch, but it appears the LAD further down the artery appears OK.  That said, the first diagonal is blocked 50%.  The LCX artery seems OK. It sounds like your Right Coronary artery has a major blockage about mid-artery of about 95%.  It appears your doctor suggests you take good drugs to minimize symptoms, but if you get heart pains, they suggest a surgical procedure, probably a stent.

Generally, doctors don't insert stents or do bypass surgery unless blockages are over 70% because of insurance restraints.  I would question your doctor why the blockage to the RCA wasn't inserted with a stent during the Angiogram.  It sounds like they want to see if your body can develop collateral arteries, e.g., little vessels that will grow and take over for the RCA artery that has a major blockage.  Angina (chest pain) and breathlessness are symptoms of a need for intervention, especially when active.  

I'd strongly suggest you exercise as best you can, certainly mix in salads, etc to your diet and knock off the pizza, burgers and fries.  If when exercising and you experience chest pain or breathlessness, call your doctor or go to the emergency room.  Don't be hesitant, just call.  

It sounds to me like you have serious cardiac issues, but again, I'm not a health professional, but do be proactive.  Best wishes.