Aa
A
A
Close
Blank
Avatar universal
Urgent : Coronary Angiography Reports


Angiography reports after a heart attack has:

LAD : 70% lesion in proximal segment followed by 99% segment in mid segment with TIMI-2 flow

LMCA : normal

LCX : normal

RCA : normal.

Age : 50 yrs.

Is this alarming situation ?
Cancel
2 Answers
2 Answers
Page 1 of 1
Avatar universal
Hello and hope you are doing well.

Doctors typically consider/perform angioplasty, with or without coronary stents on blockages of 70%75% or greater in the right coronary artery (RCA), left anterior descending (LAD), left circumflex (LCX) and some of their respective branches, also taking in consideration present symptoms. Prognosis will depend on the viable myocardium and co morbid conditions like diabetes. So, please discuss this with your doctor am sure he will provide further assistance.


Hope this helped and do keep us posted.
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
976897 tn?1379171202
TIMI-2 flow means that blood past the 99% blockage is sluggish. A timi score of 2 means an 8% chance of mortality, or another MI. As the distal part of your LAD is not filling retrograde, and is sluggish, I think it's safe to assume at the moment you have no collateral vessels which have opened. Personally I think the blockage of 99% requires stenting. I'm not sure about the 70%, this is borderline and is location at the top of the LAD, probably close to where the LCX branches off. If really close to the LCX branch, then stenting is much more difficult, but certainly not impossible, it depends on the experience of the cardiologist.
Comment
Cancel
976897 tn?1379171202
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
Occupant
IL
Avatar m tn
Blank
tacolino
Ireland
144586 tn?1284669764
Blank
caregiver222
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
463897 tn?1448485050
Blank
MH Community Mgr commented on Bubulous's status
4 hrs ago
712042 tn?1254572809
Blank
joanincarolina commented on Cardiac Syndrome X &a...
9 hrs ago
4522800 tn?1459192030
Blank
VICourageous HEY! Thanks for the Birthda... Comment
May 02
Heart Disease Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
Occupant
IL
Avatar m tn
Blank
tacolino
Ireland
144586 tn?1284669764
Blank
caregiver222